Editors
Anand S Vasudev
DNB D Ped DCP MNAMS MICP (USA) FIAP FIMSA
Senior Consultant, Pediatric Nephrologist Indraprastha Apollo and Max Hospital
New Delhi, India
Nitin K Shah
MD DCH DNB
Professor and Consultant Pediatrician PD Hinduja National Hospital and Medical Research Centre Honorary Hematoncologist BJ Wadia Hospital for Children Lions Hospital
Mumbai, Maharashtra, India
Foreword
Pramod Jog
Jaypee Brothers Medical Publishers (P) Ltd
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Algorithms in Pediatrics / Anand S Vasudev, Nitin K Shah
First Edition: 2017
9789351521600
fm5Contributors
EDITORS
- Anand S Vasudev DNB D Ped DCP MNAMS MICP (USA) FIAP FIMSA
- Senior Consultant, Pediatric Nephrologist
- Indraprastha Apollo and Max Hospital
- New Delhi, India
- Nitin K Shah MD DCH DNB
- Professor and Consultant Pediatrician
- PD Hinduja National Hospital and Medical Research Centre
- Honorary Hematoncologist
- BJ Wadia Hospital for Children
- Lions Hospital
- Mumbai, Maharashtra, India
SECTION EDITORS
- Piyali Bhattacharya DCH MD FCCM
- PGDMLS
- Specialist
- Sanjay Gandhi Post Graduate Institute of
- Medical Sciences
- Lucknow, Uttar Pradesh, India
- Amar J Chitkara MD DNB
- Head
- Department of Pediatrics
- Max Superspeciality Hospital
- New Delhi, India
- Rajesh R Chokhani MD DCH FRCPCH
- Consultant
- Mumbai, Maharashtra, India
- Jaydeep Choudhury DNB MNAMS
- Associate Professor
- Department of Pediatrics
- Institute of Child Health
- Kolkata, West Bengal, India
- Neelu A Desai MD DNB
- Consultant
- Department of Pediatric Neurology
- PD Hinduja National Hospital and
- Medical Research Centre
- Mumbai, Maharashtra, India
- Pankaj V Deshpande MRCP MD DCH FCPS
- Consultant
- Department of Nephrology
- PD Hinduja National Hospital and
- Medical Research Centre
- Mumbai, Maharashtra, India
- Anaita Udwadia Hegde MD MRCPCH
- Consultant
- Department of Pediatric Neurology
- Jaslok Hospital and Research Center
- Breach Candy Hospital Trust
- Bai Jerbai Wadia Hospital for Children
- Mumbai, Maharashtra, India
- Vaman V Khadilkar MD DNB MRCP DCH
- Pediatric Endocrinologist
- Jehangir Hospital
- Pune, Maharashtra, India
- Bombay Hospital
- Mumbai, Maharashtra, India
- Praveen Khilnani MD FICCM FSICCM
- FAAP FCCM
- Director
- Pediatric Critical Care Services and
- Fellowship Program
- BLK Superspeciality Hospital
- New Delhi, India
- PICU Mediclinic City Hospital
- Dubai, UAE
- Vikas Kohli MD FAAP FACC
- Fetal, Neonatal, Pediatric Cardiologist
- Director
- Delhi Child Heart Center
- New Delhi, India
- Anurag Krishna MCh FAMS
- Director
- Department of Pediatrics and
- Pediatric Surgery
- Max Institute of Pediatrics,
- Max Healthcare
- New Delhi, India
- Shyam Kukreja
- Head
- Department of Pediatrics
- Max Superspeciality Hospital
- New Delhi, India
- Anjali Kulkarni MD FRCPCH
- Head
- Department of Pediatrics and
- Neonatology
- Sir HN Reliance Foundation Hospital
- Mumbai, Maharashtra, India
- Consultant and Director
- Arpan Newborn Care Centre Pvt Ltd
- Ahmedabad, Gujarat, India
- Rujuta Mehta MS DNB
- Consultant
- Balabhai Nanavati Hospital
- Jaslok Hospital and Research Centre
- Shushrusha Hospital
- Head
- Department of Pediatric Orthopedics
- Bai Jerbai Wadia Hospital for Children
- Mumbai, Maharashtra, India
- Vibhu Mendiratta MD
- Consultant and Professor
- Department of Dermatology and STD
- Lady Hardinge Medical College and
- Associated Hospitals
- New Delhi, India
- Taral V Nagda MS DNB DOrth
- Consultant
- Department of Pediatric Orthopedics
- PD Hinduja National Hospital and
- Medical Research Centre, Saifee
- Hospital, Jupiter Hospital
- Mumbai, Maharashtra, India
- MKC Nair
- Professor and Vice Chancellor
- Kerala University of Health Sciences and
- Founder Director
- Child Development Centre
- Thrissur, Kerala, India
- Priyankar Pal MD
- Associate Professor and Head
- Department of Pediatrics
- Institute of Child Health
- Kolkata, West Bengal, India
- Usha Pratap MD MRCP
- Senior Consultant
- Department of Pediatric Cardiology
- Deenanath Mangeshkar Hospital
- Pune, Maharashtra, India
- Girish Raheja MS
- Senior Consultant and Academic
- Coordinator
- Indraprastha Apollo Hospital
- New Delhi, India
- ATK Rau MD DHA
- Professor and Incharge
- Department of Pediatrics
- MS Ramaiah Medical College
- Bangalore, Karnataka, India
- GR Sethi MD
- Formerly Head
- Department of Pediatrics
- Maulana Azad Medical College
- New Delhi, India
- Rasik S Shah MCh
- Section Incharge
