A
Abdominal
distension
with periumbilical redness in meconium peritonitis 824f
causing respiratory distress in infantile neuroblastoma with liver 459f
distention secondary to Wilms tumor 457f
mass 457
Absence seizure 163
Absolute neutrophil count 22
Absorbed toxin 616
Achalasia 512
Acidosis persists 673
Acnegenic mineral oils 840
Acquired
cytomegalovirus 907
from persistent 69
human immunodeficiency virus 84
methemoglobinemia 625
ACR criteria for neuropsychiatric lupus 582
Acrodermatitis enteropathica 68
Activated charcoal 617
Acute
abdominal pain 826f
in infant 825
bacillary dysentery 130
bacterial
infection 130
bronchitis 237
confusional state 583
demyelinating encephalomyelitis 156
disseminated encephalomyelitis 180
in children 180
encephalopathy, causes of 182
febrile encephalopathy 136
follicular tonsillitis 794
gastroenteritis 625
glomerulonephritis 296
with normal complement level 303t
hemolysis 403
hemolytic anemia 578
hepatitis 274
idiopathic thrombocytopenic purpura 422
inflammatory demyelinating polyneuropathy 175
laryngotracheobronchitis 651
laryngotracheobronchitis See Viral croup
management of ischemic stroke 158
methemoglobinemia 625
motor axonal neuropathy 177
myeloid leukemia See Chloroma
nephritis with low complement level 303t
otitis
in children 272
pneumonitis with lupus erythematosis 242
postinfectious nephritis 304
respiratory
infection 207
scrotum 379f
severe asthma 654
suppurative otitis media 774
tonsillitis 794
urticaria 876
viral
encephalitis, etiology of 183t
hepatitis A 274
Adalimumab 570
Addison’s disease 511
Administering injections, different ways of 916f
Adolescence 695
Adynamic obstruction 821
Aemolytic Streptococcus 795
Agenesis of cerebellar vermis See also Hypoplasia
Alacrima 512
Albuminocytologic dissociation 173
Alcoholic parent, child of 710
Alcoholics screening test, children of 710
Alert, verbal responsive, pain responsive, unresponsive See AVPU
Alexander disease 170
Allergic
pleural effusion See also Asthma
case of 599
with asthma 599
with atopy 609
with eczema 599
sinusitis 607
Allergy 597
Allgrove syndrome 512
Alper’s disease 292
Alpha-glucosidase enzyme 144
Alternate prism cover test 754
Altruism See Romantic relationships
Alveolar hemorrhage 247
Ambiguous genitalia 381
American Association of Mental Retardation 735
Amiel-Tison angles 38
Amlodipine See Calcium-channel blockers
Amoebic 817
Amyloidosis 573
Anaplastic ependymoma 151f
Androgenetic alopecia 839
causes of 435
correction of 411
deficiency of 441
of chronic disease 73
signs of 403
symptoms of 403
treatment of 442
Anger control 711
Angiotensin-converting-enzyme 22
Animal milk protein 258
Anomalous pulmonary venous connection 207
Anorectic agent 484
Antenatal
detected
bilateral hydronephrosis 370f
renal pelvis dilatation 313
diagnosed
bilateral hydronephrosis 370
unilateral hydronephrosis 367
Anterior
angulations of shoulders 601
epistaxis 798
fontanel 29
myocardial infarction pattern 213f
rhinoscopy 773
Anterolateral aspect of thigh for intramuscular injection in infant 915f
Anthralin 860
Anticholinergic effects 628
Antiendomycin antibodies 437
Anti-epileptic drugs 163
Antihyperglycemic agents 632
Anti-idiotypic 877
Anti-Müllerian hormone 383
Antineutrophil cytoplasm antibody 588
Antinuclear antibody positivity, significance of 569
Antiphospholipid antibodies 577
Antiplatelet dose 595
Anti-ribonucleoprotein 577
Antiscabetic medication, application of 855
Antistreptolysin o 572
Anti-thymocyte globulin 414
Anti-thyroid antibodies 517
Anti-TNF therapy 595
Anti-tuberculosis therapy 884
Anti-tumor necrosis factor-α 570
Aorta, coarctation of 196
Aphthous ulcers lower lip 259f
Aplasia 30
Aplastic anemia 422
Appetite, loss of 65
Aptitude tests, differential 699
Arthralgia 65
Arthritic presentation of childhood leukemia 574
Arthritis See Right knee joint
Asbury’s diagnostic criteria for Guillain-Barré syndrome 177t
Aseptic meningitis 594
Asom, treatment of 776
Asperger syndrome 744
Asphyxia 24
Aspirated foreign body 887
Aspiration pneumonia 225
Astrocytoma 465
Atenolol See Beta blockers
Atlanta symposium definition See Severe acute pancreatitis
Auditory brainstem response 50
Auspitz’s sign 860
Autoaugmentation See Detrusorectomy
Avoid benzodiazepines 678
AVPU 320
Axillary hair 489
Azathioprine 874
B
Baby on operation table for cystoscopy 372f
Bacille Calmette-Guérin 84
Back pigmentation present over lips and around eyes 443f
Bact. Tracheitis 653
Bacteremic bacterial infection 116
Ballooning, symptom of 364
Balthazar-Ranson criteria for severity 664t
Bardet-Biedl syndrome 760
Barium enema 282f
Barrel chest 601
Barrett’s epithelium 279
Baseline hemogram 838
Basophilia 248
Bayley method 491
BCG scar, absence of 88
Bead in right ear 789f
Benzocaine 625
Beriberi See Thiamine deficiency
Better diphencyprone 847
Bicarbonate 671
Bicuspid aortic valve 197
Biedel syndrome 481
Biguanide See Metformin
Biguanides 632
Bilateral
congenital
nasolacrimal duct obstruction 764f
severe ptosis 758f
diffuse infiltrates with sparing of peripheral zones with left basal hyperinflated area 230f
disease 884
hyperinflated lungs 234f
impacted wax 788
medial occipital encephalomalacia 161f
