Growing Pains

3rd June 2018

This time, we talk about growing pains. We know that growing pains commonly occur between 3-6 years and 8-10 years of age, and are typically bilateral, symmetrical, muscular (calves and thighs), occurring at the end of the day or just when going to sleep and never affect activities of daily living and playing.
Here are some pointers as to what may not be a growing pain and may call for further investigations.

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Squint in Normal Children

3rd May 2018: We are glad to introduce to you our latest initiative – Pediatric Pearls. With this, we hope to keep giving you little clinical tidbits related to pediatric super specialties that you will definitely find useful in your practice. This week we focus on squint – we all know that Squint may be normal in the initial few months. But did you know how common it could be? (more…)

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Outdoor activity and Myopia Progression

14th November 2017: The following are common questions that parents worry about: Will carrots help my child get rid of his spectacles? Will eye exercises reverse her glass powers? What can I do to stop my child’s spectacle numbers from increasing? We now have research backed evidence for parents regarding what they can do for myopia progression:

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Oculo Cutaneous Albinism

7th November 2017: This week we look at Oculo Cutaneous Albinism and two associated syndromes that one should rule out in albinotic patients.

Hermansky-Pudlak Syndrome is a rare autosomal recessive metabolic disorder which causes albinism, visual impairment, and platelet dysfunction. Chediak-Higashi syndrome is a rare autosomal recessive disorder characterized by recurrent pyogenic infections, partial oculocutaneous albinism, progressive neurologic abnormalities, mild coagulation defects, and a lymphoma-like accelerated phase.

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W sitting

24th October 2017:

W sitting is a situation where the child sits with his / her hips resting in flexion, internal rotation and adduction. This is commonly first seen at age 1 – 2 years and may persist till 3 – 4 years of age. W sitting may just be a matter of habit without the need for any medical intervention. So then which children should be discouraged from sitting in W position for extended periods of time? (more…)

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Secondary Glaucoma in Sturge Weber Syndrome

17th October 2017:

We know about Sturge-Weber syndrome, the neuro-cutaneous disorder with angiomas on the skin of the face, typically in the ophthalmic (V1) and maxillary (V2) distributions of the trigeminal nerve. Did you know that you can predict the chances of secondary glaucoma based on the extent of the port wine stain? (more…)

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Pulled Elbow

3rd October 2017:

This week we look at Pulled Elbow – one of the commonest causes of painful psuedo paralysis of upper limb in the age group 1 – 5 years. We know that treatment is by traction & supination or in some cases, traction & hyper pronation. When should one think of ordering an XRay?

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Unilateral Out Toeing Gait

19th September 2017:

This week we look at Transient Synovitis – one of the commonest cause of unilateral gait abnormality in the age group of 2-6 years.
Features are: Usually reactive, Typical unilateral Out-toeing gait (Unilateral Charlie Chaplin) about one-two weeks after fever/ URTI / rash / loose motions / any viral infection. At presentation the child may be afebrile / playful / non-Irritable.

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