- Department of Pediatric Surgery
- PD Hinduja National Hospital and
- Medical Research Centre
- Mumbai, Maharashtra, India
- Anand K Shandilya MD DCH FRCPCH
- Consultant
- Department of Pediatrics
- Dr Anand's Hospital For Children
- Mumbai, Maharashtra, India
- Anupam Sibal MD FIMSA FIAP FRCP FRCP
- Senior Consultant
- Department of Pediatric
- Gastroenterology and Hepatology
- Indraprastha Apollo Hospitals
- New Delhi, India
- Varinder Singh MD FRCPCH
- Director Professor
- Department of Pediatrics
- Lady Hardinge Medical College and
- Kalawati Saran Children's Hospital
- New Delhi, India
- Tanu Singhal MD MSc
- Consultant, Department of Pediatrics
- Kokilaben Dhirubhai Ambani Hospital
- Mumbai, Maharashtra, India
- Soonu Udani MD
- Pediatric Intensivist
- Section Head Pediatrics
- PD Hinduja National Hospital and
- Medical Research Centre
- Mumbai, Maharashtra, India
- Vrajesh Udani MD
- Consultant
- Department of Pediatric Neurology
- PD Hinduja National Hospital and
- Medical Research Centre
- Mumbai, Maharashtra, India
- Shashi Vashisht MS
- Professor and Head
- Department of Ophthalmology
- Dr Ram Manohar Lohia Hospital
- New Delhi, India
- Anju Virmani MD DNB
- Senior Consultant, Apollo, Max,
- Pentamed and Sundar Lal Jain Hospital
- New Delhi, India
- Surender K Yachha MD DM
- Professor and Head
- Department of Pediatric Gastroenterology
- Sanjay Gandhi Postgraduate Institute of
- Medical Sciences
CONTRIBUTING AUTHORS
- Kochurani Abraham DCH
- Senior Registrar
- Department of Pediatrics
- Jehangir Hospital
- Pune, Maharashtra, India
- Mohan K Abraham MS MCh
- Professor and Head
- Department of Pediatric Surgery
- Amrita Institute of Medical Sciences
- Kochi, Kerala, India
- Bharat Agarwal MD DCh
- Head
- Department of Hemato-Oncology
- BJ Wadia Children Hospital
- Mumbai, Maharashtra, India
- Gautam S Agarwal MCh
- Principal Consultant
- Department of Pediatric Surgeon
- Max Super Speciality Hospital
- New Delhi, India
- Manjari Agarwal MD
- Attending Consultant
- Department of Pediatric Rheumatology
- Institute of Child Health
- Sir Ganga Ram Hospital
- New Delhi, India
- Mridul Agarwal MD FNB
- Consultant
- Department of Pediatric Cardiac
- Sciences, Sir Ganga Ram Hospital
- New Delhi, India
- Mandar Agashe MS
- Consultant, Centre for Pediatric
- Orthopedic Care, Dr Agashe's Hospital
- Mumbai, Maharashtra, India
- Anju Aggarwal MD FIAP
- Associate Professor
- Department of Pediatrics
- University College of Medical Sciences
- and Guru Tegh Bahadur Hospital
- New Delhi, India
- Neeraj Aggarwal MD FNH
- Consultant, Department of Pediatric
- Cardiac Sciences, Sir Ganga Ram Hospital
- New Delhi, India
- Satish K Aggarwal MS MCh
- Senior Consultant
- Department of Pediatric Surgery
- Sir Ganga Ram Hospital
- New Delhi, India
- Atul Ahuja MS
- Senior Consultant
- Department of ENT and
- Head and Neck Surgery
- Indraprastha Apollo Hospital
- New Delhi, India
- Ira E Almeida DCH MD DNB PG-DAP
- Senior Pediatrician
- Department of Pediatrics
- Hospicio Hospital
- Margao, Goa, India
- Parmanand GK Andankar DCH DNB
- Pediatric Intensivist
- Wadia Children Hospital
- Consultant Pediatric and Neonatal
- Intensivist
- Jupiter and Bethany Hospital
- Thane, Maharashtra, India
- Alaric J Aroojis MS DNB FCPS
- Consultant
- Department of Pediatric Orthopedics
- Kokilaben Dhirubhai Ambani Hospital
- and Bai Jerbai Wadia Hospital for
- Children
- Mumbai, Maharashtra, India
- Priyanka Arora MS
- Assistant Professor
- Department of Ophthalmology
- Dayanand Medical College and
- Hospital
- Ludhiana, Punjab, India
- Shreedhara Avabratha K MD DNB
- Professor
- Department of Pediatrics
- Father Muller Medical College
- Mangalore, Karnataka, India
- Sanjay M Bafna MD
- Senior Consultant and Head
- Department of Pediatrics
- Jehangir Hospital
- Pune, Maharashtra, India
- Vibha S Bafna MD DCH
- Senior Consultant
- Department of Pediatrics
- Jehangir Hospital
- Pune, Maharashtra, India
- Arvind S Bais MS FIMSA
- Senior Consultant
- Department of ENT
- Indian Spinal Injury Hospital
- New Delhi, India
- Naveen Bajaj DM MD
- Consultant, Department of Neonatology
- Deep Hospital
- Ludhiana, Punjab, India
- Anurag Bajpai MD FRACP
- Consultant, Department of Pediatric and
- Adolescent Endocrinology
- Regency Hospital Limited
- Kanpur, Uttar Pradesh, India
- Minu Bajpai MS MCh PhD FRCS
- Professor
- Department of Pediatric Surgery
- All India Institute of Medical Sciences
- New Delhi, India
- Chandra S Bal
- Professor