retinitis pigmentosa 759f
tanner stage 3
breast development in one and half year old female child with premature thelarche 519f
4 breast development in girl caused by central precocious puberty 487f
temporal
hyperintensity 181f
lobe hyperintensity 179
tonsillar hypertrophy 783f
tonsils congested with multiple pus pointing 794f
vernal conjunctivitis 763f
vesicoureteric reflux 366f
widening of wrists in rickets 67f
Bilevel positive airway pressure 692
Bite cells 413
Biventricular hypertrophy interventricular septum 142f
Blackish skin lesions 111
Bland-Garland-White syndrome 215
Blaschko’s lines 851
Bleomycin 464
ammonia 543
culture 230
disorders 317
investigations 804
coagulation profile 798
loss 567
pressure 320
level 492
history of 72
urea 567
nitrogen 296
Bluish discoloration of eyeballs 753
Bluish discoloration of eyeballs See Bilateral primary congenital glaucoma
Bluish patches on abdomen 415f
Body image problems 697
Bone
age
interpretation of 477
marrow
of megaloblast 394f
aspiration 920
hypocellular marrow with reduction 416f
foamy storage cell 291f
transplantation 292
mineral density 541
Bradypnea 618
Brainstem
auditory evoked responses 36
encephalitis 173
evoked response audiometry 169
glioma 149
stroke 173
Branches from internal and external carotid system, anastomosis of 799f
Breathlessness 108
Breslow’s chart 923
British anti-lewisite 619
Bronchiolitis obliterans 231
Bronchoalveolar lavage 231
Bronchoconstriction 647
Burning micturition, history of 442
Burst suppression 161f
C
Calcipenia rickets See Hypocalcemia
Calcipotriol 860
Calcitriol 42
Calculus in right upper calyx 305f
Campylobacter 269
Candidal infection 69
Capillary blood glucose 671
Carbamate poisoning 648
Carbamazepine 29
Carbamazepine See also Phenobarbitone
Carbon dioxide See CO2
pressure of 656
Carbonyl iron 74
Cardiogenic shock 684
Cardiology 191
Cardiomegaly with right ventricle 208
Cardiopulmonary resuscitation 20
Case of acanthosis nigricans 837
Catch up formula (f-100), composition of 77
Causing headache 152
CDI, treatment of 497
Cefdinir 104
Cefixime 807
Cefotaxime amikacin 25
Celiac disease See Chronic diarrhea
Cell mediated immunity 85
Cephalosporins 29
Cerebellopontine angle 152
Ceruminolytic agents 788
Cervical adenitis 827
Cervical lymphadenopathy 452
Cervicocephalic arterial dissection 158
Cetirizine 808
CF transmembrane conductance regulator 245
Chemical pneumonitis 621f
Chemoreduction 766
Child
being sick interfebrile 116
depression inventory 701
Development Centre grading 35
on arrival 668f
presented with pallor 434f
fever 434f
presenting with
delayed puberty 522
obesity 479
premature thelarche 518
suffering from fanconi anemia 417f
with accidental kerosene ingestion 620
with acute
encephalitis syndrome, management of 184t
nasal vestibulitis 802f
scrotum 379
with adenoid facies 792f
with antidepressant poisoning 627
with biotinidase deficiency 543f
with button battery ingestion 633
with delayed puberty, approach to 525
with dengue 687
with glucose-6-phosphate dehydrogenase deficiency 411f
with goiter 514
approach to 515
with hypoglycemia 630
with hypospadias 359
with increasing pallor 393f
with iron poisoning 640
with isoniazid poisoning 637
with left nasal bleed 797f
with methemoglobinemia 624
with osteogenesis imperfecta 541f
with pallor 409f
early childhood 396f
jaundice 409f
with paracetamol poisoning 642
with persistent progressive anemia 432f
with polydipsia 491
with polyuria 491
with scleral icterus 275f
with short stature 471
with status epilepticus 660t
with suspicion of Cushing syndrome, investigations in 484
with unknown drug ingestion 615
Childs’ abdomen with fingers 827
Chloride 296
Chloroma 450
Choanal atresia, diagnosis of 20
Cholecalciferol 67
Cholestasis 12
Chordee See Ventral penile curvature
Choreoathetotic CP, differential diagnosis of 148
Chromosomal microarray 558
Chronic
abdominal
functional 265
pain 265
in school-going child 827
site 266
adenoiditis 792
bullous dermatosis of childhood 873
constipation 282
cough secondary to allergic rhinosinusitis 600
disease, common 81
HBEAG negative hepatitis 285
HBV infection 284
health evaluation II 663
illnesses 739
manifestations of 441
suppurative otitis media 776
systemic diseases 474
Cisplatin 464
Citrobacter 25
Classic dengue fever 100
Classical Hodgkin’s lymphoma 454
Clobazam 163
Clofazimine 843
Clonazepam 163
CO2 545
Coarctation of aorta, diagnosis of 197
Colchicine 874
Colonic mucosa eosinophilic collections 258f
Combined pituitary hormone deficiency 474
Communication disorder 744
Complete heart block 217
Complex partial seizure, EEG of 166f
Concerned bowing of lower limbs 4
Conduct disorder 55
Congenital
diagnosis of 15
hypothyroidism 504
cause for 30
investigating proven cases of 508
with approach to newborn thyroid screening 503
ichthyosiform erythroderma 870
Ladd’s bands to recurrent upper intestinal obstruction and abdominal pain 828f
nasolacrimal duct obstruction 764
ptosis 757
zonular cataract 768f
Conjunctival congestion 765
Consciousness, altered level of 615
Contrast esophagography in case of H-type tracheoesophageal fistula 832f
Contrast lower gastrointestinal 817
Controlled diabetes mellitus 524
