Pediatric Update-eMediNews:Health & Medicine Updates

Thursday, June 20, 2013 | Updated 7:30 IST

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Children with pulmonary hypertension behave differently than adults.

Children with pulmonary hypertension behave differently than adults. In a paper published online January 10, 2012 in the Lancet, Dr Rolf M Berger (University Medical CenterMore...

What the speakers have to say

Tremendous lacunae in awareness of all Reproductive Health matters suggests that young people’s sexual and reproductive health issues need to be further addressed and explored in order to promote safer and responsible sexual behavior. (Jyoti bagla, Amrita mayanger, Rekha B. Kasat, PP Gupta, AP Gupta Associate Professor ESI PGIMSR, New Delhi)
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Symptoms of Gastroesophageal Reflux Disease in Children

Symptoms related to reflux esophagitis
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Gastroesophageal Reflux Disease in Children

Warning signals or the ‘red flag’ signs that require investigation for GERD in infants are:
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Other Pediatric Update Article

Hematuria: Red color of the urine
Presence of red blood cells (erythrocytes) in the urine. Hemoglobinuria is used synonymously, although more precisely it refers only to hemoglobin in the urine. More »

Red color of the urine can be due to various causes:
Red blood cells Hemoglobin Myoglobin in myoglobinuria More »

What are the common causes of acute liver failure in adults?
The common causes of ALF in adults in India are viral hepatitis (Hepatitis E Hepatitis A, Hepatitis B), drug–induced, Wilson’s disease, autoimmune hepatitis, acuteMore »

Prevention of Rickets and Vitamin D Deficiency in Infants and Children, and Adolescents
The American Academy of Pediatrics recommends a daily intake of at least 400 IU vitamin D in infants, children and adolescents to prevent rickets and vitamin D deficiency.More »

How do you take care of lactose intolerance?
There is no drug therapy available. The only treatment available is diet modification i.e. foods containing lactose need to be limited e.g. milk, cheese but not yoghurt where the bacteria have mostly metabolized the lactose.More »

Frenotomy for ankyloglossia (tongue-tie)
In a randomized trial, newborn infants with significant ankyloglossia and difficulty More »

Prolonged use of a bottle may contribute to obesity as well as dental caries
In a longitudinal cohort, continuing to use a bottle at two years of age was associated with More »

Am. Academy of Pediatrics new Down syndrome recommendations
One should perform a sleep study by four years of age in all children with Down syndrome More »

What is the treatment of febrile seizures?
A spinal tap may be done to be sure your child does not have a serious infection like meningitis, especially if your child is younger than 1 year of age.More »

Tooth Decay in Children
Tooth decay develops when a child’s teeth and gums are exposed to any liquids or foods other than water for long periods. The most common way this happens is More »

Chronic pancreatitis
The causes of chronic calcific pancreatitis are as follows:More »

Chronic pancreatitis: Etiology
In children, chronic pancreatitis is usually associated with genetic conditions such as typical or atypical cystic fibrosis or hereditary pancreatitis or is idiopathic. In adults, chronic pancreatitis is usually associated with alcoholism (70%) More »

5 ways to fight depression
If you feel depressed, it’s best to do something about it – depression doesn’t just go away on its own. In addition to getting help from a doctor or therapist, here are 5 things you can do to feel better.More »

What is the recommendation for post exposure prophylaxis for contacts following needle prick from a
For a patient who is exposed to a known HBsAg–negative source More »

How common is Allagille’s?
Allagille’s occurs approximately once in every 100,000 live births with equal incidence between boys and girls. For a couple who already have an affectedMore »

How is a patient of chronic hepatitis B treated?
Consensus guidelines for the treatment of chronic HBV in children have not been established, and indications for antiviral therapy in adults with chronic HBV infection may not be applicable to children.More »

Is enzyme replacement a solution for GSD
Enzyme replacement was thought to be the answer but its issues of tachyphylaxis– needing progressively higher doses and frequent infusions atMore »

What is Disimpaction?
Disimpaction means cleaning of retention from the rectum. This can be achieved by two methods: oral or rectal route. The oral route is preferredMore »

What is functional constipation?
Functional or idiopathic constipation is mainly caused by the painful bowel movement with resultant voluntary withholding of feces to avoid unpleasant defecation. Because of prolonged stasis of stools in the rectum, the fluid isMore »

Breastfeeding or breast milk for procedural pain in neonates
If available, breastfeeding or breast milk should be used to alleviate procedural pain in neonates undergoing a single painful procedure compared to placebo,More »

What is the role of liver transplantation in Glycogen liver disease?
Liver transplantation is indicated in Glycogen storage disease–More »

Consider the following causes in a patient of hepatomegaly
With normal bilirubin: Consider hepatoblastoma, metabolic diseases.More »

Can weight loss surgery be recommended in adolescents with morbid obesity?
Adjustable gastric banding (AGB) is one of two established surgical interventions to address severe obesity in adolescents. A randomized trial of 50 adolescents comparedMore »

What are the different positions of appendix in children?
The different positions of appendix in children are:More »

Prevention of diarrhea in children with HIV infection or who were born to an HIV–infected mother
Diarrhea is a common cause of illness in children, especially in low and middle–income countries where it accounts for nearly 2.5 million deaths per year. Infants and children with HIV infection or maternal exposure through birth or More »

What are the causes of hereditary fructose intolerance?
Hereditary fructose intolerance occurs due to deficiency of an enzyme called aldolase B, whichMore »

What is the general management plan for croup?
The management of croup, usually a self–limited disease, is dependent on the severity of respiratory symptoms. The most important task is airway maintenance. General management principles include:More »

Should old patients drive?
No one uses chronological age asMore »

Clinical Presentation
The diagnosis of GERD is often made clinically based on the bothersome symptoms or signs that may be associated with GER symptom descriptions are unreliable in infants and children younger than 8 to 12 years of age, and many of the purported symptoms More »

Nutrient Needs of Adolescents
Adolescents need extra nutrients to support growth spurt.More »

What are the features of chronic liver disease in children?
History More »

What are the treatment options in cystic fibrosis liver disease?
In addition to UDCA (ursodeoxycholic acid) treatment, treatment of cystic fibrosis liver disease includes supplementation of fat–soluble vitamins.More »

GERD: Clinical Presentation
The diagnosis of GERD is often made clinically based on the bothersome symptoms or signs that may be associated with GER symptomMore »

How do we diagnose a case of hereditary fructose intolerance?
UrineMore »