If this is a newborn, on day 3; the rash is ?

Salamo alikom my dear doctors:
                    This picture looks like erythema
toxicumm. Good luck
--- PaediatricsYahoogroups Dr Kondekar
<drdoctor@...> wrote:

> Glacier
>
>
> If this is a newborn, on day 3; the rash is ?
>
>
>
>
>
>
>
> Dr Kondekar Santosh Venketraman
> Lecturer Dept of Pediatrics
> GS medical College Mumbai
>
>


Send instant messages to your online friends http://uk.messenger.yahoo.com

http://bmj.bmjjournals.com/cgi/content/full/321/7255/223

Large quantities of calcium (20-30 g) are actively transported across the
placenta from the mother to the fetus to facilitate normal bone mineralisation.5
Most (80%) is transferred in the third trimester. Parathyroid hormone and
calcitonin do not cross the placenta.5 Fetal 1,25-dihydroxyvitamin D,
synthesised in both fetal kidney and placenta, acts as the major stimulus and
regulator of calcium transfer across the placenta. In the fetus, maternal
primary hyperparathyroidism results in high concentrations of serum calcium that
acts to suppress the parathyroid glands, resulting in a low fetal parathyroid
hormone concentration. Fetal calcitonin concentrations are high to encourage
bone mineralisation. At birth, the neonate is suddenly deprived of this rich
source of calcium. It is incapable of mobilising calcium from bone owing to the
low concentrations of parathyroid hormone and high concentrations of calcitonin.
Acute neonatal hypocalcaemia results in tetany and convulsions, usually at 5 to
14 days of age.6 If the infant is breast fed, tetany can be delayed by one month
or more.7 Routine blood tests show hypocalcaemia (calcium concentration <1.75
mmol/l); hypomagnesaemia is also common.5 A parathyroid hormone assay often
shows a low value but the value may be normal or increased. Treatment by oral or
parenteral calcium and magnesium supplements is usually required only for a
short period. Transient hypoparathyroidism resolves within three to five
months.8

Transient neonatal hypocalcaemia in the first few days of life is relatively
common. However, when hypocalcaemia presents towards the end of the first week
(or later) with symptoms such as tetany or convulsions, appropriate
investigations should be carried out.

Primary hyperparathyroidism in pregnancy can result in major morbidity and
mortality for both the mother and the neonate. The hypercalcaemia can manifest
itself in symptoms such as hyperemesis gravidarum, weakness, renal calculi,
pancreatitis, spontaneous abortion, or fetal death.5 The mother may be at risk
in the immediate postpartum period. A hypercalcaemic crisis can result, as the
maternal efflux of calcium to the fetus is suddenly discontinued.

A detailed history may turn up discrete symptoms in the mother such as weakness,
excessive thirst, constipation, or recent depression. Patients, however, often
report no symptoms.8-11 The condition can be diagnosed by screening the mother's
blood for calcium and then for parathyroid hormone. The mother should be
referred to an endocrinologist and surgeon. Further pregnancies should then pose
no risk to the fetus or mother.

The presentation of asymptomatic primary hyperparathyroidism through convulsions
in the infant, although previously documented anecdotally, is exceedingly
rare.9-12 It is unusual for a district general hospital serving a population of
250 000 people to see two such patients within 12 months. The first case
illustrates how easy it is simply to treat neonatal hypocalcaemia without
investigating the cause. Primary hyperparathyroidism went unnoticed in this
mother until neonatal convulsions occurred in her third child. All mothers with
neonates showing tetany or seizures should have serum calcium concentrations
checked to exclude primary hyperparathyroidism.





Views concerning the incidence of tetany in the newly born vary
greatly. One reason for this is that the complete clinical picture
of tetany as seen in older children is rarely encountered in the
newborn. Another complicating factor is that there is no general
agreement concerning the circumstances in which tetany is liable to
occur in the early days of life.

http://www.mgwater.com/Seelig/Magnesium-Deficiency-in-the-
Pathogenesis-of-Disease/chapter3.shtml


The existence of neonatal tetany is considered a sensitive clue to
maternal hyperparathyroidism. Hartenstein and Gardner (1966)
reviewed the literature and found that there were seven reported
families, including their own reports, in which neonatal tetany was
associated with maternal parathyroid adenoma.

http://www.indianpediatrics.net/mar2005/mar-294-295.htm

Neonatal hypocalcemia resulting from maternal primary
hyperparathyroidism (MPH) is usually detected clinically in the
first 2 weeks of life. Occasionally, diagnosis of primary
hyperparathyroidism in a young asymptomatic mother is made when the
infant presents with hypocalcemia. We present an infant with late
onset hypocalcemia resulting from a combination of transient hypo-
parathyroidism due to asymptomatic MPH and vitamin D deficiency.

