Its bleeding, bleeding and bleeding..

A 13-year-old male child presented to pediatric ENT unit, with chief complaints of left side nasal obstruction progressive and spontaneous nasal bleed, continuing nasal discharge since two months. intermittent episodes of headache which used to be relieved by analgesics. Past history No episodes of nasal bleeding before two months but intermittent nasal discharge. On examination […]

Does my child need tonsillectomy? – Indications for pediatric tonsillectomy

Tonsillectomy is a surgical procedure performed with or without adenoidectomy that completely removes the tonsil, including its capsule, by dissecting the peritonsillar space between the tonsil capsule and the muscular wall. Tonsillectomy is the second-most common ambulatory surgical procedure (first being myringotomy with insertion of tubes) performed on children in the United States. In the […]

NICE guidelines for Cochlear implantation in children and adults

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, […]

Recurrent Meningitis with Hearing loss

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 / […]

Progressive loss of voice in a 2 year old female child

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 […]

You guessed it right!

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?

Intra oral swelling in a nine year old child

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 – clinical features, surgical and medical management

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 […]

Resurgence of a disease of the past

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 […]