- Department of Nuclear Medicine
- All India Institute of Medical Sciences
- New Delhi, India
- Padma Balaji MD
- Junior Consultant
- Kanchi Kamakoti Childs Trust and
- Childs Trust Medical Foundation
- Chennai, Tamil Nadu, India
- Suma Balan MD MRCP CH CCST
- Consultant
- Department of Pediatrics
- Amrita Institute of Medical Sciences
- Kochi, Kerala, India
- Indira Banerjee MD DNB MRCPCH
- Trainee, Department of Pediatric
- Cardiology, Rabindranath Tagore
- International Institute of Cardiac
- Sciences
- Kolkata, West Bengal, India
- FRCPCH
- Consultant
- Department of Pediatric Nephrology
- Calcutta Medical Research Institute
- Kolkata, West Bengal, India
- Rahul P Bhamkar DNB DCH MNAMS
- Associate Consultant
- Department of Pediatrics
- Sir HN Reliance Foundation Hospital
- Mumbai, Maharashtra, India
- Vidyut Bhatia MD
- Consultant
- Department of Pediatric
- Gastroenterology and Hepatology
- Indraprastha Apollo Hospitals
- New Delhi, India
- Veereshwar Bhatnagar MS MCh
- Professor
- Department of Pediatric Surgery
- All India Institute of Medical Sciences
- New Delhi, India
- Sagar Bhattad MD
- Senior Resident
- Department of Pediatrics
- Postgraduate Institute of
- Medical Education and Research
- Chandigarh, India
- Reeta Bora MD DM
- Associate Professor and Incharge of
- Neonatal Unit
- Department of Pediatrics
- Assam Medical College
- Dibrugarh, Assam, India
- Sudha R Chandrashekhar MD ESPE
- Professor
- Department of Pediatrics
- Bai Jerbai Wadia Hospital for Children
- and Seth GS Medical College
- Mumbai, Maharashtra, India
- Anirban Chatterjee MS DNB MNAMS
- Senior Consultant
- Department of Orthopedics
- Medica Superspecialty Hospital
- Kolkata, West Bengal, India
- Jasodhara Chaudhuri MD MRCPCH
- RMO-cum-Clinical Tutor
- Department of Pediatric Medicine
- Medical College
- Kolkata, West Bengal, India
- Hitesh B Chauhan MS
- Pediatric Orthopedic Surgeon
- Department of Pediatric Orthopedic
- Rainbow Superspeciality Hospital and
- Children's Orthopedic Centre
- Ahmedabad, Gujarat, India
- Deepak Chawla MD DM
- Associate Professor
- Department of Pediatrics
- Government Medical College Hospital
- Chandigarh, India
- Harshika Chawla MBBS
- Postgraduate Resident
- Department of Ophthalmology
- Postgraduate Institute of Medical
- Education and Research and
- Dr Ram Manohar Lohia Hospital
- New Delhi, India
- Dinesh K Chirla MD DM MRCPCH
- Consultant
- Department of Neonatology
- Rainbow Children's Hospital
- Hyderabad, Telangana, India
- Sushma P Desai DCH MD PGDAP
- Counseller
- Gopi Children and Orthopedic Hospital
- and Adolescent Speciality Clinic
- Surat, Gujarat, India
- Vaishali R Deshmukh DCH DNB
- PGD-AP
- Consultant and In-Charge
- Nine-to-Nineteen Clinic
- Deenanath Mangeshkar Hospital and
- Research Center
- Pune, Maharashtra, India
- Taru Dewan MS FRCSEd
- Associate Professor
- Department of Ophthalmology
- Postgraduate Institute of Medical
- Education and Research and
- Dr Ram Manohar Lohia Hospital
- New Delhi, India
- Arjun A Dhawale MS DNB MRCSEd
- Surgeon, Department of Orthopedics
- and Spine Surgery
- Sir HN Reliance Foundation Hospital and
- BJ Wadia Hospital For Children
- Mumbai, Maharashtra, India
- Dhulika Dhingra MD
- Assistant Professor
- Department of Pediatrics
- Chacha Nehru Bal Chikitsalaya
- New Delhi, India
- Vinod Gunasekaran MD FIAP
- Clinical Assistant, Institute of Child Health
- Sir Ganga Ram hospital
- New Delhi, India
- Vikram Gagneja DNB FNB FCCM
- Consultant Pediatrician and Intensivist
- Gagneja Speciality Clinic
- New Delhi, India
- Suma Ganesh MS DNBE
- Consultant and Head
- Department of Pediatric Ophthalmology
- and Strabismus
- Dr Shroff's Charity Eye Hospital
- New Delhi, India
- Niti Gaur MD
- Senior Resident
- Department of Dermatology
- Lady Hardinge Medical College and
- Associated Hospitals
- New Delhi, India
- Paula Goel MD PGDAP PGDMLS
- Consultant and Director
- Fayth Clinic
- Mumbai, Maharashtra, India
- Anju Gupta MD
- Associate Professor
- Department of Pediatrics
- Postgraduate Institute of Medical
- Education and Research
- Chandigarh, India
- Sailesh G Gupta MD DCH
- Consultant
- Department of Pediatrics and
- Neonatology, Ashna Childrens Hospital
- and Arushee Childcare Hospital
- Mumbai, Maharashtra, India
- Professor, Department of Pediatrics
- Lady Hardinge Medical College and
- Kalawati Saran Children's Hospital
- New Delhi, India
- Supriya Phanse Gupte MD PDCC
- Leeds Royal Infirmary
- United Kingdom