The presentation of asymptomatic maternal hyperparathyroidism by
convulsion in an infant is exceedingly rare. Hyper-parathyroidism in
asymptomatic mothers might easily have been missed if the maternal
calcium status had not been investigated(1-4) like in our patient's
mother. Suppression of the fetal parathyroid gland by maternal
hypercalcemia often causes transient neonatal hypocalcemia(5). Low
vitamin D levels of the patient might have exacerbated the
hypocalcemia observed in this infant which may due to several
causes : he has not received vitamin D supplement , he has grown
rapidly and there could have been low placental transfer of 25-OH D3
from the mother who had increased conversion of 25-OH D3 to 1,25-OH
D3 due to her hyperparathyroidism. We emphasize that all mothers
with neonates showing tetany or hypocalcemic convulsions should have
serum calcium concentrations measured to exclude primary hyper-
parathyroidism even if the mother is asymptomatic.

thanks

I have not come across Trousseau's sign in the neonatal age group. But,
of course, I have very limited exposure. I have come across focal or
generalised twitchings [quite different from tonic and clonic
contractions] and analysis has shown hypocalcemia.

Could this be due to alkalosis?

sudhakar.


-- In paediatrics@yahoogroups.com, "Your child Specialist"
<drdoctor@h...> wrote:
> -how common is the hypocalcemic tetany on day 1 of life ?
>
> A detailed history of this NB:
> born full term didnot cry for 10 min after birth required BMV for 5
> minutes.
> no significant maternal history.
> had intermittent tachypnea upto 100/min especially following
> stimulation.
> both these signs responded after IM Mg therapy.
> can it be only vit d deficiency? HIE? IDM?
> Maternal hyperparathroidism?
>
> I had seen this on day 1 NB; for first time~
>
>
>
>
>
>
>
>
>
>
>
>
>
> -- In paediatrics@yahoogroups.com, "dr kondekar" <drdoctor@h...>
> wrote:
> > Glacier
> > Can you spot the diagnosis; and the aetiology for this in infants?

?cortical fisting s/o hyoxic ischemic encephalopathy



c-- In paediatrics@yahoogroups.com, "Your child Specialist"
<drdoctor@h...> wrote:
> -how common is the hypocalcemic tetany on day 1 of life ?
>
> A detailed history of this NB:
> born full term didnot cry for 10 min after birth required BMV for 5
> minutes.
> no significant maternal history.
> had intermittent tachypnea upto 100/min especially following
> stimulation.
> both these signs responded after IM Mg therapy.
> can it be only vit d deficiency? HIE? IDM?
> Maternal hyperparathroidism?
>
> I had seen this on day 1 NB; for first time~
>
>
>
>
>
>
>
>
>
>
>
>
>
> -- In paediatrics@yahoogroups.com, "dr kondekar" <drdoctor@h...>
> wrote:
> > Glacier
> > Can you spot the diagnosis; and the aetiology for this in infants?

-how common is the hypocalcemic tetany on day 1 of life ?

A detailed history of this NB:
born full term didnot cry for 10 min after birth required BMV for 5
minutes.
no significant maternal history.
had intermittent tachypnea upto 100/min especially following
stimulation.
both these signs responded after IM Mg therapy.
can it be only vit d deficiency? HIE? IDM?
Maternal hyperparathroidism?

I had seen this on day 1 NB; for first time~













-- In paediatrics@yahoogroups.com, "dr kondekar" <drdoctor@h...>
wrote:
> Glacier
> Can you spot the diagnosis; and the aetiology for this in infants?