Coomb’s-positive hemolytic anemia 576
Co-oximetry analysis of blood 625
Cornelia de Lange syndrome 148
Corticosteroids 860
Coudability sign 846
Coumarin 29
Coxsackie 269
CP mimic 145
Creatine phosphokinase 287
Cricopharynx 262
Critical coronary artery disease 159
Crohn’s disease 259
Curdy white deposits in EAC 790f
Cyanosis 618
Cyanotic congenital heart disease 209
Cystic fibrosis 245
Cystic fibrosis See also Immune deficiency
Cystine deposits in cornea confirming cystinosis 300f
Cytokeratin 460
Cytopenia 576
D
Daycare surgery 360
de Sanctis-Cacchione syndrome 854
Deafness syndrome 495
Deep brain stimulation 148
Degranulated mast cells 606
Dehydroepiandrosterone sulfate 500
Deiodinase deficiency 505
Demonstrating large head 168f
Dengue 96
chart 688
hemorrhagic fever 101
with shock syndrome 100
illness, course of 687f
monitoring chart 689f
shock 684
expanded 99
without warning signs 688
Denver developmental screening test 35
Depression 745
Depressive symptoms 746
Depsone 619
Dermatology 835
Desferroxamine-iron complex, excretion of 640
Detrusorectomy 386
Developmental delay 558
Deviation of angle of mouth to right 149f
Dextrotransposition of great arteries 210
Diabetes
leading to depression 726
treatment of 630
with complex psychosocial issues 724
with poor growth 727f
Diabetic ketoacidosis 670
Diagnosis of alopecia areata 846
Diaphoresis 681
Diazoxide 632
Didmoad syndrome 495
Dietary management 76
Diethylenetriamine penta-acetic acid 314
Diffuse
interstitial fibrosis 247
intravascular coagulation 271
patches of pneumonia 223f
tree-in-bud appearance with areas of hyperinflation and air trapping 232f
Digoxin 619
Dilated cardiomyopathy, cause of 213
Dine’s formula 7
Dinitrochlorobenzene 847
Diphtheria-tetanus-pertussis, doses of 84
Direct coombs test 9
Discolored urine See also Dysuria
Disseminated tuberculosis 125
Distended abdomen with fullness above umbilicus 270f
Dopamine 677
Double outlet right ventricle 209
Doxycycline 840
Dravet syndrome 162
Drowsiness 628
Drug 220
antituberculous therapy 122
errors resulting in paracetamol overdose, common types of 646
experimentation 714
in ENT infections, commonly used 807
reaction 907
DTAP vaccine 88
Duchenne muscular dystrophy 144
Dull periumbilical pain 268
Duodenal mucosa 255f
Duodenojejunal junction 14
Dust mites 601
Dyselectrolytemia 661
Dysmorphic facies 417
Dysmorphism 160
Dyspnea 625
Dystrophic soft tissue 587
E
Eat chapattis 703
Ebstein anomaly 201
Ecchymosis presentation of acute leukemia 449f
Eczema 851
Edematous bulky pancreas with areas of hypodensities 663f
Edematous EAC 800f
Effluxing urine 387
Effortless tachypnea 671
Ehlers-Danlos syndromes 548
Eisenmenger syndrome 215
Ejection systolic murmur 39
Electroencephalogram 660
Electrolytes 673
Embryonal rhabdomyosarcoma, diagnosis of 467
Emesis 617
Encephalitis 159
Encephalitis See also Brain, infection to
investigations for 183
Endocarditis 91
Endoscopic variceal ligation 264f
Endothrix infection 867
ENT 653
Enterobacter 25
Enterocystoplasty 386
Enterohepatic circulation 9
Enzyme level estimation 144
Enzyme replacement therapy 143
Ephelides 853
Epicanthic fold 551f
Epileptic spasms 162
Epistaxis 797
Epithelial membrane antigen 460
Esophagogastric junction 262
Esophagography of achalasia cardia 833f
Essential fatty acid deficiency 875
Estimated glomerular filtration rate 297
Ethmoidal polyps 774
Ethyl cysteine 369
Ethylenediaminetetraacetic acid 619
Etoposide 464
Eular/printo/pres classification 591
Evanescent skin lesions 876f
Evans’ syndrome 578
Examine eyes 37
Extended oligoarthritis 568
Extensive choreoathetotic movement of limbs 145
Extrapulmonary tuberculosis, diagnosis of 126
Eyelashes in both eyes 765
Eyes, puffiness of 295
F
Facies 141f
Familial adenomatous polyposis 281
Fatigue 625
Felty’s syndrome 570
Female
cause common to 525
child
presented with pallor 401f
presenting with precocious puberty 486
with Rett syndrome 559f
with precocious breast development, approach to 521
Femora anteroposterior 537f
Ferric salt 74
Ferrous salt 74
Fetal urology, society for 368
Fibrillation potential 174
Fibrillin gene, analysis for 548
Figure-of-eight appearance 208f
Fine needle aspiration cytology 453
First-line antibiotics 807
Flair hyperintensity of acute infarct right basal ganglia and internal capsule 155f
Flash chronic follicular tonsillitis 677
Flat facies with upslant 551f
Fleshy mass in left nasal cavity 804f
Flexible fiberoptic bronchoscopy 653
Fluid
levels mainly restricted to upper abdomen in jejunal atresia 823f
management in dengue with shock 689t
overload
management 692
with respiratory distress 692
therapy 672
in severe dengue with compensated shock 686
Fluorescent in situ hybridization 558
Fluticasone plus salmeterol 607
Follicular conjunctivitis 763
Folliculitis, evidence of 839
Food, types of 722
Forced vital capacity 605
Foreign body
aspiration 234
ear 789
esophagus 781
git 261
in right ear 789f
in stomach 261f
ingestion 829
in child 829
nasal cavity 777
Fourth ventricle ependymoma without hydrocephalous 466f
Fractional excretion of sodium 323
Fragile X syndrome 558f
Framework to approach child with status epilepticus 659
