I happened to be one of the lucky people to receive a Complimentary copy of this book " The Newborn Book" by Dr Janelle L. Aby . Well I am forgetting this fact for a while and I am writing a Sincere review of this book. " The Newborn Book" has focused on 'the Significance of Physical Findings in the Neonate' which by far is the first book of its kind. We are well known to Books like Avery ..read more

The perfect smile on a parent’s face rotates to a frown when they are informed that their child may have less number of teeth than normal. The total number of teeth in the primary dentition is 20 and that in the adult dentition is 32. The parents may not be more worried about losing a tooth to dental decay than they are to know that the teeth are missing congenitally. So when we break the ..read more

Either I was too lazy to type or wanted it like this, here are the past papers of MD pediatrics collection. Hope this will be helpful ..read more

Thompson score is based on features of HIE with a maximum possible score of 22. A score of 15 or more has shown a positive predictive value of 92%, negative predictive value of 82%, sensitivity of 71% and specificity of 96% for abnormal outcome at 12 months of age. Thompson score for HIE        ScoreSign0123 ToneNormalHyperHypoFlaccid LOCNormalHyperalert, stareLethargicComatose ..read more

American Heart Association the consensus organisation governing Neonatal resuscitation has released its 2015 Revision this October , 2015. It keeps updating. This Version has added  The previous 30 sec assessment for HR and respiration has been omitted and a direct 60 sec ' golden minute' has been introduced. Delayed cord clamping for aleast 30 sec in all babies not requiring resuscitation ..read more

Floppy Infant- Basically a term used to denote a Hypotonic child who is unable to maintain normal posture at rest and on manuevers as per expected for that age.   Floppy infant refers to those children presenting with generalized hypotonia, most often arising out of an insult incurred during fetal or neonatal period. Useful indicators of weakness are:   Ability to cough and clear ..read more

Central nervous system examination is the most difficult thing to complete within a time limit during final exam and the dilemma is that, most of time the CNS is what is kept as a long case. Examiners love judging you on the basis of CNS case because- 1. CNS is maths and science- it needs a lot of logic and understanding 2. CNS is the most methodological system 3. CNS is the most lengthy and ..read more

The main difficulty in designing a preterm standard charts is that it is difficult to define an ideal healthy preterm. 2013 Fenton chart is upgraded form of Fenton 2003 fetal infant growth chart.  The new charts have specific curves for male and female and have been tuned to match WHO growth charts after 50 weeks. Other specialty is the charts are design to allow plotting between the weeks ..read more

A Late preterm 36 weeks by gestation baby who was small for gestation age was delivered via Cesarean section for Oligohydramnios. At birth the Apgar was 9/10, 9/10 and baby was shifted to mother side and was planned for Sugar monitoring . Hemoglobin and Pack cell volume was sent at 2 hours. Baby was active and accepting feed well. Hemoglobin was 20mg/dl and PCV was 64. Baby was observed and ..read more

1. Hectic Schedule: Lack of time for Socials Most fields in Medicine are hectic as we are dealing with patient's life or are on cover on duties. So naturally time for Social activities are compromised. This will gradually affect the social standings and relationships unless you are a great diplomat. People rarely accept the lack of time and assume it as not being given a priority, Be it at ..read more