- Omkar P Hajirnis MD DNB MRCPCH
- Pediatric Neurologist
- Department of Pediatric Neurology
- Bhaktivedanta Hospital and Research
- Centre, Dr LH Hiranandani Hospital
- Rajiv Gandhi Medical College and
- CSM Hospital
- Mumbai, Maharashtra, India
- Manisha Halkar MD DNB
- Consultant, Department of Neonatology
- Meenakshi Hospitals
- Bangalore, Karnataka, India
- Aru C Handa
- Senior Consultant
- Department of ENT and Head Neck
- Surgery Medanta Medicity
- Gurgaon, Haryana, India
- Kumud K Handa MS DNB MNAMS
- Director and Head
- Department of ENT and Head Neck
- Surgery
- Medanta Medicity
- Gurgaon, Haryana, India
- Rashna D Hazarika MD
- Senior Consultant and Chief
- Department of Pediatrics, Pediatric and
- Neonatal Intensive Care
- Midland Hospital and Rigpa Children's
- Clinic
- Guwahati, Assam, India
- Ira J Holla MBBS
- Junior Resident
- Department of Pediatrics
- Lok Nayak Jai Prakash Narayan Hospital
- New Delhi, India
- Ram G Holla MD DM
- Senior Consultant
- Department of Neonatology and
- Pediatrics, Adiva Hospitals
- New Delhi, India
- Aspi J Irani MD DCH
- Pediatrician, Department of Pediatrics
- Nanavati Super Speciality Hospital
- Mumbai, Maharashtra, India
- Nurul Islam MD DNB
- Consultant, Pediatric Cardiology
- Mission Hospital
- Durgapur, West Bengal, India
- Barath Jagadisan MD PDCC
- Associate Professor
- Department of Pediatrics
- Jawaharlal Institute of Postgraduate
- Medical Education and Research
- Pondicherry, India
- Ashish Jain MD DNB DM
- Assistant Professor
- Department of Neonatology
- Maulana Azad Medical College
- New Delhi, India
- Naveen Jain DM
- Coordinator, Department of Neonatology
- Kerala Institute of Medical Sciences
- Trivandrum, Kerala, India
- Shikha Jain MS
- Medical Officer
- Department of Ophthalmology
- Dr Ram Manohar Lohia Hospital
- New Delhi, India
- Manisha Jana
- Assistant Professor
- Department of Radiodiagnosis
- All India Institute of Medical Sciences
- New Delhi, India
- Kana R Jat MD FCCP MNAMS
- Assistant Professor
- Department of Pediatrics
- All India Institute of Medical Sciences
- New Delhi, India
- Nameet Jerath MD
- Senior Consultant, Department of
- Pediatric Critical Care and Pulmonology,
- Indraprastha Apollo Hospital
- New Delhi, India
- Ganesh S Jevalikar MD DNB PDCC
- Consultant, Department of
- Endocrinology and Diabetes
- Medanta The Medicity
- Gurgaon, Haryana, India
- Nachiket M Joshi MBBS
- Resident
- Department of General Surgery
- PD Hinduja National Hospital and
- Medical Research Centre
- Mumbai, Maharashtra, India
- Nandkishor S Kabra DM MD DNB MSc
- Director, Department of Neonatology
- Surya Mother and Child Care
- Mumbai, Maharashtra, India
- Veena Kalra
- Consultant
- Department of Pediatric Neurology
- All India Institute of Medical Sciences
- New Delhi, India
- Akshay Kapoor MD
- Consultant
- Department of Pediatric
- Gastroenterology and Hepatology
- Indraprastha Apollo Hospitals
- New Delhi, India
- Gauri Kapoor MD PhD
- Director
- Department of Pediatric Hematology
- Oncology
- Rajiv Gandhi Cancer Institute and
- Research Centre
- New Delhi, India
- Dasmit S Khokar MS MCh FIAPS
- Professor
- Department of Pediatric Surgery
- BJ Medical College and
- Sassoon General Hospitals
- Pune, Maharashtra, India
- Vinayan KP MD DCH DNB DM
- Professor and Head
- Department of Neurology
- Amrita Institute of Medical Sciences
- Kochi, Kerala, India
- Venkatadass Krishnamoorthy MS DNB
- Consultant, Department of Orthopedics
- Ganga Hospital
- Coimbatore, Tamil Nadu, India
- Rakesh Kumar
- Professor
- Department of Nuclear Medicine
- All India Institute of Medical Sciences
- New Delhi, India
- Professor and Head
- Department of Pediatrics
- King George Hospital
- Lucknow, Uttar Pradesh, India
- Sathish Kumar MD DCH
- Professor and Consultant
- Department of Pediatrics
- Christian Medical College
- Vellore, Tamil Nadu, India
- Ritabrata Kundu MD FIAP
- Professor, Department of Pediatrics
- Institute of Child Health
- Kolkata, West Bengal, India
- PA M Kunju MD DM
- Professor and Head
- Department of Pediatric Neurology
- Government Medical College
- Trivandrum, Kerala, India
- Lokesh Lingappa MD DM MRCPCH
- Consultant, Department of Pediatric
- Neurology, Rainbow Children's Hospital
- Hyderabad, Telangana, India
- Gaurav Mandhan MD FIAP
- Associate Consultant
- Department of Neonatology
- Max Super Specialty Hospital
- New Delhi, India
- Mamta V Manglani MD DCH
- Professor and Head
- Department of Pediatrics