Freckles See also Ephelides
Fundocervical ratio 488
Fundus examination cherry red spot 292f
Fungus 601
G
G6PD deficiency See glucose-6-phosphate dehydrogenase deficiency
Gabapentin 177
Gain height and weight, failure to 418f
Galactose-1-phosphate uridyltransferase enzyme 556
Galt enzyme 556
Ganciclovir 439
Gardner’s syndrome 281
Gas chromatography mass spectrometry 558
Gastroenterology 251
Gaucher’s disease 292
Geneticist for DD/ID-A cost effective strategy 558
Genitals, examination of 486
Gestational diabetes mellitus, history of 479
GH deficiency, tests for 477
Ghost cells 413
GHST, results of 473f
Giant cells 278
Girl with
massive hepatomegaly 286f
persistently raised serum creatinine 295f
puffiness of eyes 295f
Glasgow coma scale 671
Glass appearance in case of peritonitis with secondary obstruction and fluid levels 824f
Glomerular basement membrane 245
Glue ear 780
Gluteal crease short 384f
Glycated hemoglobin 534
Goiter, examination of 515
Goldenhar syndromes 51
Goldmann perimetry 760
Gram’s stain 666
Granulation in EAC 800f
Grave’s disease 515
Grayish black mass in right nasal cavity 777f
Griseofulvin 868
Groin swelling 811
Growth
chart of index case 476f
charts, role of 6
failure 723
hormone
deficiency 472f
levels 563
treatment 533
of xeroderma pigmentosum 852f
Gynecomastia, causes of 719
H
H influenza 411
Hair abnormality 544
Hallmark of psychotic depression in older children 746
Hallucinations, presence of 746
Hammered brass 847
Hapatitis B vaccines during infancy, doses of 86
Harrison’s sulcus in lower ribs 67
HAV infection 275
HDL cholesterol 483
Heart border, clearing of 604f
Heinz bodies 413
Hematology 391
Hematuria 301
Hematuria See Kidney
Hemodialysis for chronic renal disease 86
Hemophagocytic syndrome 248
Hemophilus influenzae type B 84
HGPRT enzyme See Hypoxanthine-guanine phosphoribosyltransferase enzyme
HIB vaccination 89
HIDA scan See also Hepatobiliary iminodiacetic acid
Hip examination 35
Hirschberg’s test 766
Hirsutism 839
Histamine receptors, antagonism of 627
Histiocytosis See also Miliary TB
HIV clinical 432
HOMA index See also Homeostatic model assessment index
Homeostatic model assessment index 483
Homovanillic acid 889
Hormonal
and other investigations, results of 510t
results of 508t
profile FSH 532
replacement therapy 35
Hospitalization in pediatric population 81
H-type fistula demonstrated on bronchoscopy 832f
Human
chorionic gonadotropin stimulation test 358
test for 910
intravenous immunoglobulin 864
leukocyte antigens 255
Hutchinson’s sign 845
Hyaline bodies 857
Hydroxy progesterone 510
Hydroxyprogesterone 499
Hyperactivity disorder 164
Hypercalcemia 495
Hyperchloremia 300
Hyperekplexia 162
Hypergranulation tissue 815
Hyperkeratotic follicular papules 66
Hyperpigmentation 512f
Hyperpigmented spots on face 445f
Hyperreactive airway disease 279
Hyperresonant chest 245
Hypertrophied nasal mucosa 599
Hypomagnesemia 220
Hypophosphatemia 67
Hypoplasia 187
Hypoplastic 413f
Hyposmia, history of 773
Hypotension 618
Hypothyroidism See Cushing syndrome
Hypotonia 544
Hypovolemic shock 684
Hypoxanthine-guanine phosphoribosyltransferase enzyme 147
Hypoxic ischemic encephalopathy 28
Hypsarrhythmia See Multifocal epileptiform activity
I
Ileocecal opening with ulcers 289f
IM pheniramine maleate 681
Imferon See Iron dextran complex
Iminodiacetic acid 277
Immediate intervention, management 681
Immunization 79
Immunobullous disorder 873
Immunodeficiency with pneumocystis Carinii pneumonia 910
Impacted wax 787
Impedance audiometry 779
Impetigo 871
Impulse control disorder 743
Increased internipple distance and ptosis of right eye 531f
Indian infants, development assessment scale for 38
Indian Pediatric Nephrology Society 314
Ineffective erythropoiesis 395
Infancy 474
Infant with
abdominal swelling 459
congenital hypothyroidism 505
jaundice 276f
nonreducible groin swelling 814
untreated congenital hypothyroidism 506f
Infantile
colic 162
esotropia 754
hemangiomas, treatment of 32
hypertrophic
pyloric stenosis 890
variety 301
tremor syndrome 70
Infantogram multiple diaphyseal fractures 539f
Infected necrosis, treatment of 666
Infection-induced asthma 603
Inferior turbinate 804
Infliximab 570
Infliximab See Anti-TNF therapy
Innocent pulmonary murmur 193
Inotropes infusion, preparation of 677
Integrative phase 285
Intellectual disability 558
Intensive care 649
Intercostal retractions 239f
Internal carotid artery 805
Interstitial lung disease See Hypersensitivity pneumonitis
Intracranial space occupying lesion 475
Intradermal injection 918
Intraocular lens 768
Intravenous
access in infants and young children, different sites for 917f
cannulation 916
fluids 689
immunoglobulin 584
course of 87
role of 13
use of 670
methylene 625
methylprednisolone 581
Intubation, indications for 661
Ipratropium, inhalation of 599
Iron 619
amino acid chelates 74
binding capacity 73
deficiency
cause of 435
hematological differentiation of 73t
symptom of 435
causes of 435
dextran complex 75
formulations in Indian market 74t
of heme 625
polymaltose complex 74
sorbitol citric acid complex 75
Irreducible hernia 361
Irregular colonic ulcers 260f
Irwin-Moore’s sign 783
Ischemic stroke causes 157