Dr Kondekar Santosh Venketraman
Lecturer Dept of Pediatrics
GS medical College Mumbai
----- Original Message -----
From: <archdischild-mailer@...>
To: <drdoctor@...>
Sent: Friday, August 19, 2005 10:08 PM
Subject: Arch Dis Child Table of Contents ADC for 1 September 2005; Vol. 90,
No. 9


>
> ****************************************************************
> bmjupdates+ is a unique and free alerting service of the best
> evidence, designed to keep you up to date with the medical literature.
> Sign up to receive tailored email alerts about new evidence with links to
> abstracts and free full text articles as soon as available.  *NEW* Now
> also
> includes Public Health.
> Visit http://bmjupdates.com
> ****************************************************************
>
> ADC -- Table of Contents Alert
>
> A new issue of Archives of Disease in Childhood
> has been made available:
>
>
> 1 September 2005; Vol. 90, No. 9
>
> URL: http://www.archdischild.com/content/vol90/issue9/?etoc
>
>
> -----------------------------------------------------------------
> Perspectives
> -----------------------------------------------------------------
>
> Probiotics as mainstream allergy therapy?
>     S H Murch
>     Arch Dis Child 2005;90 881-882
>     http://www.archdischild.com/cgi/content/extract/90/9/881?etoc
>
>
> Subdural haemorrhages, haematomas, and effusions in infancy
>     R A Minns
>     Arch Dis Child 2005;90 883-884
>     http://www.archdischild.com/cgi/content/extract/90/9/883?etoc
>
>
> Contraception and sexual health: are we on the right track?
>     J Tripp
>     Arch Dis Child 2005;90 885-886
>     http://www.archdischild.com/cgi/content/extract/90/9/885?etoc
>
>
> Exercise induced asthma: real or imagined?
>     P J Helms
>     Arch Dis Child 2005;90 886-887
>     http://www.archdischild.com/cgi/content/extract/90/9/886?etoc
>
>
> -----------------------------------------------------------------
> Atoms
> -----------------------------------------------------------------
>
> Atoms
>     Howard Bauchner
>     Arch Dis Child 2005;90 881a
>     http://www.archdischild.com/cgi/content/extract/90/9/881a?etoc
>
>
> -----------------------------------------------------------------
> Leading articles
> -----------------------------------------------------------------
>
> The Quality of Practice Committee of the RCPCH
>     N McIntosh and J H Baumer
>     Arch Dis Child 2005;90 888-891
>     http://www.archdischild.com/cgi/content/extract/90/9/888?etoc
>
>
> -----------------------------------------------------------------
> Community child health, public health, and epidemiology
> -----------------------------------------------------------------
>
> Effects of probiotics on atopic dermatitis: a randomised controlled trial
>     S Weston, A Halbert, P Richmond, and S L Prescott
>     Arch Dis Child 2005;90 892-897
>     http://www.archdischild.com/cgi/content/abstract/90/9/892?etoc
>
>
> How accurate is the diagnosis of exercise induced asthma among Vancouver
> schoolchildren?
>     M Seear, D Wensley, and N West
>     Arch Dis Child 2005;90 898-902
>     http://www.archdischild.com/cgi/content/abstract/90/9/898?etoc
>
>
> Adolescent use of the combined oral contraceptive pill: a retrospective
> observational study
>     N Krishnamoorthy, S Ekins-Daukes, C R Simpson, R M Milne, P J Helms,
>     and J S McLay
>     Arch Dis Child 2005;90 903-905
>     http://www.archdischild.com/cgi/content/abstract/90/9/903?etoc
>
>
> Impact of congenital colour vision defects on occupation
>     P Cumberland, J S Rahi, and C S Peckham
>     Arch Dis Child 2005;90 906-908
>     http://www.archdischild.com/cgi/content/abstract/90/9/906?etoc
>
>
> Randomised trial of parental support for families with very preterm
> children: outcome at 5 years
>     S Johnson, W Ring, P Anderson, and N Marlow
>     Arch Dis Child 2005;90 909-915
>     http://www.archdischild.com/cgi/content/abstract/90/9/909?etoc
>
>
> Risk of long term renal impairment and duration of follow up recommended
> for Henoch-Schonlein purpura with normal or minimal urinary findings: a
> systematic review
>     H Narchi
>     Arch Dis Child 2005;90 916-920
>     http://www.archdischild.com/cgi/content/abstract/90/9/916?etoc
>
>
> Risk of hypertension with multicystic kidney disease: a systematic review
>     H Narchi
>     Arch Dis Child 2005;90 921-924