- Lokmanya Tilak Municipal Medical
- College and General Hospital
- Mumbai, Maharashtra, India
- Mukta Mantan MD DNB
- Professor, Department of Pediatrics
- Maulana Azad Medical College
- New Delhi, India
- Manoj G Matnani MD PGDVES PGDMDPN
- PGDVIH PGDCH
- Consultant
- Department of Pediatric Nephrology
- KEM Hospital, Jehangir Hospital
- Pune, Maharashtra, India
- Bombay Hospital
- Mumbai, Maharashtra, India
- John Matthai DCH MD FAB FIAP
- Professor and Head
- Department of Pediatrics
- PSG Institute of Medical Sciences
- Coimbatore, Tamil Nadu, India
- Puthezhath SN Menon MD MNAMS
- FIAP FIMSA
- Consultant and Head
- Department of Pediatrics
- Jaber Al-Ahmed Armed Forces Hospital
- Kuwait, Kuwait
- Bhavesh M Mithiya MD
- Dip (Pediatrics)
- Consultant
- Department of Pediatrics
- Jupiter Hospital
- Kotagiri Medical Fellowship Hospital
- Thane, Maharashtra, India
- Aparajita Mitra MCh
- Senior Resident
- Department of Pediatric Surgery
- All India Institute of Medical Sciences
- New Delhi, India
- Monjori Mitra DCH DNB FIAP
- Associate Professor
- Department of Pediatrics Medicine
- Institute of Child Health
- Kolkata, West Bengal, India
- Rakesh Mondal MD DNB PDSR MNAMS
- MRCPCHI
- Professor
- Department of Pediatric Medicine
- Medical College Kolkata
- Kolkata, West Bengal, India
- Jayashree A Mondkar MD DCH
- Professor and Head
- Department of Neonatology
- Lokmanya Tilak Municipal General
- Hospital and Lokmanya Tilak
- Municipal Medical College
- Mumbai, Maharashtra, India
- Anil K Monga MS DORL FCPS
- Senior Consultant
- Department of Otorhinolaryngology
- and Head Neck Surgery
- Sir Ganga Ram Hospital
- New Delhi, India
- Uday Monga MS FAGE
- Senior Resident
- Department of Otorhinolaryngology
- and Head Neck Surgery
- Uday ENT Hospital
- New Delhi, India
- Sangeeta S Mudaliar DNB MRCPCH
- Consultant
- Department of Hemato-Oncology
- B J Wadia Children Hospital
- Mumbai, Maharashtra, India
- Surpreet BS Nagi DCH
- Consultant
- Department of Pediatrics
- Dr Anands Hospital for Children
- Mumbai, Maharashtra, India
- Premal Naik MS DNB
- Hon. Orthopedic Surgeon
- NHL Municipal Medical College
- Director, Rainbow Superspeciality
- Hospital
- Ahmedabad, Gujarat, India
- Ruchi Nanawati MD
- Professor and Head, Department iof
- Neonatology, Seth GS Medical College
- and KEM Hospital
- Mumbai, Maharashtra, India
- Narendra R Nanivadekar MD DCH DNB
- Consultant, Department of Pediatrics
- Aster Aadhar Hospital
- Kolhapur, Maharashtra, India
- Nikita MD DNB
- Senior Resident
- Department of Dermatology and STD
- Lady Hardinge Medical College and
- Associated Hospitals
- New Delhi, India
- Somashekhar M Nimbalkar MD
- Professor
- Department of Pediatrics
- Pramukhswami Medical College
- Karamsad, Gujarat, India
- Raghupathy Palany BSc MD DCH FRCP
- Professor
- Indira Gandhi Institute of Child Health
- Bangalore, Karnataka, India
- Assistant Professor
- Department of Pediatric Surgery
- Kalawati Saran Children's Hospital
- Lady Hardinge Medical College
- New Delhi, India
- Ankit Parakh MD DNB MNAMS
- Consultant
- Department of Pediatric Pulmonology
- Dr BL Kapur Memorial Hospital
- New Delhi, India
- Ketan P Parikh MS MCh
- Consultant Pediatric Surgeon
- Department of Pediatric Surgery
- Jaslok Hospital
- Mumbai, Maharashtra, India
- Mandar B Patil DCH DNB
- Assistant Professor
- Dr DY Patil Medical College
- Kolhapur, Maharashtra, India
- Sandeep A Patwardhan MS Orth D Orth
- Professor
- Department of Pediatric Orthopedics
- Sancheti Institute
- Pune, Maharashtra, India
- Sarah Paul DCH MD
- Professor
- Department of Pediatrics
- PSG Institute of Medical Sciences
- Coimbatore, Tamil Nadu, India
- Ranjan K Pejaver FRCP FRCPCH FIAP FNNF
- Professor, Department of Neonatology
- Kempegowda Institute of Medical
- Sciences
- Chief Neonatologist, Meenakshi
- Hospitals
- Bangalore, Karnataka, India
- Preetham K Poddutoor Dch DNB
- Consultant, Department of Intensive
- Care, Rainbow Children's Hospital
- Hyderabad, Telangana, India
- Suhas V Prabhu MD DCH MNAMS
- Visiting Consultant
- Department of Pediatrics
- PD Hinduja Hospital and Medical
- Research Centre
- Mumbai, Maharashtra, India
- Baldev S Prajapati MD DPed FIAP
- FICMCH MNAMS
- Professor
- Department of Pediatrics
- GCS Medical College, Hospital and
- Research Centre
- Ahmedabad, Gujarat, India
- Rajal B Prajapati MD DPed
- Professor
- Department of Pediatrics
- Sheth V S General Hospital and
- AMC MET Medical College
- Ahmedabad, Gujarat, India