Isoimmune hemolytic disease 11
Isolated growth hormone deficiency 474
Isomorphic phenomenon See also Koebner’s phenomenon
Issues with parents 710
Itraconazole 868
J
IV hydrocortisone therapy 511
Japanese B encephalitis 183
Jaundice See also Blood transfusion
history of 407
Jittery neonate 18
Joulies solution 301
Jugular venous pressure 193
K
Kearns-Sayre syndrome 760
Keratomalacia 62
Keratosis pilaris 875
Ketonemia 672
Ketonuria 672
Keyhole sign 372
Kiesselbach’s plexus 799
Killed vaccine See Live vaccine
Klebsiella 12
Klinefelter’s syndrome 548
Knee swelling 461
Koebnerization 856
Koyanagi urethroplasty 382
Krabbe disease 171
L
Laboratory abnormalities 594
Lacrimation 617
Lame ducks 706
Langerhans cell histiocytosis 495
Language evaluation scale trivandrum 35
Large right renal calculus 374f
Laryngeal edema 608
Late hemorrhagic disease of newborn 424
Late onset cyanosis 19
Left
acute suppurative otitis media 775
coronary artery from pulmonary artery, anomalous 214
origin of 213
ear
examination 775
otomycosis 791
facial palsy 149f
hydroureteronephrosis 371
inguinal hernia 361f
in a-male-infant 811f
kidney 313
anteroposterior 315f
uptake in 310f
with normal right kidney 311f
lower ureteric calculus 305f
nonpalpable UDT 357
ovarian yolk sac tumor 464
pelvicalyceal system duplex 895
pelviureteric junction obstruction 367
renal neoplasm 458f
tympanic membrane in stage of congestion 785f
ventricle dysfunction 197f
ventricular hypertrophy 216f
Lentiform nucleus, obscuration of 154f
Leopard syndrome 853
Leptospirosis 114
Lesbian involvements in heterosexual girl 707
Lethargy 625
Leucopenia 901
Leukocoria 767
Leukocytosis 901
Leuteinizing hormone 487
Levator palpebrae superioris muscle 758
Levocetirizine 808
Libman-Sacks endocarditis 578
Lichen planus 861
Lidocaine 625
Life-threatening asthma 655
Limb anomalies 418f
Linear burning skin lesions over right forearm 848f
Lipid storage disorder 290
Lithium manganese 635
Live oral vaccine 85
Live vaccine 86
Loose motion, history of 426f
Lorazepam 227
Lowe’s syndrome 300
Lower
abdominal pain 444
limb, deformities of 67
motor neuron 173
bifacial palsy 172
punctum in both eyes 765
segment caesarean section 185
Low-molecular-weight heparin 322
Low-resource settings, treatment in 674
Lump in left flank 368f
Lupus
anticoagulant ratio 155
erythematosus 577
laboratory diagnosis of 577
nephritis 580
with arthritis 575
with hematological involvement 583
Luschka’s tonsils 793
Lymphadenopathy 402
Lymphoma See Food allergy
Lymphopenia 576
M
Macrocytic anemia 395
Macrolides 104
Macrophage activation syndrome 572
Maintenance intravenous fluids 671
Major aortopulmonary collateral arteries 210
Major bleeding, management of 691
Malaise, history of 583
Male child presenting with precocious puberty 498
Males, cause common to 525
Malrotation of gut 14
Manganese dioxide 635
Marcus Gunn jaw-winking phenomenon 758
Marfanoid habitus 546f
Massive hepatomegaly 285
Masturbation, behavior change to 720
Mccune-Albright syndrome 500
Measles 84
Meconium aspiration 24
Medial frontal hyperintensity 181f
Mediastinal
lymphoblastic lymphoma 455
mass 454
differential diagnosis of 456t
widening in non-Hodgkin lymphoma 455f
Medical cases 718
Mega cisterna magna 188
Megakaryocytes, presence of 422
Megalencephalic leukoencephalopathy 170
Menarche 489
Meningitis See also Treating sepsis
Menstrual bleeding See Menarche
Mercaptoacetylglycine 369
Mesenteric
adenopathy 268
cyst leading to volvulus 826f
lymphadenitis 269
to left portal vein bypass 265
Metabolic
acidosis 543
to tissue hypoxia 626
derangements 583
disorder, approach in suspected case of 545
liver disease 273
risk factors, investigations for 480t
syndrome
criteria of 480
development of 482
in adolescents, definition of 483t
workup 376
Metabolisms, inborn errors of 768
Metformin 485
Metformin See Biguanides
poisoning 632
Methemoglobin 619
Methylene blue 626
Metoclopramide 625
Metronidazole 226
Microangiopathic hemolytic anemia 428
Microscopic hematuria 304
Microspherocytes, presence of 408f
Microsporum canis 867
Mid-clavicular line 278
Midnight cortisol 484
Midperipheral retina 760
Migraine 159
Mild
asthma 655
facial dysmorphism 141
neutrophilic leukocytosis 95
respiratory distress 245
thrombocytopenia 584
Miller Fisher syndrome 177
Millon adolescent personality inventory 717
Minocycline 843
Mixed bag 89
Moderate acute asthma 655
Moderately cellular glial tumor 151f
Molecular for FGFR3 gene mutation 537
Möller-Barlow disease 65
Mometasone nasal spray 610
Monocytes 901
Mother of child with dengue 690f
MR, definition of 735
MRSA See Methicillin-resistant Staphylococcus aureus, treatment of
Mucosal telangiectasias 817
Müllerian ducts 383
Müllerian-inhibiting hormone 383
Multicystic dysplastic kidney 309
Multifocal epileptiform activity 160
Multinucleated giant cells 844
Multiple
bilateral petechiae 423f
congenital anomalies 39
depigmented lesions 865f
erosions 878f
fluid filled lesions over upper limb and trunk 873f
itchy pigmented lesions 861f
lesions 858f
ligation probe amplification 558
patches of loss of hair 846f
pituitary hormone deficiency 475
raised lesions 856f
with rough surface 875f
