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she is a 2 year old girl. She began a week before with a sort of prurigo.
Parents did not washed her, for they believed she would get worse with water.
So they applied a corticoid cream and talcum on her body.
She did scratch herself all the time.
But they wrapped her up with more clothes, i must tell you here we are on late summer and the weather is hot and wet.
But her parents did not washed her for a whole week.
Then she got worse and they bring he
… ContinuePosted by JULIO CESAR NEYRA PINTO on March 18, 2010 at 1:02am

Here are x rays and brain ct scan of an 18 months old girl.
She is in the begining of her second week of illness. She had hemolytic uremic syndrome due to invasive diarrea with e coli. At this moment she was edematous, anuric, with all blood tests positive to this known syndrome. she presente
… ContinuePosted by JULIO CESAR NEYRA PINTO on March 18, 2010 at 12:35am
Hello, this is a 16 hours newborn with very critic respiratory disstress, who was born in a little town called Ilo two hours away from our city. Pediatrician refers apgar 3 and 5, does not withdraw blood, do not have arterial gases, tells us amniotic fluid is greenish. mouth and nose secretions were cleaned. Then this baby starts to breathe rapidly with retractions. So they sent him to our hospital. We receive this baby at 18 hours of life, with a first x rays it looks like meconium pneumonit
… ContinuePosted by JULIO CESAR NEYRA PINTO on March 10, 2010 at 10:08am — 4 Comments
The
… ContinuePosted by Donna D'Alessandro on March 8, 2010 at 12:30am — 2 Comments
This is a 14 months old boy. his illness begins two months ago with loss of movement in his right arm and leg. their parents take him to "curandero" in order to heal him. One month after this empirical and unknown treatment they bring him to hospital. He is worse with tumor on his scalp and his rigth ear and otorragia.
On examination he has few adenopaties, no splenomegaly, his liver edge is palpated 1 cm under ribs. No petquias, no pale skin.
platelets 697000, INR 1.1, WBC coun
… ContinuePosted by JULIO CESAR NEYRA PINTO on March 7, 2010 at 2:55pm — 7 Comments
She is a 5 years 6 months old girl. Her mother brings her to ER at 4 am before sunrise with a history of 2 days of loose stools, little appetite, nausea, abdominal pain. Last night she slept but was felt hot and moaning.
As most of us here in Peru, sanitation is poor, drinking water is scarce, hygiene education is low, this family also had dogs, cats, chicken inside their house. (not a farm, but downtown)
On initial examination she was febrile, her abdomen was distended, pain on
… ContinuePosted by JULIO CESAR NEYRA PINTO on March 5, 2010 at 11:20am — 6 Comments
Posted by Donna D'Alessandro on March 1, 2010 at 12:30am — 1 Comment
He is a boy 12 years old, he arrives at our emergency room at 3 am moaning and crying with abdominal pain. His mother tells it just began last nigth, she automedicated him with no avail, he did not slept well and was asking for help, afterwards he commenced with vomiting, she says yellowish-greenish, so she decided to bring him to ER.
he was afebrile, crying, could barely walk, could not sit from recumbent position. his abdomen was hugely distended, asymetric, hard to plapate, highly t
… ContinuePosted by JULIO CESAR NEYRA PINTO on February 27, 2010 at 7:30pm — 5 Comments
She is a girl 7 years old. Her mother says there are 5 days of illness characterized by fever, cough, left side pain, especially on breathing, and difficult breathing. She has complete inmunizations, no previous diseases. Her stools, urine are ok, her appetite decreased. In pediatric office they take an x rays (not available) which they report as total opacification of left lung, they send her to our hospital.
She is 25 kg, temperature 37.7 celsius, respiratory rate 33, pulse 130, oxim
… ContinuePosted by JULIO CESAR NEYRA PINTO on February 27, 2010 at 7:00pm — 5 Comments
The pertinent physical exam showed a well appearing male with normal vital sig
… ContinuePosted by Donna D'Alessandro on February 22, 2010 at 12:30am — 3 Comments
Started by Khalid Kamal, MD Mar 14.
Started by Khalid Kamal, MD Mar 14.
Started by Khalid Kamal, MD. Last reply by Michael D'Alessandro Mar 12.
Started by Khalid Kamal, MD. Last reply by Michael D'Alessandro Mar 12.
Started by Khalid Kamal, MD. Last reply by Donna D'Alessandro Mar 11.
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