>     http://www.archdischild.com/cgi/content/abstract/90/9/921?etoc
>
>
> What is the long term outcome for children who fail to thrive? A
> systematic
> review
>     M C J Rudolf and S Logan
>     Arch Dis Child 2005;90 925-931
>     http://www.archdischild.com/cgi/content/abstract/90/9/925?etoc
>
>
> Onset of breast and pubic hair development in 1231 preadolescent
> Lithuanian
> schoolgirls
>     S Zukauskaite, D Lasiene, L Lasas, B Urbonaite, and P Hindmarsh
>     Arch Dis Child 2005;90 932-936
>     http://www.archdischild.com/cgi/content/abstract/90/9/932?etoc
>
>
> Serious neurological disorders in children with chronic headache
>     I Abu-Arafeh and S Macleod
>     Arch Dis Child 2005;90 937-940
>     http://www.archdischild.com/cgi/content/abstract/90/9/937?etoc
>
>
> Measured versus reported parental height
>     F Cizmecioglu, A Doherty, W F Paterson, D Young, and M D C Donaldson
>     Arch Dis Child 2005;90 941-942
>     http://www.archdischild.com/cgi/content/abstract/90/9/941?etoc
>
>
> Ethics support in clinical practice
>     A R Watson
>     Arch Dis Child 2005;90 943-946
>     http://www.archdischild.com/cgi/content/abstract/90/9/943?etoc
>
>
> -----------------------------------------------------------------
> Acute paediatrics
> -----------------------------------------------------------------
>
> Neuroradiological aspects of subdural haemorrhages
>     S Datta, N Stoodley, S Jayawant, S Renowden, and A Kemp
>     Arch Dis Child 2005;90 947-951
>     http://www.archdischild.com/cgi/content/abstract/90/9/947?etoc
>
>
> Subdural haematoma and effusion in infancy: an epidemiological study
>     C Hobbs, A-M Childs, J Wynne, J Livingston, and A Seal
>     Arch Dis Child 2005;90 952-955
>     http://www.archdischild.com/cgi/content/abstract/90/9/952?etoc
>
>
> Acid suppression does not change respiratory symptoms in children with
> asthma and gastro-oesophageal reflux disease
>     K Stordal, G B Johannesdottir, B S Bentsen, P K Knudsen, K C L
>     Carlsen, O Closs, M Handeland, H K Holm, and L Sandvik
>     Arch Dis Child 2005;90 956-960
>     http://www.archdischild.com/cgi/content/abstract/90/9/956?etoc
>
>
> A video questionnaire identifies upper airway abnormalities in preschool
> children with reported wheeze
>     S Saglani, S A McKenzie, A Bush, and D N R Payne
>     Arch Dis Child 2005;90 961-964
>     http://www.archdischild.com/cgi/content/abstract/90/9/961?etoc
>
>
> Prediction of total body water in infants and children
>     J C K Wells, M S Fewtrell, P S W Davies, J E Williams, W A Coward, and
>     T J Cole
>     Arch Dis Child 2005;90 965-971
>     http://www.archdischild.com/cgi/content/abstract/90/9/965?etoc
>
>
> Prolonged QT interval in an infant of a fluoxetine treated mother
>     G Dubnov, R Fogelman, and P Merlob
>     Arch Dis Child 2005;90 972-973
>     http://www.archdischild.com/cgi/content/abstract/90/9/972?etoc
>
>
> -----------------------------------------------------------------
> Global child health
> -----------------------------------------------------------------
>
> Child survival: district hospitals and paediatricians
>     M English
>     Arch Dis Child 2005;90 974-978
>     http://www.archdischild.com/cgi/content/abstract/90/9/974?etoc
>
>
> -----------------------------------------------------------------
> BackChat
> -----------------------------------------------------------------
>
> Artificial feeding for a child with a degenerative disorder: a family's
> view
>       The mother and grandmother of Frances
>     Arch Dis Child 2005;90 979
>     http://www.archdischild.com/cgi/content/extract/90/9/979?etoc
>
>
> -----------------------------------------------------------------
> JournalWatch
> -----------------------------------------------------------------
>
> Journal Watch
>
>     Arch Dis Child 2005;90 980-981
>     http://www.archdischild.com/cgi/content/extract/90/9/980?etoc
>
>
> -----------------------------------------------------------------
> Letters
> -----------------------------------------------------------------
>
> Radiological sign of a long line in the ascending lumbar vein
>     B C Schoonakker and D Harding
>     Arch Dis Child 2005;90 982
>     http://www.archdischild.com/cgi/content/extract/90/9/982?etoc
>
>
> Changing incidence of respiratory presentations in primary care fact or