- Prema Raghunathan DNB PGDAP
- Professor
- Department of Pediatrics
- Rajarajeswari Medical College
- Bangalore, Karnataka, India
- Sarbani S Raha MD
- Consultant
- Child Neurology and
- Epilepsy Clinic
- Vadodara, Gujarat, India
- Devinder Rai MS
- Vice Chairman
- Department of ENT
- Sir Ganga Ram Hospital
- New Delhi, India
- Anand P Rao MD DNB
- Consultant
- Department of Pediatric
- Rheumatology
- Manipal Hospital
- Bengaluru, Karnataka, India
- Narendra Rathi MD DNB MNAMS FIAP
- Consultant, Department of Pediatrics
- Smile Institute of Child Health
- Akola, Maharashtra, India
- Aarathi R Rau MD
- Professor, Department of Pathology
- MS Ramaiah Medical College
- Bangalore, Karnataka, India
- Suyodhan A Reddy MCh DNB
- Associate Professor
- Department of Pediatric Surgery
- BJ Wadia Hospital for Children
- Mumbai, Maharashtra, India
- Arun G Roy MD DM
- Professor
- Department of Neurology
- Amrita Institute of Medical Sciences
- Kochi, Kerala, India
- Tapas K Sabui MD
- Professor
- Department of Pediatric Medicine
- RG Kar Medical College
- Kolkata, West Bengal, India
- Anupam Sachdeva MD DCH
- Chariman, Institute of Child Health
- Sir Ganga Ram Hospital
- New Delhi, India
- Abhijeet Saha MD IMS BHU
- Associate Professor
- Department of Pediatrics
- Post Graduate Institute of Medical
- Education and Research
- Dr Ram Manohar Lohia Hospital
- New Delhi, India
- Bhaskar Saikia MD
- Consultant
- Max Superspeciality Hospital
- New Delhi, India
- VK Sairam AB (Ped) AB (Ped. Neph)
- Pediatric Nephrologist
- Kanchi Kamacoti Childs
- Trust Hospital
- Chennai, Tamil Nadu, India
- Dilip Samal
- Senior Resident, Department of ENT and
- Head Neck Surgery Medanta Medicity
- Gurgaon, Haryana, India
- Jayanth S Sampath MSc FRCSEd
- Consultant and Director
- Bangalore Institute of Movement
- Research and Analysis
- Bangalore, Karnataka, India
- Viraj V Sanghi MD DNB
- Consultant, Department of Neurology
- Bombay Hospital and
- Medical Research Centre
- Saifee Hospital
- Ika Children's Centre
- Mumbai, Maharashtra,India
- Postgraduate
- Department of Dermatology and STD
- Lady Hardinge Medical College
- New Delhi, India
- Naveen Sankhyan
- Assistant Professor
- Department of Pediatric Neurology
- Postgraduate Institute of Medical
- Education and Research
- Chandigarh, India
- Vijaya Sarathi MD DM
- Assistant Professor
- Department of Endocrinology
- Vydehi Institute of Medical Sciences and
- Research Center
- Bengaluru, Karnataka, India
- Moinak S Sarma MD DM
- Senior Research Associate
- Department of Pediatric
- Gastroenterology
- Sanjay Gandhi Postgraduate Institute of
- Medical Sciences
- Lucknow, Uttar Pradesh, India
- Kiran P Sathe DCH DNB
- Associate Consultant, Department of
- Pediatrics and Pediatric Nephrology
- Sir HN Reliance Foundation Hospital
- Mumbai, Maharashtra, India
- Veeraraja B Sathenahalli MD
- Assistant Professor
- Department of Pediatrics, Jagadguru
- Jayadeva Murugarajendra Medical
- College
- Davanagere, Karnataka, India
- Malathi Sathiyasekaran MD DCH
- MNAMS DM
- Consultant
- Department of Gastroenterology
- Kanchi Kamakoti CHILDS Trust Hospital
- and Sundaram Medical Foundation
- Chennai, Tamil Nadu, India
- Tulika Seth MD ABP
- Additional Professor
- Department of Hematology
- All India Institute of Medical Sciences
- New Delhi, India
- Ira Shah MD DCH FCPS DNB DPID
- Associate Professor
- Bai Jerbai Wadia Hospital for Children
- Consultant, Department of Pediatric
- Infectious Diseases and Pediatric
- Hepatology, Nanavati Hospital
- Mumbai, Maharashtra, India
- Mehul A Shah MD DCH MD DABPN
- Consultant, Department of Pediatric
- Nephrology, Apollo Health City
- Hyderabad, Telangana, India
- Raju C Shah MD DPed FIAP
- Professor, Department of Pediatrics
- Ankur Institute of Child Health
- Ahmedabad, Gujarat, India
- Jyoti Sharma MD DNB
- Consultant
- Department of Pediatric Nephrology
- King Edward Memorial Hospital
- Pune, Maharashtra, India
- Pradeep K Sharma MD
- Consultant
- Sri Balaji Action Medical Institute
- New Delhi, India
- Sangeetha Shenoy MD
- Associate Professor
- Department of Pediatrics
- MS Ramaiah Medical College
- Bangalore, Karnataka, India
- Viraj Shingade MS DNB
- Director
- Children Orthopedic Care Institute
- Pravira Hospital
- Nagpur, Maharashtra, India
- Roli M Srivastava DCH PGDAP
- Research Officer
- Department of Obstetrics and
- Gynecology
- Ganesh Shankar Vidyarthi Memorial
- Medical College
- Kanpur, Uttar Pradesh, India
