Rapid Escalation – From fever to acute liver failure –

Dr.Akshay Kishore , Dr.Bhanu Vikraman Pillai , Dr.Praveena N Bhaskaran , DrCJayakumar Amrita Institute of medical sciences  Two year old female child , 4th child of NCM , Term/AGA with a sibling death with ?suspected liver disease came with complaints of fever, cough and lethargy of 2 days duration. Associated with non bilious vomiting – 5-6 Read More …

Abdominal pain Not acid peptic disorder 

Dr Adeena D S. Dr Suma Balan (Pediatric Rheumatology), Dr C JayakumarDepartment Of PediatricsAmrita Hospital Kochi Ten year old girl presented with complaints of pain abdomen which was non radiating , diffuse, increases with food intake and improves with rest, associated with multiple episodes of vomiting which was non-bilious, containing food particles and occasionaly blood Read More …

AN OVERLOOK INTO THE UNUSUAL CASE OF SPINDLE CELL NEOPLASM:

Dr.Venkatesh Kumar M, Dr. Praveena N Bhaskaran, Dr.Preethi, DrCJayakumar AIMS,Kochi. Twelve year old male child, developmentally normal and immunised who is a known case of Supracardiac TAPVC post surgical  repair presented with swelling noted in the right posterior triangle of neck of one month duration , initially the size of a coin (0.5 x 0.5 Read More …

Case of classical hodgkins lymphoma

Dr Theresa, Dr Praveeena Bhaskar (pediatrics ID), Dr Rema (pediatrics hematology), Dr C Jayakumar, Amrita Institute of Medical Sciences , Kochi Six years old male child presented with persistent cervical lymphadenitis and on and off fever of 9 months duration. Initially, the swelling was in the submandibular region, later seemed to descend to the neck Read More …

Hepatitis A

Dr.Shobika,Dr.Praveena,DrC Jayakumar Dept of PediatricsAIMS KOCHISixteen years old male child presented with complaints of fever associated with 2-3 episodes of vomiting,abdominal pain of 3 days duration,h/o passing high coloured urine of 1 day duration,with h/o hepatitis A outbreak in schoolNo h/o altered sensorium,bleeding manifestations alteration of sleep rhythm No h/o previous hospital admissions in past.At presentation,he was Read More …

Case of Elevated Blood Pressure

Dr Mahak Bhasin, Dr. Vinitha Prasad, Dr. Stephy, Dr. C Jayakumar, Department of Pediatrics, AIMS, Kochi Twelve year old male child known case of reactive airway disease on controller inhalers developmentally normal and thriving well presented with 1 episode of dizziness lasting 20 minutes associated with mild head ache while he was attending class. No Read More …

Pick your poison

Dr. Rithwik Sunil, Dr Vinitha Prasad, Dr C JayakumarAIMS KOCHI Twelve year old presented girl with alleged h/o consumption of a yellow fruit on 21/08/24 at 5:30 pm. After chewing the fruit, she found the taste bitter and immediately spat it out. The teacher was informed and the child’s parents were acknowledged Past HistoryNo h/o Read More …

Unanticipated Discovery and Clinical Approach

Dr.Ghaniya KC, Dr.Praveena Bhaskaran, Dr.C.Jayakumar Two years ten months , male childPresented with h/o Not bearing weight on right foot and Pain ? Abdomen ? Lower limbs X 10 days HISTORY OF PRESENTING ILLNESS• Child was apparently normal 10 days• He was travelling in a car and was sleeping• Hit a gutter and he woke Read More …

Abdominal pain and constipation Beyond habitual constipation 

Dr Varsha v s/ Dr Rema(Paed Haemato)/ DrPraveena/Dr jayakumarFive year old boy with h/o on and off abdominal pain and constipation since last 6 months which get relieved only laxatives. Presented withc/o severe pain abdomen and constipation since 3 days. On examination vitals stable, pallor present. Systemic examination revealed soft but palpable stools and Hepatosplenomegaly. Read More …

A missing tooth! Where to be found?!

Dr. Terencia, Dr Sajith Kesavan, Dr Greeshma, Dr. C Jayakumar AIMS Kochi 5 years old male child with alleged history of foreign body(front incisor) ingestion during sleep on 26/08/24. Child was evaluated in an outside hospital and foreign body was opined to be in the right lower lobe bronchus. Attempted to extract the foreign body Read More …