> artefact?
>     C R Simpson, A J Lee, M W Taylor, and P J Helms
>     Arch Dis Child 2005;90 982-983
>     http://www.archdischild.com/cgi/content/extract/90/9/982-a?etoc
>
>
> Patient choice in medicine taking: religious sensitivities must be
> respected
>     A R Gatrad, G Mynors, P Hunt, and A Sheikh
>     Arch Dis Child 2005;90 983-984
>     http://www.archdischild.com/cgi/content/extract/90/9/983?etoc
>
>
> Lessons from an unsuccessful local attempt to tackle childhood overweight
> and obesity * Author's reply
>     N Haisman, K A Matyka, A Stanton, and M C J Rudolf
>     Arch Dis Child 2005;90 984-985
>     http://www.archdischild.com/cgi/content/extract/90/9/984?etoc
>
>
> Patterns and risks in spinal trauma: the emergency transport perspective
>     S A Russ, S W Hancock, M Quinton, R Moore, and P Harrison
>     Arch Dis Child 2005;90 985
>     http://www.archdischild.com/cgi/content/extract/90/9/985?etoc
>
>
> Dapsone therapy for Henoch-Schonlein purpura: a case series
>     H Iqbal and A Evans
>     Arch Dis Child 2005;90 985-986
>     http://www.archdischild.com/cgi/content/extract/90/9/985-a?etoc
>
>
> If community paediatricians did not exist, it would be necessary to invent
> them
>     C M Ni Bhrolchain
>     Arch Dis Child 2005;90 986
>     http://www.archdischild.com/cgi/content/extract/90/9/986?etoc
>
>
> Melatonin: a panacea for desperate parents? (Hype or truth)
>     R Gupta and J Hutchins
>     Arch Dis Child 2005;90 986-987
>     http://www.archdischild.com/cgi/content/extract/90/9/986-a?etoc
>
>
> An integrated care pathway for looked after children can facilitate
> multi-agency coordination
>     D Simkiss
>     Arch Dis Child 2005;90 987
>     http://www.archdischild.com/cgi/content/extract/90/9/987?etoc
>
>
> -----------------------------------------------------------------
> Book reviews
> -----------------------------------------------------------------
>
> Spotting the sick child (DVD)
>     A Reece
>     Arch Dis Child 2005;90 987-988
>     http://www.archdischild.com/cgi/content/extract/90/9/987-a?etoc
>
>
> Immunization in practice, a practical guide for health staff
>     A Isaacs
>     Arch Dis Child 2005;90 988
>     http://www.archdischild.com/cgi/content/extract/90/9/988?etoc
>
>
> Key topics in neonatology, 2nd edition
>     S Thayyil and A L Ogilvy-Stuart
>     Arch Dis Child 2005;90 988-989
>     http://www.archdischild.com/cgi/content/extract/90/9/988-a?etoc
>
>
> Prevention of allergy and allergic asthma: World Allergy Organization
> project report and guidelines
>     I Pollock
>     Arch Dis Child 2005;90 989
>     http://www.archdischild.com/cgi/content/extract/90/9/989?etoc
>
>
> -----------------------------------------------------------------
> Lucina
> -----------------------------------------------------------------
>
> Lucina
>
>     Arch Dis Child 2005;90 990
>     http://www.archdischild.com/cgi/content/extract/90/9/990?etoc
>
>
> -----------------------------------------------------------------
> Miscellanea
> -----------------------------------------------------------------
>
> BCG reactivation: a useful diagnostic tool even for incomplete Kawasaki
> disease
>     R Sinha and T Balakumar
>     Arch Dis Child 2005;90 891
>     http://www.archdischild.com/cgi/content/extract/90/9/891?etoc
>
>
> Chronic non-bacterial osteomyelitis
>
>     Arch Dis Child 2005;90 951
>     http://www.archdischild.com/cgi/content/extract/90/9/951?etoc
>
>
> Ethics and paediatric research
>
>     Arch Dis Child 2005;90 971
>     http://www.archdischild.com/cgi/content/extract/90/9/971?etoc
>
>
> -----------------------------------------------------------------
> Corrections
> -----------------------------------------------------------------
>
> CORRECTION
>
>     Arch Dis Child 2005;90 989
>     http://www.archdischild.com/cgi/content/extract/90/9/989-a?etoc
>
>
> * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
>
> This message was sent to drdoctor@....
>
> Unsubscribe or edit your subscriptions for this service at:
>  http://www.archdischild.com/cgi/alerts/etoc
> Or by mail:
> Customer Service * 1454 Page Mill Road * Palo Alto, CA 94304 * U.S.A.
>
>
> _______________________________________________________________________
> Copyright (c) 2005 BMJ Publishing Group Ltd. & Royal College of
> Paediatrics
> and Child Health
>
>
>