- Poonam Sidana MD
- Senior Consultant
- Department of Pediatrics
- Max Super Specialty Hospital
- New Delhi, India
- Sirisharani Siddaiahgari MD DNB
- MRCPCH
- Consultant, Department of Pediatric
- Hematology Oncology
- Rainbow Children's Hospital
- Hyderabad, Telangana, India
- Aashim Singh MBBS
- Junior Resident
- Department of Dermatology
- Lady Hardinge Medical College and
- Associated Hospitals
- New Delhi, India
- Manav D Singh MS
- Associate Professor
- Department of Ophthalmology
- Postgraduate Institute of Medical
- Education and Research and Dr Ram
- Manohar Lohia Hospital
- New Delhi, India
- Preeti Singh MD
- Assistant Professor
- Department of Pediatrics
- Lady Hardinge Medical College and
- associated Hospitals
- New Delhi, India
- Noopur Singhal MD
- Senior Resident
- Department of Pediatrics
- Post Graduate Institute of Medical
- Education and Research
- Dr Ram Manohar Lohia Hospital
- New Delhi, India
- Pratibha D Singhi MD
- Professor, Department of Pediatrics
- Post Graduate Institute of Medical
- Education and Research
- Chandigarh, India
- Anshu Srivastava MD DM
- Additional Professor
- Department of Pediatric
- Gastroenterology
- Sanjay Gandhi Postgraduate Institute of
- Medical Sciences
- Lucknow, Uttar Pradesh, India
- Anurag M Srivastava MS
- Consultant, Rockland Hospital
- New Delhi, India
- Assistant Professor
- Department of Pediatric Surgery
- Dr Ram Manohar Lohia Hospital and
- Post Graduate Institute of Medical
- Education and Research
- New Delhi, India
- Balasubramanian Sundaram MD DCH
- MAMS FIAP FRCPCH
- Senior Consultant, Department of
- Pediatrics, Kanchi Kamakoti Childs Trust
- Hospital and The Child's Trust Medical
- Research Foundation
- Chennai, Tamil Nadu, India
- Deepti Suri MD DNB
- Associate Professor
- Department of Pediatrics
- Postgraduate Institute of Medical
- Education and Research
- Chandigarh, India
- Rhishikesh P Thakre DM MD DNB DCH
- FCPS
- Professor
- Department of Pediatrics
- MGM College and Hospital
- Director, Neonatology Division
- Neo Clinic and Hospital
- Aurangabad, Maharashtra, India
- S Thangavelu MD DCH DNB MRCP
- Senior Consultant and Director
- Department of Pediatrics
- Mehta Children's Hospitals
- Chennai, Tamil Nadu, India
- Soumya Tiwari MD
- Assistant Professor
- Department of Pediatrics
- Kalawati Saran Children's hospital
- Lady Hardinge Medical College
- New Delhi, India
- Alpana A Utture Dch MD DM
- Associate Professor
- Department of Neonatology
- Seth Gordhandas Sunderdas Medical
- College and King Edward Memorial
- Hospital
- Mumbai, Maharashtra, India
- Jayakumar Vaikundam MD DCH DM
- Senior Consultant and Chairman
- JK Institute of Neurology
- Madurai, Tamil Nadu, India
- Kiran SK Vaswani MD DCH PGD-AP Dip
- counselling
- Consultant
- PULSE Child Care Clinic
- Mumbai, Maharashtra, India
- Anoop K Verma MD FIAP FIAMS
- Pediatrician
- Swapnil Nursing Home
- Raipur, Chhattisgarh, India
- Madhava Vijayakumar MD DCH DNB
- Additional Professor
- Department of Pediatrics
- Government Medical College
- Kozhikode, Kerala, India
- M Vijayakumar MD DCH DM FIAP
- Consultant
- Department of Pediatric Nephrology
- Mehta Children's Hospital
- Chennai, Tamil Nadu, India
- Vijay Viswanathan DNB DCH
- Consultant, Sandhi Children's Clinic
- Jupiter Hospital
- MGM Hospital
- Dr Yewale's Multispecialty Centre
- Mumbai, Maharashtra, India
- V Viswanathan DCH MRCP PhD
- Senior Consultant
- Department of Pediatric Neurology
- Kanchi Kamakoti Childs Trust Hospital
- Apollo Children's Hospital
- Chennai, Tamil Nadu, India
- Sanjay Wazir DM
- Director - NICU, Department of Pediatrics
- Cloudnine Hospital
- Gurgaon, Haryana, India
- Pravesh Yadav MD
- Senior Resident
- Department of Dermatology and STD
- Lady Hardinge Medical College and
- Associated Hospitals
- New Delhi, India
- M Zulfikar Ahamed MD DM
- Professor and Head
- Department of Pediatric Cardiology
- Government Medical College
Pramod Jog MD DNB FIAP
Professor of Pediatrics
DY Patil Medical College
President, Indian Academy of Pediatrics (IAP), 2016
Member, Standing Committee, International Pediatric Association (IPA)
Pune, Maharashtra, India
Publication of any book is a process as laborious as the process of delivering a baby. Maturity (contents and the quality), weight gain (number of pages), and intact survival (final copy) all have to be carefully looked after. More so for a book with 156 chapters running in 19 sections with every chapter having at least one algorithm!
