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Approach to Fever in Pediatrics
Fever in pediatric patients is a common presenting symptom, and its evaluation requires a systematic approach. The first step in assessing a child with fever is to obtain a detailed history, including the onset, duration, associated symptoms, recent travel, immunization status, and exposure to sick contacts. Physical examination is crucial, focusing on vital signs, general appearance, skin rashes, lymph nodes, and signs of specific infections. Depending on the child's age and clinical presentation, different etiologies should be considered, including viral, bacterial, fungal, parasitic, or noninfectious causes. A complete blood count (CBC) with differential and a C-reactive protein (CRP) test can provide valuable information about the severity and inflammatory response. Urinalysis and urine culture are essential when evaluating fever, especially in infants, to rule out urinary tract infections. Lumbar puncture should be considered in febrile infants under two months of age to rule out meningitis. Blood cultures may be necessary in cases of high fever or severe illness, especially when there are signs of bacterial infections.
About the Speaker
Dr. Vishal Parmar
Specialist Pediatrician and Neonatologist Borivali, Mumbai.
Upcoming Case Discussions
Acne: Disorders and Treatment Approaches
Acne is a common dermatological condition caused by clogged pores, excess sebum production, bacterial growth, and inflammation. It can manifest as blackheads, whiteheads, papules, pustules, or cysts, often leading to scarring if untreated. Various factors, including hormonal changes, diet, stress, and genetics, influence its severity. Treatment approaches range from topical and oral medications, such as retinoids, antibiotics, and hormonal therapy, to advanced procedures like chemical peels and laser therapy. A personalized skincare regimen, along with lifestyle modifications, plays a crucial role in managing and preventing acne.
Genetic Screening and Its Role in Embryo Selection for IVF
Genetic screening plays a crucial role in the process of embryo selection for in vitro fertilization (IVF) by identifying potential genetic disorders in embryos before implantation. This screening, often referred to as preimplantation genetic testing (PGT), involves analyzing embryos for chromosomal abnormalities or specific genetic mutations. It helps in selecting the healthiest embryos, reducing the risk of passing on inherited conditions, and increasing the chances of a successful pregnancy. PGT can identify conditions such as Down syndrome, cystic fibrosis, and certain inherited cancers, allowing parents to make informed decisions about which embryos to implant. This technology enhances the overall outcome of IVF by improving the quality of embryos and reducing the likelihood of miscarriage. Ultimately, genetic screening offers a valuable tool for optimizing reproductive success and promoting healthier pregnancies.
Congenital Uterine Anomalies
Congenital uterine anomalies are structural abnormalities of the uterus resulting from improper fusion, canalization, or resorption of the Müllerian ducts during fetal development. These anomalies include septate, bicornuate, unicornuate, and didelphys uterus, among others. They can be asymptomatic or associated with infertility, recurrent pregnancy loss, preterm birth, or abnormal menstruation. Diagnosis is typically made using imaging modalities like ultrasound, MRI, or hysterosalpingography. Treatment depends on the type and severity of the anomaly, with surgical correction such as hysteroscopic septum resection often indicated in symptomatic cases. Early detection is crucial for optimizing reproductive outcomes and guiding appropriate management strategies.
Management of Postoperative Pain: Best Practices for GP’s
Effective management of postoperative pain is crucial for promoting recovery and preventing complications. General practitioners should start by assessing pain severity using appropriate scales, then tailor the treatment plan based on the patient's medical history and the type of surgery. A combination of pharmacological approaches, such as non-opioid analgesics (e.g., NSAIDs) and opioids when necessary, should be used to minimize pain while reducing the risk of addiction. Multimodal strategies, including physical therapy and non-pharmacological techniques like cold therapy or mindfulness, can further enhance pain relief. Close follow-up is essential to adjust the treatment as needed and ensure the patient's pain is well-controlled.
Diabetes and Stem Cells: What Does the Future Hold?
The future of diabetes treatment may be revolutionized by stem cell research, offering hope for a long-term cure. Scientists are developing stem cell therapies that could regenerate insulin-producing beta cells in the pancreas, potentially restoring natural insulin production in people with type 1 diabetes. Early clinical trials have shown promising results, with some patients reducing or eliminating their need for insulin injections. While challenges like immune rejection and long-term efficacy remain, continued advancements suggest stem cell therapy could significantly change diabetes management in the coming years.