Dr Kondekar Santosh Venketraman
Lecturer Dept of Pediatrics
GS medical College Mumbai
----- Original Message -----
From: <archdischild-mailer@...>
To: <drdoctor@...>
Sent: Saturday, August 20, 2005 12:01 AM
Subject: Arch. Dis. Child. Fetal Neonatal Ed. Table of Contents FN for 1
September 2005; Vol. 90, No. 5


>
>
>
> Fetal Neonatal Ed. -- Table of Contents Alert
>
> A new issue of Archives of Disease in Childhood - Fetal and Neonatal
> Edition
> has been made available:
>
>
> 1 September 2005; Vol. 90, No. 5
>
> URL: http://fn.bmjjournals.com/content/vol90/issue5/?etoc
>
>
> -----------------------------------------------------------------
> Fantoms
> -----------------------------------------------------------------
>
> Fantoms
>     Ben Stenson
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F354a
>     http://fn.bmjjournals.com/cgi/content/extract/90/5/F354a?etoc
>
>
> -----------------------------------------------------------------
> Reviews
> -----------------------------------------------------------------
>
> EUROCAT: 25 years of European surveillance of congenital anomalies
>     H Dolk
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F355-F358
>     http://fn.bmjjournals.com/cgi/content/abstract/90/5/F355?etoc
>
>
> Feeding growth restricted preterm infants with abnormal antenatal Doppler
> results
>     J Dorling, S Kempley, and A Leaf
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F359-F363
>     http://fn.bmjjournals.com/cgi/content/abstract/90/5/F359?etoc
>
>
> How has research in the last five years changed my clinical practice?
>     I A Laing
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F364-F367
>     http://fn.bmjjournals.com/cgi/content/abstract/90/5/F364?etoc
>
>
> -----------------------------------------------------------------
> Perspectives
> -----------------------------------------------------------------
>
> Evaluation of the National Congenital Anomaly System in England and Wales
>     M Ward Platt
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F354
>     http://fn.bmjjournals.com/cgi/content/extract/90/5/F354?etoc
>
>
> -----------------------------------------------------------------
> Original articles
> -----------------------------------------------------------------
>
> Evaluation of the National Congenital Anomaly System in England and Wales
>     T Misra, N Dattani, and A Majeed
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F368-F373
>     http://fn.bmjjournals.com/cgi/content/abstract/90/5/F368?etoc
>
>
> Prevalence of congenital anomalies in five British regions, 1991-99
>     J Rankin, S Pattenden, L Abramsky, P Boyd, H Jordan, D Stone, M
>     Vrijheid, D Wellesley, and H Dolk
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F374-F379
>     http://fn.bmjjournals.com/cgi/content/abstract/90/5/F374?etoc
>
>
> Neuropsychological and educational problems at school age associated with
> neonatal encephalopathy
>     N Marlow, A S Rose, C E Rands, and E S Draper
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F380-F387
>     http://fn.bmjjournals.com/cgi/content/abstract/90/5/F380?etoc
>
>
> Neonatal resuscitation 1: a model to measure inspired and expired tidal
> volumes and assess leakage at the face mask
>     C P F O'Donnell, C O F Kamlin, P G Davis, and C J Morley
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F388-F391
>     http://fn.bmjjournals.com/cgi/content/abstract/90/5/F388?etoc
>
>
> Neonatal resuscitation 2: an evaluation of manual ventilation devices and
> face masks
>     C P F O'Donnell, P G Davis, R Lau, P A Dargaville, L W Doyle, and C J
>     Morley
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F392-F396
>     http://fn.bmjjournals.com/cgi/content/abstract/90/5/F392?etoc
>
>
> Neonatal resuscitation 3: manometer use in a model of face mask
> ventilation
>     C P F O'Donnell, P G Davis, R Lau, P A Dargaville, L W Doyle, and C J
>     Morley
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F397-F400
>     http://fn.bmjjournals.com/cgi/content/abstract/90/5/F397?etoc
>
>
> Does the use of 50% oxygen at birth in preterm infants reduce lung injury?
>     A E Harling, M W Beresford, G S Vince, M Bates, and C W Yoxall
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F401-F405
>     http://fn.bmjjournals.com/cgi/content/abstract/90/5/F401?etoc