Algorithms in Pediatrics have gone through all these laborious processes and have come out as an exclusive book for pediatricians, giving instant guidelines for treatment, bringing uniformity in management, and training minds for protocolized thinking. With each protocol, the book provides concise, precise, and up-to-date information which shall help standardize care in pediatric practice.
When a practitioner is confronted with a clinical problem, he can rarely turn to a textbook for help. What he needs at that time is not a recounting of a long list of differential diagnosis, but practical guidelines as to how to arrive at a particular diagnosis and how to proceed further.
This book on algorithms intends to enable the pediatrician to recognize many disorders in a simplified manner and give practical suggestions in their management, a learning experience in a structured manner.
To put it in the words of Henry David Thoreau, “Our lives are frittered away by detail; simplify, simplify”.
Practicing pediatricians are often faced with clinical problems for which they have been rather inadequately trained during their medical curriculum. Textbooks published from the medically advanced countries do not focus enough attention on the prevailing problems and circumstances in the developing countries such as India. The algorithms in this book have been formed keeping in mind the situations prevailing in India, especially the constraints under which the clinicians here have to practice. The main emphasis has been to provide clear-cut guidelines as to how to make a diagnosis on clinical grounds with minimal investigations and to choose the most rational therapy.
Although, prepared specifically to meet the needs of practicing doctors or those who intend to practice in near future, even pediatric residents would find the book extremely useful while preparing for their viva voce at the diploma or MD exams. The book covers most of those aspects which are practically never taught in the curriculum but are nevertheless expected to be known by pediatric postgraduates. It will also assist the students, house officers, and clinicians in the evaluation of common pediatric signs and symptoms in clinical practice.
With the help of history, focused examination, and minimum investigations, pediatricians in office practice can reach a working diagnosis and lay down immediate priorities in management.fm16
There is rarely a single acceptable approach to any given problem, and not all diagnoses can fit neatly into an algorithm. Even though the protocols cannot be considered all-inclusive, the goal is to facilitate a logical and efficient stepwise approach to reasonable differential diagnoses for the common clinical problems. The algorithmic format provides a rapid and concise stepwise approach to a diagnosis. Moreover, it would train the brain to approach a problem.
The explosion of knowledge in pediatrics is phenomenal and fast. If the medical advances and good clinical practice get coupled with effective advocacy, our increasing knowledge will benefit child care in our country.
I am sure that the algorithms will enhance the capabilities of pediatricians, guiding them towards optimal utilization of available investigative and therapeutic resources.
fm17Preface
It gives us immense pleasure to present to you the 1st edition of “Algorithms in Pediatrics”. Pediatrics is rapidly advancing with the growth of its subspecialties. At times, it becomes difficult for busy pediatricians, whether in practice, in teaching institutions, or pursuing their postgraduation, to read through lengthy texts of different subspecialties. Keeping this in mind, we thought of bringing forth this concise book on algorithms, which deals with common and practical topics of everyday requirements in different pediatric specialties.
The book has been designed with a practical approach in mind, with an algorithm for each topic, along with a concise text to use the algorithms. The text has been kept simple and easily comprehendible. The book can be consulted rapidly in the emergency room, wards, outpatient departments, or in busy clinics.
The book contains 19 subspecialty sections, with 8–10 chapters in each, a total of 156 chapters. This was an immense work, which could not have been possible without the help and coordination of the section editors. We are very thankful to all the section editors.
A large number of luminaries and experts in the field of pediatrics and its subspecialties have contributed their mind and might in bringing out this book. We are thankful to all these contributors.
We are also thankful to Jaypee Brothers Medical Publishers (P) Ltd. for publishing this book.
We are also grateful to our respective spouses for being tolerant and supportive of us in this endeavor.
Anand S Vasudev
Nitin K Shah