Oesophageal duplication cyst

Dr.Shobika,Dr.Naveen,Dr.Praveena,Dr.Preethi DrC Jayakumar Department of pediatricsAIMS KOCHITen year old boy presented of breathing difficulty  for 3 daysNo h/o fever,fast breathing,loose stools,chest pain,cough,rashes or Genito urinary symptoms Past history:No previous hospital admissions On examination,child was conscious,orientedVitals:stableS/E:Respiratory system – Air entry bilaterally equal Other systems within normal limitsInvestigations :TLC-11.82,N-50.3,L-36.5,PCV-38.1X ray chest : Normal  CT chest – esophageal cyst Barium swallow – Read More …

Headache in an Adolescent girl; 

Dr. Rithwik Sunil , Dr.Vinitha Prasad, Dr.Stefy, Dr. Shela, Dr C Jayakumar Thirteen year old female child presented with throbbing headache more on the right side since 5 days with photo -phono phobia. To begin with she had 2 to 3 episodes non projectile, non billous, non blood stained vomiting and passage of orange coloured Read More …

A case of mass per abdomen

Dr. Mahak Bhasin, Dr Sindhu, Dr. Jayakumar, Department of Pediatrics, AIMS, Kochi  Six month old male ba born to G3P1L1 mother, GDM with Polyhydramnios with antenatal scans showing increasing abdominal circumference in the ba delivered vaginally ,induced at 35 weeks and 4 days of gestation. Birth weight was 3.380kgs at birth and ba was treated Read More …

Post-Infectious Auto immune Hemolytic anemia

Dr.Ghaniya KC , Dr.C.Jayakumar Three year old female child presented with Incidentally detected low Hb during rituneCBC one week back Hb- 6.1 gm/dl No h/o cough /vomiting /seziures/ loose stools,bleeding from any sites ,picca ,recurrent infectionsPast History –Three months ago had LRTI , CBC done Hb was mortal at that timeO/E : Child is active, not sick lookingVitals Read More …

H1N1 Encephalopathy

DrVarsha Dr Sajith Kesavan/ Dr Greeshma Isaac(Paed pulmonologist ,Intensivists)DrC Jayakumar Department Of Pediatrics, AIMS KochiThree years old female child developmentally normal, fully immunized according to NIS with no significant past history presented with c/o fever with myalgia of 4 days duration followed paraxysmal event with stiffening of both limbs of 2minutes duration which was self Read More …

New onset Refractory status Epilepticus(NORSE )with sequelae

Dr Joepaul Joy, Dr Vinayan KP, Dr Vysakh Anand(Ped Neuro), Dr C Jayakumar Six and year five month old boy, first of NCM with normal perinatal and developmental history presented with acute cluster of seizures and encephalopathy following a febrile illness. Child was treated outside as Super refractory status epilepticusOut side hospital history Child developed high grade intermittent Read More …

Tiny but Tenacious!!!!!! A newborn’sjourney through a challenging start

Dr.Sree Lekshmy.S,Dr.Jayasree,Dr.Perraju, Dr.Aswin, Dr.Lekshmi(Neonatology), Dr.Naveen (Ped surgery)DrC Jayakumar Thirty three week+ 4day old male ba, first child of Non consangenousparentage born to a G8A7 mother (IVF conception) with antenatal scans showing dilated fetal stomach and proximal small bowel loops, born Emergency LSCS (indication: preterm premature rupture of membranes). Ba cried immediately after birth. Ba developed Read More …

Cow’s Milk Protein Allergy in a Post-Kasai Infant with Biliary Atresia: Diagnosis and Management

  Dr. Jerin K. John, (Dr. Bhanu Vikraman Pillai Dr. Anupa AchamaThomas Dr. Neeraj Panchanadikar Ped gastro )Dr. C. Jayakumar (Pediatrics)  A 6-month-old developmentally normal female infant, the third child of non-consanguineous parents, with a history of biliary atresia status post-Kasai procedure, presented to the OPD with three episodes of dysentery The infant also had vomiting, reduced urine Read More …

“From Boils to Breakthroughs: Tackling Severe Congenital Neutropenia in Infancy”

Dr. Venumadhav, Dr. C. JayakumarDepartment of Pediatrics, Amrita Institute of Medical SciencesIntroductionA 15-month-old female Maldivian child presented with recurrent episodes of short febrile illnesses, skin and soft tissue infections, and respiratory tract infections since early infancy. She had previously been incidentally diagnosed with neutropenia and was on treatment for the boils on her upper limbs From Read More …