Cracking the code of CATCH 22 !!!!!

Dr.Sree Lekshmi, Dr. Jayasree, Dr.Perraju, Dr. Aswin, Dr.Lekshmi, Dr. Smriti, (neo)Dr.Sheela Namboothiri. (Paed genetics) DrC Jayakumar  Term AGA Male Ba born to a 26 year old primi mother with anomaly scan showing right sided aortic arch lead to amniocentesis for micro array and that which showed 22q11 deletion – Di George syndrome . Ba was born Read More …

Pierre Robin Sequence: A multidisciplinary approach to treatment and care in Infancy

Dr Joepaul Joy, Dr Sajith Kesavan(Ped Pulmonology,PICU), Dr Pramod Subash(CMFS), DR C JayakumarAIMS, Kochi  Sixteen days old term/ AGA/ male ba delivered via LSCS(Indication- Previous LSCS) on Jet feeding technique presented to ER in view of desaturation. Echo and BERA done outside were normal. Swallowing study showed cleft palate with normal nasopharynx and mobile vocal cord. On examination Read More …

Jeune Syndrome

Dr.Jerin.K.John, Dr.C.Jayakumar A 4 year child, a full-term ba of a non consanguineous patents was born via vaginal delivery with a narrow thorax, post-axial polydactyly in both hands and the left foot, gum hypertrophy with multiple frenulae, and short limbs with rhizomelic shortening. Anterior fontanelle (AF) was at level. The neonatal period was uneventful until Read More …

Chondrodysplasia Punctata: A Rare Skeletal Dysplasia with Binder’s Facies

Dr.venumadhav, Dr.Sheela Nampoothiri (Paed genetics)DrCJayakumarAIMS Kochi Preterm make 30 weeks of gestation born LSCS due to PIH of a SLE mother, came for further evaluation . Mother was on treatment for lupus nephritis with Hydroxychloroquine, Labetalol, and Nicardia.Prenatal scans revealed the fetus was small for gestational age with mild mid-facial hypoplasia and frontonasal flattening. Fetal Karyotyping Read More …

CASE OF BLADDER EXTROPHY

Dr Anakha V Ajay  , Dr Aswin Prabhakaran (Deptof Pediatric surgery)  Dr Jayasree Dr Perraju Dr Smrithi Dr Ashwin Dr Lakshmi (Dept of Neonatology) Dr C Jayakumar(Dept of Pediatrics) AIMS Kochi Four day old out born ba born to a 27 year old gravida 3 para 2 living 2 mother at 39+6 weeks of gestation Read More …

Case of Joubert Syndrome with Bleeding Gums

Dr.Ch Venkat Kumar Raju,Dr Suma Balan , Dr C.Jayakumar Department of Pediatric and pediatric rheumatology Amrita institute of medical sciences, kochi  Four year-old female child from Maldives, with a background history of prematurity, right renal agenesis, thalassemia carrier, in view of facial dysmorphism, ptosis and Molar tooth sign in MRI with cerebellar hypoplasia was diagnosed Read More …

The hurdles of atypicals – Mycoplasma pneumoniae

Dr.Subbulakshmi P.S,Dr.Praveena Bhaskaran, Dr.Preethi ,DrCJayakumar Department of Paediatrics, AIMS, Kochi Five year old developmentally normal female child, second of non-consanguineous marriage, presented with high grade intermittent fever (Tmax 102) and on and off dry cough of one day duration. Brother had fever Pointer symptoms suggestive of other system involvement were negative Immunised as per IAP Schedule Clinically she had Read More …

From cough to cavitation- Case report on Paediatric lung abscess

Dr.Sruthi, Dr.Sathyajith G Nair, Dr.C. JayakumarAIMS, Kochi Two -year-old male spastic cerebral palsy, global developmental delay, status post left sided congenital diaphragmatic hernia correction, with h/o Grade 3 IVH with post haemorrhagic hydrocephalus presented with high grade fever and fast breathing,poor feeding of 7 days duration He is the first child of non-consanguineous parentage born at 27 weeks Read More …

Case of Meckel Gruber syndrome 

Dr.Akshay Kishore , Dr.Jayasree , Dr.Suhas , Dr.C.Jayakumar. Amrita institute of medical sciences. Newborn 20day old male child 1st child of Non- consanguineous marriage with antenatally detected occipital encephalocoele , bilateral polycystic kidneys and oligohydramnios , Preterm at 33 weeks/B.W -1.9kg via LSCS , developed respiratory distress soon after birth and was put on bubble CPAP. Ba Read More …

Not a benign cervical lymphadenopathy

Dr Adeena D S, Dr Praveena B,Dr C JayakumarDepartment Of PediatricsAIMS, Kochi Six year old male child, 1 st born of a non consanguineous marriage, presented with persistent right cervical lympadenitis and on and off fever of 9 months duration.Nine months back, history of low grade fever spikes of 1 day duration followed swelling Read More …