IAP TamilNadu: Postgraduate Clinics in Pediatrics – Infant with Cholestatic Jaundice (7th November 2020)
31 replies on “IAP TamilNadu: Postgraduate Clinics in Pediatrics – Infant with Cholestatic Jaundice (7th November 2020)”
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if mrcp is normal will HIDA be helpful in a 6month child with persistant pale stool mam???
Investigation of the child which is being presented should also be put mam for better understanding of cases
For future case presentations
Any role of endoscopy in this infant?
Dr Arun kindly fix ur audio
Not clear at all
With what specific finding(s) in liver biopsy ,we can definitely rule in or rule out the biliary atresia in a case of neonatal cholestasis?
Whether cardiac evaluation and x ray vertebrae are routinely to be ordered in this infant?
Role of USG cranium as we suspected IC hemorrhage?
Serum ammonia pyruvate and lacttate
And urine ketones also need to be sent in this case.!!
Hepatocellular failure and intra cranial hemorrhage in final diagnosis ?
GGT and 5 Nucleotidase are to be estimated in all cases of cholestasis or there are specific indication(s)?
Can we classify the investigations grouped as 1 ) to find out liver function and 2 ) to establish the etiological dx
Mam is pfic diagnosis of exclusion.??
Should it be mentioned in differential diagnosis in such a case.??
How common is the tris hydroxy co prostanic acid associated cholestasis?
Should we start from antenatal history/ discuss the presenting complaints initially when we present the case in practical exam?
How about alpha 1 antitrypsin deficiency as a metabolic cause?
Tone – Do we expect it to be normal?
Can we have all the quadrants of abdomen moving well with respiration having such a large abdomen occupying upper abdomen?
Mam should we mention extent of jaundice like we say in newborn in such a case like this.??
Importance of examination of fundus in this baby ?
Soft consistency of liver is not possible in such a condition as it indicates non pathological liver
What are the dysmorphic features looked for and specific conditions suspected?
The anthropometry – Does it support the DX of SAM?
Why not primary immunodeficiency like scid mam
Abscess so early in life
Does clay stools always favour the DX of biliary atresia?
Small baby ,midfacial abnormalities – hypopituitarism?
DIAP India
31 replies on “IAP TamilNadu: Postgraduate Clinics in Pediatrics – Infant with Cholestatic Jaundice (7th November 2020)”
Hackdra’s smart contract auditing service ensures that decentralized applications and smart contracts are free of vulnerabilities and security loopholes. Request free smart contract audit now.
if mrcp is normal will HIDA be helpful in a 6month child with persistant pale stool mam???
Investigation of the child which is being presented should also be put mam for better understanding of cases
For future case presentations
Any role of endoscopy in this infant?
Dr Arun kindly fix ur audio
Not clear at all
With what specific finding(s) in liver biopsy ,we can definitely rule in or rule out the biliary atresia in a case of neonatal cholestasis?
Whether cardiac evaluation and x ray vertebrae are routinely to be ordered in this infant?
Role of USG cranium as we suspected IC hemorrhage?
Serum ammonia pyruvate and lacttate
And urine ketones also need to be sent in this case.!!
Hepatocellular failure and intra cranial hemorrhage in final diagnosis ?
GGT and 5 Nucleotidase are to be estimated in all cases of cholestasis or there are specific indication(s)?
Can we classify the investigations grouped as 1 ) to find out liver function and 2 ) to establish the etiological dx
Mam is pfic diagnosis of exclusion.??
Should it be mentioned in differential diagnosis in such a case.??
How common is the tris hydroxy co prostanic acid associated cholestasis?
Should we start from antenatal history/ discuss the presenting complaints initially when we present the case in practical exam?
How about alpha 1 antitrypsin deficiency as a metabolic cause?
Tone – Do we expect it to be normal?
Can we have all the quadrants of abdomen moving well with respiration having such a large abdomen occupying upper abdomen?
Mam should we mention extent of jaundice like we say in newborn in such a case like this.??
Importance of examination of fundus in this baby ?
Soft consistency of liver is not possible in such a condition as it indicates non pathological liver
What are the dysmorphic features looked for and specific conditions suspected?
The anthropometry – Does it support the DX of SAM?
Why not primary immunodeficiency like scid mam
Abscess so early in life
Does clay stools always favour the DX of biliary atresia?
Small baby ,midfacial abnormalities – hypopituitarism?
Cause(s) of the irritability in this baby?
I cant get audio
Mec hist – delayed ,prolonged passage
Meconium plug , perforation ,mec peritonitis,etc
Umbilical sepsis?
Evidence of hypothyroidism?
H/ o Total Parentral nutrition ?
Meconium history