>
>
> Does sustained lung inflation at resuscitation reduce lung injury in the
> preterm infant?
>     A E Harling, M W Beresford, G S Vince, M Bates, and C W Yoxall
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F406-F410
>     http://fn.bmjjournals.com/cgi/content/abstract/90/5/F406?etoc
>
>
> Early postnatal changes in the perfusion index in term newborns with
> subclinical chorioamnionitis
>     C De Felice, A Del Vecchio, M Criscuolo, A Lozupone, S Parrini, and G
>     Latini
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F411-F414
>     http://fn.bmjjournals.com/cgi/content/abstract/90/5/F411?etoc
>
>
> Fetal homologue of infant crying
>     J L Gingras, E A Mitchell, and K E Grattan
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F415-F418
>     http://fn.bmjjournals.com/cgi/content/abstract/90/5/F415?etoc
>
>
> Severity of the ductal shunt: a comparison of different markers
>     M El Hajjar, G Vaksmann, T Rakza, G Kongolo, and L Storme
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F419-F422
>     http://fn.bmjjournals.com/cgi/content/abstract/90/5/F419?etoc
>
>
> Are ethnic differences in lung function explained by chest size?
>     A L Whittaker, A J Sutton, and C S Beardsmore
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F423-F428
>     http://fn.bmjjournals.com/cgi/content/abstract/90/5/F423?etoc
>
>
> Families' views on ward rounds in neonatal units
>     R Bramwell, M Weindling  for the FVWR Research Team
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F429-F431
>     http://fn.bmjjournals.com/cgi/content/abstract/90/5/F429?etoc
>
>
> Venepuncture is preferable to heel lance for blood sampling in term
> neonates
>     S Ogawa, T Ogihara, E Fujiwara, K Ito, M Nakano, S Nakayama, T
>     Hachiya, N Fujimoto, H Abe, S Ban, E Ikeda, and H Tamai
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F432-F436
>     http://fn.bmjjournals.com/cgi/content/abstract/90/5/F432?etoc
>
>
> The importance of irradiance and area in neonatal phototherapy
>     G Hart and R Cameron
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F437-F440
>     http://fn.bmjjournals.com/cgi/content/abstract/90/5/F437?etoc
>
>
> -----------------------------------------------------------------
> Perinatal lessons from the past
> -----------------------------------------------------------------
>
> J Clifton Edgar (1859-1939) of New York and his obstetric text
>     P M Dunn
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F441-F443
>     http://fn.bmjjournals.com/cgi/content/abstract/90/5/F441?etoc
>
>
> -----------------------------------------------------------------
> Letters
> -----------------------------------------------------------------
>
> Changes in body temperature after birth in preterm infants stabilised in
> polythene bags
>     C L Smith, D Quine, F McCrosson, L Armstrong, A Lyon, and B Stenson
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F444
>     http://fn.bmjjournals.com/cgi/content/extract/90/5/F444?etoc
>
>
> Inadvertent overdosing of neonates as a result of the dead space of the
> syringe hub and needle
>     V Bhambhani, R S Beri, and J M Puliyel
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F444-F445
>     http://fn.bmjjournals.com/cgi/content/extract/90/5/F444-a?etoc
>
>
> -----------------------------------------------------------------
> Book reviews
> -----------------------------------------------------------------
>
> Managing newborn problems: a guide for doctors, nurses and midwives
>     N Brown
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F445-F446
>     http://fn.bmjjournals.com/cgi/content/extract/90/5/F445?etoc
>
>
> Neonatal respiratory disorders, 2nd edn
>     K McCormick
>     Arch. Dis. Child. Fetal Neonatal Ed. 2005;90 F446
>     http://fn.bmjjournals.com/cgi/content/extract/90/5/F446?etoc
>
>
> * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
>
> This message was sent to drdoctor@....
>
> Unsubscribe or edit your subscriptions for this service at:
>  http://adc.bmjjournals.com:/cgi/alerts/etoc
> Or by mail:
> Customer Service * 1454 Page Mill Road * Palo Alto, CA 94304 * U.S.A.
>
>
> _______________________________________________________________________
> Copyright (c) 2005 BMJ Publishing Group Ltd & Royal College of Paediatrics
> and Child Health
>
>
>