stereotypic movements 148
Muscarinic receptors 647
Mutilation of lip and excoriation 146f
Myalgia 65
Mycophenolate mofetil 584
Myelodysplastic syndromes 419
Myocardial dysfunction 271
Myocarditis 594
Myringotomy with grommet insertion 780f
Myxopapillary ependymoma 152
N
Naphthalene 619
Narrowed subglottic airway 233f
Nasolacrimal duct 765
Nasopharynx, X-ray 786
Necrotizing enterocolitis 818
Needle stick injury 86
Negative coombs test 429
Neonatal
cholestasis syndrome 276
encephalopathy 27
hepatitis 277
period 544
respiratory distress syndrome 599
stroke 27
Nephrology 293
Neurobehavioral symptoms 148
Neuroglycopenia 631
Neurohypophysis gene defect 493
Neurology 139
Neuronal migration abnormalities 162
Neutropenia 901
Neutrophilia 901
Neutrophilic leukocytosis 226
Neutrophils 901
Newborn
intolerance of 253
ruling out hydrocephalus 4f
screening 30
with adrenal crisis 509
with CHD 212t
Newcastle control score 761
Nicotine 714
Nicotinic receptors 648
Night blindness 62
Nipah virus 183
Nirtroprusside 625
Nitrates 625
Nitrazepam 163
Nitric oxide 625
Nitroglycerine 625
Nodules 840
Noisy breathing 99
Non-cavitatory pulmonary disease 122
Nonallergic atopic rhinosinusitis with small airway obstruction 604
Nonconsanguineous marriage 486
Nondistended abdomen 15
NonHodgkin’s lymphoma 454
Noninvasive ventilation 623
Nonmetastatic osteosarcoma 462
Nonpalpable testis 357
Nonreplicative 285
Nontender lymph nodes 575
Nontypable haemophilus influenzae 104
Noonan syndrome 474
Noradrenaline infusion 677
Norepinephrine reuptake inhibitor 741
Northern hemisphere vaccine 82
NSAIDs See also Nonsteroidal anti-inflammatory drugs
Nucleated red blood cells 23
Numerous keratocytes 225
O
Obese boy with body mass index 837
Obesity syndromes 485
Obstructive pulmonary disease 247
Occipital meningocele with Dandy-Walker malformation 185
Occulta See also Spina bifida cystica
Ocular manifestation 65
Oculocutaneous melanin pigmentation 445f
Ofloxacin 843
Oligoarthritis onset 568
One testis in scrotum, absence of 5
OPD for yellow eyes 9
Opiates 619
Optimal health supervision for children with Down syndrome 554t
Oral
13-cis-retinoic acid 840
albendazole, dose of 74
injection of 594
polio 84
polyethylene glycol 283
propranolol 71
rehydration solution 76
ulcers 254
Organophosphate compounds 618
Origin of left coronary artery from pulmonary artery trunk 214f
Ornithine transcarbamylase deficiency 157
Ortolani test 35
Osteogenesis imperfecta 538
Osteosarcoma See Knee swelling
of lower end of femur 462f
Otitis media with effusion 778
Otomycosis 790
Otorhinolaryngology 771
Ovaries 490
Overdose to errors, prevention of 645
Oxalates in urine See High uric acid
P
P vivax malaria 128
Pale looking child 420f
Pallor anomalies 418f
Pancreas system 246
Panton-valentine leukocidin 668
Papules over face 839f
Paraneoplastic symptoms 890
Parathormone 42
Parenteral iron therapy 75
Paroxysmal nocturnal hemoglobinuria 414
Particularly respiratory failure 665
Parvovirus infection 403
Patchy pneumonia especially in mid-zones bilaterally 228f
Paul-Bunnell test 906
Peak expiratory flow 655
Pedal edema See also Oral ulcers
Pediatric
advanced life support 615
brain tumor 152
obesity 485
management of 484
oncology 447
ophthalmology 751
rheumatologist 569
septic shock 679
algorithm 680
differ from adult septic shock 676
urology 359
Pelvicalyceal systems 895
Pendrin-pendred syndrome 505
Penicillamine 435
Penicillin-binding protein 668
Penile curvature 359f
Peptic ulcer disease 266
Pericarditis 594
Periorbital granulocytic sarcoma 451f
Peritoneal pathology 288
Persistent
anemia not responding to treatment, complains of 436f
hyperglycemia 674
hyperinflation 235f
oligoarthritis 568
pneumonia 108
Personality issuses 715
Pertussis 908
Pes planus 547f
Pharyngeal mucosa, injection of 594
Phenobarbitone 71
Phenotypic penetrance 838
Phenytoin 29
Phimosis 362
Phosphopenic rickets See Hypophosphatemia
Photochemotherapy 847
Phrynoderma 874
PICU, progress in 675
Pimecrolimus 866
Pinneau method 491
Plasma amino acids 162
Playground in preprimary 744
Pluckable sign 846
Pneumomediastinum 634f
Pneumonitis in systemic lupus erythematosus 243f
Pneumothorax 634f
Poisoning 613
Polyarthritis onset 568
Polycystic ovary syndrome 481
Polydipsia, approach to case of 494
Polyethylene glycol 618
Polymerase chain reaction 179
Polyuria, approach to case of 494
Pornographic compatible disk 733
Portal hypertension 264
Postherpetic neuralgia 845
Postictal Todd’s paralysis 159
Postmeningitic sensorineural deafness 43
Postpolypectomy clean stalk 281f
Postprimary tuberculosis 884
Post-traumatic stress disorder 57
Pot belly See Protuberant abdomen
Prader Willi syndrome See Syndromic obesity
diagnostic criteria for 561
Pre-discharge checklist for jaundice 10t
Pregabalin 177
Pregnancy-associated plasma protein A 553
Pregnancy-induced hypertension, history of 199
Prenatal diagnosis 542
Presinusoidal extrahepatic portal venous obstruction 264
Pretransfusion hemoglobin 401
Prilocaine 625
Primaquine 625
Primary
dynamic obstruction 821
and adynamic obstruction, differentiating between 821t
hypoadrenalism 513
microcephaly 37
posterior capsulorhexis 768
Primitive neuroectodermal tumor 456