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Dr. Vishal Parmar 's Talks on Assimilate
- 16th-August-2023, TIME : 5:00PM - 6:00PM
- 0
Fever in pediatric patients is a common presenting symptom, and its evaluation requires a systematic approach. The first step in assessing a child with fever is to obtain a detailed history, including the onset, duration, associated symptoms, recent travel, immunization status, and exposure to sick contacts. Physical examination is crucial, focusing on vital signs, general appearance, skin rashes, lymph nodes, and signs of specific infections. Depending on the child's age and clinical presentation, different etiologies should be considered, including viral, bacterial, fungal, parasitic, or noninfectious causes. A complete blood count (CBC) with differential and a C-reactive protein (CRP) test can provide valuable information about the severity and inflammatory response. Urinalysis and urine culture are essential when evaluating fever, especially in infants, to rule out urinary tract infections. Lumbar puncture should be considered in febrile infants under two months of age to rule out meningitis. Blood cultures may be necessary in cases of high fever or severe illness, especially when there are signs of bacterial infections.
- 16th-August-2023, TIME : 5:00PM - 6:00PM
- 0
Fever in pediatric patients is a common presenting symptom, and its evaluation requires a systematic approach. The first step in assessing a child with fever is to obtain a detailed history, including the onset, duration, associated symptoms, recent travel, immunization status, and exposure to sick contacts. Physical examination is crucial, focusing on vital signs, general appearance, skin rashes, lymph nodes, and signs of specific infections. Depending on the child's age and clinical presentation, different etiologies should be considered, including viral, bacterial, fungal, parasitic, or noninfectious causes. A complete blood count (CBC) with differential and a C-reactive protein (CRP) test can provide valuable information about the severity and inflammatory response. Urinalysis and urine culture are essential when evaluating fever, especially in infants, to rule out urinary tract infections. Lumbar puncture should be considered in febrile infants under two months of age to rule out meningitis. Blood cultures may be necessary in cases of high fever or severe illness, especially when there are signs of bacterial infections.
- 16th-August-2023, TIME : 5:00PM - 6:00PM
- 0
Fever in pediatric patients is a common presenting symptom, and its evaluation requires a systematic approach. The first step in assessing a child with fever is to obtain a detailed history, including the onset, duration, associated symptoms, recent travel, immunization status, and exposure to sick contacts. Physical examination is crucial, focusing on vital signs, general appearance, skin rashes, lymph nodes, and signs of specific infections. Depending on the child's age and clinical presentation, different etiologies should be considered, including viral, bacterial, fungal, parasitic, or noninfectious causes. A complete blood count (CBC) with differential and a C-reactive protein (CRP) test can provide valuable information about the severity and inflammatory response. Urinalysis and urine culture are essential when evaluating fever, especially in infants, to rule out urinary tract infections. Lumbar puncture should be considered in febrile infants under two months of age to rule out meningitis. Blood cultures may be necessary in cases of high fever or severe illness, especially when there are signs of bacterial infections.
- 16th-August-2023, TIME : 5:00PM - 6:00PM
- 0
Fever in pediatric patients is a common presenting symptom, and its evaluation requires a systematic approach. The first step in assessing a child with fever is to obtain a detailed history, including the onset, duration, associated symptoms, recent travel, immunization status, and exposure to sick contacts. Physical examination is crucial, focusing on vital signs, general appearance, skin rashes, lymph nodes, and signs of specific infections. Depending on the child's age and clinical presentation, different etiologies should be considered, including viral, bacterial, fungal, parasitic, or noninfectious causes. A complete blood count (CBC) with differential and a C-reactive protein (CRP) test can provide valuable information about the severity and inflammatory response. Urinalysis and urine culture are essential when evaluating fever, especially in infants, to rule out urinary tract infections. Lumbar puncture should be considered in febrile infants under two months of age to rule out meningitis. Blood cultures may be necessary in cases of high fever or severe illness, especially when there are signs of bacterial infections.