Thank you dears;
I am very happy to join your group

http://health.groups.yahoo.com/group/iapbangalore/?yguid=166727877

http://www.iapbangalore.com/new/iap_respiratory.htm

click above two links.

dear doctors,
my kid had green frothy stools with mucous. stool microscopy showed
mucous and pus cells and culture showed e coli. she was treated with
cefixime for one week and the repeat culture showed no pathogens. but
the stool became green again with blood stained mucous after 2 days of
stopping the drug. she was given cefixime for another 5 days and he
stool became yellow. now its been 3 days since the drug was stopped
and stool is progressively becomming green. there is no blood. its
frothy and mainly watery. is this normal? could this be crohn's or
ulcerative coilitis? im really confused and worried. what is to be
done next? please advise.
thanks

Hello,

This email message is a notification to let you know that
a file has been uploaded to the Files area of the paediatrics
group.

   File        : /Electronic Paediatric Web Sites.doc
   Uploaded by : pediatricianoncall <doctor@...>
   Description : thanks to yahoo group Healthy_child

You can access this file at the URL:
http://groups.yahoo.com/group/paediatrics/files/Electronic%20Paediatric%20Web%20\
Sites.doc

To learn more about file sharing for your group, please visit:
http://help.yahoo.com/help/us/groups/files

Regards,

pediatricianoncall <doctor@...>

Hiya

This is the first time I have accessed the list serve so not sure of
protocol..........I have just started working as an OT again after 18
months off.

However I do have a question. I am looking to purchase a paediatric
assessment. Generalist, standardised and not too American. I am
working with school aged children both primary and secondary. I have
read about BADS-C but do not have any experience with it.

I have the Sensory Profile for both below 10 and adolescent/adult.

I realise that I probably will have to purchase a couple to cover the
wide range in ages of my client group.

Whilst I am at it, has anything new been recently developed in the
way of handwriting assessments?

Any suggestions would be greatly appreciated.

Thanks in advance

Kirdi Dalgliesh
Paeds OT

Dear Pediatric Colleagues,

I would like to take a moment to bring to your attention our newest
pediatric resource, PediatricEducation.org (http://www.pediatriceducation.org)

PediatricEducation.org is a Pediatric Digital Library and Learning
Collaboratory intended to serve as a source of continuing pediatric education.

The goal of PediatricEducation.org is to build a pediatric virtual
learning community.

The project's hypothesis is that residents, fellows, and staff physicians
practicing
pediatrics can broaden and deepen their knowledge of pediatrics
through the use of a continuing pediatric education program that is delivered
daily in
small granules and integrated into their workflow in the form of pediatric
cases.

Over time these cases will aggregate into an unstructured curriculum
of pediatric topics that will closely parallel the structured curriculum of a
pediatric
residency, fellowship and continuing medical education program. Engaging in
discussions
related to these cases will also result in the development of educational
collaborative
relationships.

PediatricEducation.org is written for and intended primarily for use by
residents, fellows,
or attending physicians practicing pediatrics. Medical students beginning their
study of
pediatrics or other health care providers practicing pediatrics may find it
useful.

Respectfully yours,

Donna M. D'Alessandro, M.D.
Associate Professor of Pediatrics
University of Iowa College of Medicine

santosh [kempeds@...] thought you'd find this article from LookSmart's
FindArticles useful.

Sender's Message:


AAP Releases New Breastfeeding Recommendations - American Academy of Pediatrics
Mothering

http://www.findarticles.com/p/articles/mi_m0838/is_1998_March/ai_54308874

I moderate a clinical discussion group for trainee paediatricians

http://health.groups.yahoo.com/group/Kid_info/

we discuss common paediatric problems and management issues.

It is open to all doctors caring for children.


Lakshman
Cons Paed
UK

I am a med student of the University of Nigeria .I wish to subscribe
to your mailing list.
Thank you.
Christopher Iro

I am a Paediatrician and need a permanent jon near Delhi. Gurgaon or
near by.

Age 48
MD 1983
All Experiences in service - India and Abroad
As Medical Superitendent, specialist, Hosp. Administrator

Contact  drgpgupta@...
          09871309924


Dr Gopal P Gupta

Dear Friends,
There is a PALS course scheduled in Karamsad-Anand in Gujarat-India
in MArch 5,6 2005. Karamsad is located midway between Vadodara and
Ahmedabad.
Those intrested can contact
Dr Somashekhar Nimbalkar
Department of Pediatrics
Pramukhswami medical College
Karasad-Anand-Gujarat
Pin-388325
Ph:09825087842

Yours truly
Somashekhar