IAP Kerala Initiative
Written by Dr C Jayakumar
Dr.Akshay Kishore , Dr.C.Jayakumar , Dr. Suchithra Sivadas AIMS kochi. 17 year old boy apparently normal not on any se medication till now presented with a contusion over his abdomen alleged to have occurred following a hit with the elbow by his friend Subsequently two such contusion developed over his loin and in the fore armDifferential […]
Written by Dr C Jayakumar
Dr.Subbulakshmi P S, Dr.Jayakumar.C, Dr.Vinitha Prasad Dr. Praveena N Bhaskaran, Dr.Suchitra SivadasAIMS, Kochi 7 month old girl presented with generalised edema of 1 week ,High grade intermittent fever of 4 days,high colored ,reduced urine output of 2 days and yellowish discolouration of eyes since 2 days.No periorbital puffiness was noted.No fast breathing/Loose or clay colored […]
Written by Dr C Jayakumar
Dr.Sruthi Suresh (Resident )Dr.Jayasree (Neo)Dr.C.JayakumarAIMS Kochi Seventy four day old male baby presented due to respiratory distressShe was delivered at 28th week (790gm )to a primi mother by an emergency caesarean section due to utero-placental insufficiency.Baby was not saturating and was initiated on Bubble CPAP initially followed by one dose of surfactant. Baby was gradually […]
Written by Dr C Jayakumar
DrMehak ,DrC Jayakumar DrPraveena Bhaskaran ,DrNavya George Nine year old girl presented with low grade intermittent fever of 4 days and pin point erythematous well circumscribed non pruritic flat rashes over lower limbs. Over the next 4 days, the rashes increased in size and number, became raised over skin surface and smaller rashes coalesced to form […]
Written by Dr C Jayakumar
Dr. Venumadhav, Dr.Suchitra Sivadas, DJayakumarAims Kochi10 year old female presented with complaints of cough andlobulated swellings in periorbital area, neck and left shoulderwith restriction of movements. Child was investigated at herprimary care hospital itself. Swellings reduced in size overnext 2-3 weeks but became more firm to hard. As X-ray chestand Usg chest showed evidence of […]
Written by Dr C Jayakumar
Dr.Ch Venkat Kumar raju, Dr.C. Jayakumar One year old asymptomatic child presented with fever one week and irritability poor oral intake of three days and B/L lower limb swelling. Symptoms suggestive of cardiac renal and hepato biliary systems were absent . Referral was for High counts and abnormal sonogram Differentials considered were Renal, hepatic problems, Malnutrition ,lymphedema and cardiac […]
Written by Dr C Jayakumar
Dr.B.Shobika,Dr.C.Jayakumar,Dr.Praveena Bhaskar and Dr.Navya George AIMS KOCHI Two year old male child presented to the ER with high Grade intermittent fever of 10 days. child was febrile,sicklooking,irritable with stable vitals.General examination revealed bilateral cervical lymphadenopathy,congested throat,slightly erythematous lips but Tongue was normal His systemic examination was normal Hemogram showed leucopenia and Neutropenia,CRP-194mg/l,procalcitonin-3.43ng/ml,ESR of 135mm.Peripheral smear […]
Written by Dr C Jayakumar
Dr. Theresa Raju,Dr. C Jayakumar,Dr Praveena ,Dr Navya George Sixteen year old boy suffering from Myelin oligo dendrocyte glycoprotein antibody associated disease (MOGAD ) on Mycophenolate Mofetil since one year presented with high grade intermittent fever ,rigors and sweating of 1 month do f h.History of weight loss about 3kg in 1 month. At 15 […]
Written by Dr C Jayakumar
Dr.Venkatesh Kumar M, Dr.C.Jayakumar ,Dr.Praveena Bhaskaran, Dr.Navya George AIMS KOCHI Three month old extremely preterm baby( 27 weeks+2 days), 3rd of triplet born by IVF pregnancy presented with recurrent non bilious vomiting of 3 weeks duration .She had a stormy neonatal period with respiratory distress, conjugated hyperbilirubinemia, fungal and MRSA sepsis, anaemia of prematurity(received 5 blood […]
Written by Dr C Jayakumar
Dr.Ghaniya KC , DrSheela Nampoothiri DrSajith Keshavan Dr.Praveena N.Bhaskaran , Dr.Steffy Sunny , Dr.Navya George , Dr.Shela Sany ,DrC Jayakumar AIMS Kochi Eleven year old girl child , presented with complaints of dry cough for 2 weeks , high grade intermittent fever, fast breathing and Chest retractions for 2 days. She had 3 episodes of Pneumonia at […]