According to the definition by American Academy of Family Physicians, Clinical practice guidelines are statements that include recommendations intended to optimize patient care. The National Institute for Health and Care Excellence (NICE) is a non-departmental public body in England, that provides national guidance and advice to improve health and social care. On 7th March 2019, […]
A 12 year old male child was referred from pediatric department following resolution of third episode of meningitis, with complaints of left side hearing loss since childhood. Parents noticed the hearing loss on left side when the child was in fourth standard. No newborn hearing screening was done for the child at birth. Investigations Blood / […]
2 year old female child presented with complaints of progressive loss of voice for past 6 months. She had no history to suggestive voice abuse, foreign body inhalation, cough or catarrh. She had worsening difficulty in breathing with fast breathing, but no cyanosis, orthopnea or leg swelling. There was no complaints of feeding difficulty, fever or chronic […]
A 3-year-old boy presents with a midline anterior neck mass, just below the hyoid bone that moves with deglutition and tongue protrusion. Question: What is the most probable clinical diagnosis?
A 9 year old female patient presented with a chief complaint of swelling in the floor of mouth for past 3 months. The swelling was initially small in size & gradually increased in size to attain the present size. Child gives history of trauma to the mouth 3 months back. Swelling was not associated with any pain but child had difficulty in […]
Laryngomalacia also called as “discoordinate pharyngo-laryngomalacia” is the most common congenital lesion of larynx (60-70%) and is the most common cause of congenital stridor in neonates and infants. The condition is characterized by partial or complete obstruction of supraglottic laryngeal structures on inspiration because of excess mucosa, abnormal and/or reduced laryngeal tone. The term laryngomalacia […]
6 year old boy from a rural area presented to pediatric casualty with history of throat pain, progressive swelling of neck and moderate grade fever for past 2 weeks associated with gradually worsening dysphagia for past 2 days. Antenatal history was uneventful, born at term by normal vaginal delivery, developmentally appropriate for age and has […]
Thyroglossal duct cyst (TDC) is a frequent congenital midline anomaly of the neck which usually manifests during the first decade of life. TDC is an epithelial lined tract that connects the tongue to the thyroid gland.
Otitis Media with Effusion (OME), also known as Glue ear, Secretory Otitis Media or Serous Otitis Media is a clinical condition characterized by collection of non-infected fluid in the middle ear space as a result of a cold, sore throat or upper respiratory infection. This is a highly common pediatric disease (can affect adults also) […]
Obstructive sleep apnea (OSA) is a spectrum of disorders ranging from simple snoring to complete obstruction of upper airways during sleep, which affects both children and adults. The most common cause of obstructive sleep apnea in children is chronic adenotonsillar hypertrophy, and so adenotonsillectomy is considered as the first line treatment for OSA in children.