Prism diopters 754
Progeria 853
Prolapsing rectal polyp 819
Prophylactic antibiotics in necrotizing pancreatitis, use of 666
Proteus 25
Prothrombin time 911
Proton pump inhibitors 279
Protuberant abdomen 67
Pseudocyst mid body of pancreas 271f
Pseudohypoparathyroidism 474
Pseudoparalysis 66
Psoralen ultraviolet A 841
Psoriatic arthritis 568
Pterygoid plexus 803f
Pubarche See also Axillary hair
Puberty, induction of 526
Puffiness gradually spread to whole body 428f
Pulmonary
arterial hypertension 193
AV fistula 218
with scorpion sting 238
exacerbations 245
hypertension of newborn 17
nodules with rheumatoid arthritis 246
vasculitis 247
Pulsus paradoxus 229
Pure-tone audiometry 779
Pyopericarditis with tamponade 205
Pyrexia of unknown origin 920
Pyuria, history of 379
R
Rabies vaccination after pet dog scratch/bite 89
Rachitic rosary See Ribs, junction of
Rader-Willi syndrome 524
Radiculopathies 173
Ramsay Hunt syndrome 845
Rashes on upper extremities 317f
RDW values in various diseases 397t
Reactional states 842
Ready-to-use therapeutic foods 76
Rebellion 713
Receptive language 737
Recurrent viral infection 98
Redness in perianal area 8f
Refractive error, correction of 762
Refsum’s disease 760
Refusal to sit in classroom 744
Remediation, principles of 740
Renal
biopsy 580
calculus 373
causes 298
diseases 303
failure 688
pelvis 315
problems, history of 316
tubular acidosis 299
ultrasonography 365
Replicative phase 285
Reticulocyte count 426
Retinal pigment epithelium 760
Retinitis pigmentosa 759
Retinoblastoma 765
Retinoblastoma group B 766f
Retrograde cholangiopancreatography 667
Retrosternal pain 261
Rheumatoid
arthritis 247
history of 246
interstitial lung disease, phenotypes of 246
with pulmonary nodules 246
factor positive 567
Rheumatology 565
Rhinolith in floor of right nasal cavity 778f
Riboflavin deficiency 64
Ribonucleic acid 275
Ribs, junction of 67
Rickets See also Vitamin D deficiency
Rickets, common cause of 43
Rickettsial infection 133
Rifampin-resistant leprosy, treatment of 843
Right
breast See Tanner staging
coronary artery 214
ear, examination 775
inguinal hernia in a-female-infant 812f
kidney 367
knee
swelling secondary to osteosarcoma 461f
modified blalock-taussig 40
nasal cavity 777
pelvicalyceal system 895
posterior tibial nerve conduction 176f
renal pelvic calculus 374
side hydrocele in a-male-child 814f
undescended testis with hypospadias 382f
upper lobe pneumonitis 278
ventricular
in infant with coarctation 197f
outflow trac 202
systolic pressure 200
Ringer’s lactate 689
Rosenberg self-esteem scale 699
Roseola 907
Rotaviral disease 82
Rotavirus vaccine 82
Russell-Silver syndrome 475
S
S creatinine 492
S potassium 492
S sodium 492
Sajeevan’s predicament 748
Salicylic acid 860
Saliva, drooling of 261
Salivation 617
Salt intake, decreasing 375
Sandal gap 551f
Sandifer syndrome 162
Saphenous vein cut down 919f
Scaling of skin 870f
Scaly lesions over knees and hands 859f
Schwamman-Diamond syndromes 418
Schwartz formula 297
Scorbutic rosary 66
Scrotal hypospadias 382f
Scurvy See also Vitamin C deficiency
diagnosis of 66
Second heart sound, importance of 17
Second-line antibiotics 807
Secretory otitis media 780
Sedation and paralysis during ventilation 657
Selective serotonin reuptake inhibitor 746
Self-centered and adamant 717
Self-esteem 698
Sensorineural deafness with pervasive developmental disorder 49
Sensory axonal neuropathy 177
Septicemia with central nervous system 112
Serotonin syndrome 617
Serratia 25
Serum
bilirubin 9
levels 11t
cholesterol levels 483
ferritin 443
folic acid 395
glutamate pyruvate transaminase 567
glutamic
oxaloacetic transaminase 567
pyruvic transaminase 230
immunoglobulin E 655
insulin level 483
luteinizing hormone 723
protein 46
TSH 517
Severe
acute
asthma 236
hemolysis 129
pancreatitis 663
asthma 655
bleeding 688
cardiotoxicity, presence of 629
chest pain 235
dengue 691
criteria for 688
infection 684
hemolytic anemia 412
intrauterine growth retardation 475
itching over genitals, complaints of 854f
malnutrition 75
myoclonic epilepsy in infancy 162
pain 636
papilledema bilaterally 149
perianal excoriation 253f
plasma leakage 688
rickets noted clinically with widening of wrists 299f
toxicity 647
tricuspid regurgitation 200f
Sexuality relationship issue 704
Shigella 609
Shock, management of 691
Short stature, treatment of 526
Sibutramine 484
Silhouette sign, clearance of 604f
Silk glove sign 362
Silver oxide 635
Simple nutritional obesity 483
Skeletal survey 535
Skull lateral view large calvarium 536f
Slow learner 736
Small genitalia to obesity 721f
Snare polypectomy 281
Sodamint 301
Somatostatin, role of 666
Something coming out per rectum 818
Speak of marriage 702
Specific learning disability, early indicators of 737
Spina bifida cystica 186
Spongiform leukodystrophy See also Canavan disease
Spontaneous abortions 532
Sputum for acid-fast bacillus 908
Star struck 702
Starter formula (f-75), composition of 77
Steroids 682
Stickler’s syndrome 757
Stimulant drug 741
Straight leg raising 678
Strain 199f
Strangulated inguinal hernia with
ovarian gangrene in a-female-infant 813f
resultant bowel gangrene 812f
