IAP Kerala Initiative
Written by Dr C Jayakumar
Dr.Terencia. Dr. Praveena Bhaskaran.Dr.Bhanu Vikraman Pillai DrC Jayakumar Fifteen year old male boy presented with altered bowel habits, abdominal pain and weight loss x 6 monthsAt the beginning symptom was suggestive of acid peptic disease. This was followed bya mltered bowel habits-2-3 episodes of semisolid stools/day followed by 2-3 days of no stools.In addition He […]
Written by Dr C Jayakumar
Dr.SreeLekshmy S Dr. Bhanu Vikraman Pillai, DrNavya George DrPraveena Bhaskaran DrC Jayakumar Three year old female child,2nd born of NCM 36weeks preterm 1.9kg birth weight presented with progressive abdominal distension of one week and fever and wet cough of 3days. Child had global developmental delay, seizure disorder and poor weight gain. Child had microcephaly, nystagmus, Grade 3 […]
Written by Dr C Jayakumar
Dr Joepaul Joy, Dr Vinitha Prasad,Dr Bhanu Vikraman Pillai, DrPraveena ,Dr C Jayakumar First born male child of a non consanguineous parentage presented at forty-five days of age who was normal at birth and on formula feeds with poor weight gain from day17, and low grade intermittent fever Child had abdominal distension of 4 days duration. […]
Written by Dr C Jayakumar
Dr Jerin K John, Dr Suma Balan (Paediatric Rheumatology), Dr C Jayakumar Ten -year-old boy presented with pain over the sternum for the last 3 months, following that he developed lower back ache and pain over hips. Pain was dull, non-radiating, more at night and decreased on taking acetaminophen. Auxology Normal General and physical examination was […]
Written by Dr C Jayakumar
Dr Anakha V Ajay* Dr C Jayakumar* (Paediatrics )Dr Suma Balan** Paed Rheumatology)AIMS, Kochi One year six month old female child presented with high grade fever associated with rash at the spike of fever which used to disappear each and every time fever subsides for the last 20 days Initially the fever was quotidian […]
Written by Dr C Jayakumar
Dr. Venumadhav, Dr.Bhanu vikraman, Dr. C. JayakumarDepartment of Pediatrics, Amrita Institute of Medical Sciences IntroductionA 6-year11 month old male presented with complaints of recurrent abdominal pain and weight gain since one year.Child was obese ( weight of 44 kgs,ht of 106 cms, BMI-36) including macroglossia, gynecomastia, acanthosis nigricans and thick, large ear lobules.LABS SGOT/SGPT-64/80Sr chol-177, TG-155, […]
Written by Dr C Jayakumar
Dr.Ch. Venkat Kumar raju, Dr. Sajitha Nair, Dr. Bhanu Vikraman Pillai, Dr.C. Jayakumar A 10-year-old girl presented with non-bilious vomiting of 2 weeks and progressive abdominal distention for 1-week duration.No history of fever, cough, or weight lossAt admission child presented with a grossly distended abdomenPer abdomen- umbilicus was everted with no organomegalyNo signs of liver […]
Written by Dr C Jayakumar
Dr.Subbulakshmi P S, Dr.Jayakumar.C, Dr. Praveena N Bhaskaran,AIMS, Kochi Five month old ex-preterm by twenty eight weeks presented with ear discharge and swelling behind the right ear for ten days with a fever for five days duration. She was admitted and started on IV Antibiotics in a nearby hospital Growth parameters were less than […]
Written by Dr C Jayakumar
Dr.Sruthi, Dr.C.Jayakumar, Dr.PraveenaAIMS, KochiTwo month old female 2nd born of a 3rd degree consanguineous parentage presented with poor weight gain since birth and feeding difficulty since 1 month Birth weight of 2.6kg and born by LSCS, due to oligohydramnios. Baby cried soon after birth. At birth, itself baby has generalised icthyosis. Baby had uneventful postnatal periodWeight […]
Written by Dr C Jayakumar
Dr.Akshay Kishore ,Dr.Suma Balan,DrC .Jayakumar Four year female immunized as per NIS schedule presented with recurrent bilateral parotid gland swelling once ina month for the last years two years No history of pallor, lymphadenopathy ,perioral ulcers/joint pain or swelling /genital ulcers /rash/dry mouth or dry eyes His auxology is normal for his ageDifferentials 1Bilateral salivary duct calculi 2Acquired immunology deficiency 3Juvenile […]