EXPRESSIONS

Dr. Jerin K John, Dr. C JayakumarFive month-old first child born on 13 -1-2021 of a non consanguineous parentage, exclusively breastfed,and developmentally normal was referred with generalised lymphadenopathy and massive hepatosplenomegaly (Liver 7cm below the right costal margin and spleen 6cm below the left costal margin respectively )for further evaluation. Differential diagnosis1.Thalassemia OsteoporosisNeiman pick disease Gaucher’s disease Adult type […]

⁩Dr Joepaul, Dr Sathyajith G Nair, Dr Sajitha Nair, Dr C Jayakumar One yr nine month old male presented with complaints of itchy maculopapular rashes since 1 month to begin with over hands and later spread all over the body Second day of the illness he had high grade fever for which he git parental antibiotics […]

Dr Adeena D S, Dr Praveena N B, Dr Natasha Radhakrishnan, Dr Vaishakh Anand DrC Jayakumar AIMS KOCHI  Three year old girl from Bangladesh, presented with failure to gain weight since 7 months of age.1st child of non consanguineous marriage born term, weighing 3.5 kg and was exclusively breastfed until 6 months and was started on […]

Dr. Venumadhav, Dr. Sajith Keshavan, Dr. C.Jayakumar  A two-year-old male attended a local hospital with a history of choking after consuming peanuts. Initial management at the primary care facility involved a CT Virtual Bronchoscopy, which revealed a 6x6mm soft density lesion in the airway, subsequently it was removed through bronchoscopy. Despite initial treatment, the child’s […]

Dr.Subbulakshmi P S, Dr.Jayakumar.C, Dr.Vinitha, Dr. Praveena N Bhaskaran, Dr.Suchitra Sivadas.AIMS, Kochi Nine year old boy presented with right sided neck swelling for 2 months. It was painless and was gradually increasing in size no h/o fever, weight loss, night sweats, progressive pallor, bleeding tendency ,cough, breathlessness, contact  with TB, rash , joint pain No other […]

Dr.Sruthi, Dr.Sheela Nampoothiri, Dr.Praveena, Dr.C Jayakumar ,AIMS KOCHI Five year old female child from Jharkand presented for evaluation of neuroregression and recurrent respiratory infections. She is the 4th child of a non-consanguineous marriage with uneventful antenatal period and born and developing normally.  At two years of age she started having difficulty in swallowing, nasal regurgitation and failure to gain weight. At 2.5 years of age she […]

A case of Leukemia. Dr.Akshay Kishore , Dr.Suma Balan , Dr.C.JayakumarFive year old male child  presented with joint swelling and redness of 1 month durationTo begin with pain and swelling occurred in small joints of hand and then to elbow and foot associated severe bone pain especially in the limbs. There is history of night cry and awakening due to pain. There […]


Dr. Venkat Kumar Raju, Dr.Krishna Kumar ,Dr.C Jayakumar Ten year-old male presented with progressive abdominal distention of 3 months duration and breathlessness on exertion of 1 month duration. There was no history of fever, yellowish discoloration of skin and eyes, No bleeding manifestations.a His urine out put was normal and not frothyOn Examination, he had stable […]

Dr.Rithwik Sunil, Dr. C. Jayakumar,DrSajith Kesavan ,Dr. Praveena Bhaskaran, Dr.Navya GeorgeAIMS Kochi, Department of Paediatrics Seven year old boy from Tamil Nadu presented with a 10 day history of a persistent wet cough and very thick tenacious spitted out sputum Parents also showed the picture of the very thick sputum.In the hospital also he used to […]

Dr.Venkatesh Kumar.M, Dr.C.Jayakumar,Dr.Praveena, Dr.Navya George,AIMS-Kochi.8 years old girl with global developmental delay with history ofincreased weight gain ,decreased physical activity and hyperphagia overthe past 2 years with 2 admissions in the past for speech delay andseizures.Physically she had large size head,almond shaped eyes,narrowpalpebral fissure with chubby cheeks,acanthosis nigricans,apple shapedabdomen and dry skin.Auxology revealed weight for […]