Strangulation in right inguinal hernia in a-female-infant 813f
Streaky lesion, clearance of 604f
Stridor 681
Stridor See Upper airway obstruction
Stroke 153
Sturge-Weber syndrome 754
Subclinical asthma 607
Subcutaneous injection 916
Subependymoma 152
Subpulmonic VSD, management algorithm of 205
Subsequent ventilator management 657
Substance abuse 714
Subtelomeric 558
Sulfite oxidase deficiency 157
Sun protection factor 579
Supracardiac total anomalous pulmonary venous connection 209f
Supraclavicular lymphadenopathy in Hodgkin lymphoma 453f
Suprasystemic pulmonary artery 200
Supratherapeutic overdose 645
Supraventricular tachycardia, diagnosis of 201
Surface anatomy markings of both lungs 105
Surgery 809
Survivor motor neuron, analysis of 144
Swelling over hands 404f
Swyer-James syndrome 887
Symbolic play, level of 737
Symmetrical diffuse goiter in child with hashimoto thyroiditis 517f
Sympathomimetic toxidrome 617
Synchronized intermittent mandatory ventilation 657
Syndrome
Asperger 744
Bardet-Biedl 760
Bland-Garland-White 215
Cornelia de Lange 148
de Sanctis-Cacchione 854
deafness 495
Didmoad 495
Dravet 162
Ehlers-Danlos 548
Eisenmenger 215
Evans’ 578
Felty’s 570
Foremilk 8
Fragile X 558f
Gardner’s 281
Goldenhar 51
hemophagocytic 248
in infant, aspiration 831
Kearns-Sayre 760
Klinefelter’s 548
Leopard 853
Mccune-Albright 500
metabolic, criteria of 480
Miller Fisher 177
Munchausen’s 849
myelodysplastic 419
neonatal respiratory distress 599
neurocutaneous 162
obesity 485
optic atrophy 495
periodic fever 572
polycystic ovary 481
Ramsay Hunt 845
Rett 559f
Russell-Silver 475
sandifer 162
Schwamman-Diamond 418
Stickler’s 757
Sturge-Weber 754
Swyer-James 887
toxic shock 594
Turner 526
Weil’s 115
Werner 853
West 159
Wolfram 493
Synkinesis, type of 759
Systemic
antibiotics, courses of 840
diseases 303
inflammatory response syndrome 676
lupus erythematosus 576
onset juvenile idiopathic arthritis 571
vascular resistance 676
Systolic blood pressure 199
T
T soudanense 867
T verrucosum 867
T violaceum 867
Tachycardiomyopathy 215
Takayasu arteritis 590
Tandem mass spectrometry 558
Tazarotene 860
TCA overdose, complications of 628
TDAP vaccine 91
Temporary lactose intolerance in newborn 253
Tender subcutaneous nodules 592
Terbinafine 868
Terbutaline See also Adrenaline
Thanatophoric dysplasia 540
Thematic apperception test 714
Therapy with hypertonic saline 629
Thiamine deficiency 62
Thrive in infants, failure to 297
Thrombolytic therapy for childhood stroke 159
Thrombotic thrombocytopenic purpura 578
Thryroid ultrasound, interpretation of 509t
Thumb sign 547f
Thyroid
binding globulin 70
dysfunction 553
dysgenesis 505
interpretation of 515
gland 30
swelling 69
ultrasound 517
Tight foreskin 363f
Tightness of chest, symptom of 237
Time sensitive antiepileptic drug escalation protocol 660t
Tissue transglutaminase antibody 255
Tobacco smoke 601
Tocilizumab 570
Tonsils 102
Topiramate 163
Toxoplasmosis
infection 438f
other agents, rubella, cytomegalovirus and herpes simplex See also TORCH
Tracheoesophageal fistula 636
Transient congenital hypothyroidism, causes of 505
Transilluminant cystic swelling of occipital region 186f
Transverse colon in child with Hirschsprung’s disease 823f
Treating sepsis 24
Trichophyton tonsurans 867
Triglycerides 483
Trivandrum developmental screening chart 35
Tuberculous 288
Tumor necrosis factor-α antagonist 247
Tympanogram 36
Typhoid vaccination after enteric fever 90
Typical lobar pneumonia in child involving right upper lobe 885f
U
Ulcerated plaque over right side of upper face 843f
Ulceration in perianal area 8f
Ulegyria suggestive of postnatal hypoglycemic insult 161f
Undifferentiated arthritis 569
Ureter 378
Ureteric disease 306
Ureterocele 376
Ureterorenoscopy 376
Ureters, opacification of 895
Urinalysis 567
Urinary
bladder 895
frequency 647
incontinence 617
infections 365
opening on underside of penis 359f
potassium 323
sodium 323
symptoms, history of 449
tract 15
from vesicoureteric reflux 894
vanillylmandelic acid 460
Urine 660
analysis 365
discoloration of 637
for amino acids 300
for microalbuminuria 726
organic acids 162
reducing substance 46
retention of 467
vanillylmandelic acid 889
VMA 173
Urology 355
Usefulness of ScvO2 680
Uterus 490
V
Vaccination 86
after bone marrow transplant 88
in HIV infected child 84
under special clinical circumstances 84
with HPV vaccine 83
Vaccine-associated paralytic poliomyelitis 85
Vaginal opening, absent 389f
Valproate 163
Vancomycin 112
Vanishing white matter disease 170
Vascular hemangiomas 32
Vasovagal reaction versus anaphylaxis 683t
Ventilation, indication for 692
Ventilatory monitoring 657
Ventral penile curvature 359
Vesicoureteric reflux 894
Vestibulitis 802
Vimentin 460
Vineland social maturity scale 35
Viral
clearance See Integrative phase
encephalitis 135
hepatitis 907
illness 95
complication of 97
myocarditis 207
Visual acuity 756
Vitamin
A 875
acid 840
disorder 61
B12 395
deficiency 441
B-complex 875
C deficiency 65
D
level 42
D3 67
D3 See also Cholecalciferol
E 875
K 29
antagonists 29
bleeding disorder 29
injection of 425
Vitello-intestinal duct 815
Vulval synechiae See Labial adhesions