::Departments : Clinical : Department of Paediatrics
  
  
  
:
        Paediatrics Department Started Functioning Since 1952 When This Hospital Was Dhq Hospital.
In The Year Of 1990 This Dhq Hospital Was Converted As Gmkmch.
Dec 1994 Saw The First Batch Of Undergraduates Taking Upthe Pediatrics Exam From This Hospital.
Since Then Mbbs Course Is Being Conducted In This Hospital And Students Graduated From This Institution.
Pg Course (M.D.,) Was Commenced In The Year 2007. First Batch Of Pg Exam Was Held In 2009. Since Then Yearly Examinations Were Conducted For Pgs Under The Tamilnadu Dr. Mgr Medical University. So Far        Batches Of Pg Students Graduated From This Institute. Now We Have 3 M.D., Pg Students Per Year.


Periodic Academic Activities in the Department.

   Clinical class will be taken on all days in OPD and in wards in their respective units. Clinical classes in New Born ward taken on weekly Twice.
Monthly once they have an internal assessment examinations.
Prefinal MBBS students have their theory classes in paediatrics once in a week
Final MBBS students have two theory classes in a week.
Once in a month we conduct a symposium for UGs on the 4th Saturday.

TEACHING PROGRAMME FOR PGs
Apart from the routine OPD and ward work we conduct  a journal club ,a clinical society meeting, a symposium and dissertation review meetings on monthly basis.
Professors and Associate professors used to take clinical classes for PGs once in a week.

  Research and publication
        e-Journal publication by post graduates .
                 
Prizes and Awards 
a   Quiz for UG’s every year
b   Gold Medal exams for UG’s every year
c    PG Quiz every year
 ( All  sponsored by Indian Academy of Pediatrics )
               
Prizes and Awards won
a   Scientific paper  titled ‘CRADLE BABY SCHEME’ presented by PG Dr.Geethanjali  in East Coast Pedicon,  Pondicherry 2012 won Gold medal
             
  Internal Assessment
a)   Conducted every month for UG’s.
              
SERVICES OFFERED

Number of Units in the department -3

Op days and timings
All days from 7.30 a.m – 12 .00 noon

IP Unit and Admission day
     Unit I – Monday &  Thursday
    Unit II – Tuesday & Friday
    Unit III – Wednesday & Saturday
Sundays on Rotation

 Bed strength of Departments
General pediatric ward-60
Neonatal ward – 20

Average OP Statistics -200/day

Average IP Statistics
 General pediatric ward -60
 Neonatal ward  -60

CMCHIS BENEFICIARY

SO FAR 1424  PATIENTS WERE TREATED UNDER CMCHIS (UPTO 30..06.2016)

Special clinics conducted
  Monday       - well baby clinic & immunization clinic &  Asthma clinic
  Wednesday - well baby clinic & immunization clinic
 Thursday   -  Nutrition clinic
 Friday       -  well baby clinic& immunization clinic & Haematology clinic
 Saturday     - Adolescent Clinic

Lists of lab tests done
Pathological investigations likeComplete Hemogram, peripheral smear study etc
Biochemical investigations like urea , creatinine ,electrolytes, etc
Radiological investigations like X-ray, Sonogram, CT, MRI
Microbiological investigation  cultures,serology,etc
 
Statistics

                        OP
 
MONTH 2013 2014 2015 2016 2017 2018 2019
JANUARY 3406 4803 5884 3510 3082 3192 2364
FEBRUARY 3386 4139 6459 3870 3243 3265 2706
MARCH 2306 3911  5067 3279 4740 2857 2575
APRIL 2813 4234  5394 2526 3464 2546 2089
MAY 2554 3446  4956 2483 3221 2634  
JUNE 2432 3549  5221 3464 3821 1940  
JULY 3336 3977  5020 3519 5830 2764  
AUGUST 2926 4320  5155 4000 7636 2867  
SEPTEMBER 3220 4511  4805 4712 5848 2826  
OCTOBER 3874 3918  4846 4932 4698 3674  
NOVEMBER 3657 4996  4141 3912 4580 5353  
DECEMBER 5993 4537  4878 4542 4234 2906  
TOTAL 39903 50341 61826 44529 54397 36824  
 
 
 
 
 
 
 
 
 
 
                                        IP - PAEDIATRIC WARD
 
MONTH 2013 2014 2015 2016 2017 2018 2019
JANUARY 374 321 417 477 462 415 348
FEBRUARY 270 325 364 439 583 471 317
MARCH 340 337  429 434 523 511 315
APRIL 308 341  362 406 354 346 305
MAY 324 355  396 366 374 271  
JUNE 319 448  410 396 469 386  
JULY 426 496  524 463 1205 375  
AUGUST 354 561  540 462 2204 390  
SEPTEMBER 359 457  446 788 2648 505  
OCTOBER 405 308  694 501 1890 609  
NOVEMBER 434 423  704 440 1071 760  
DECEMBER 496 434  779 424 536 449  
TOTAL 4409 4806 6065 5556 12319 5488  
 


 
 
PAEDIATRIC ICU WARD TOTAL VENTILATOR CASE              
             
MONTH 2013 2014 2015 2016 2017 2018 2019
JANUARY 9 24 12 14 12 10 16
FEBRUARY 8 5 2 13 16 13 15
MARCH 8 13 6 18 8 19 22
APRIL 10 7  2 14 18 15 22
MAY 9 8  13 10 11 13  
JUNE 9 5  5 15 11 13  
JULY 7 9  3 15 20 13  
AUGUST 8 11  10 15 18 18  
SEPTEMBER 4 6  16 18 21 19  
OCTOBER 8 6  13 21 29 24  
NOVEMBER 13 4  8 15 32 29  
DECEMBER 6 4  1 18 18 23  
TOTAL 99 102 91 186 214 209  



 
 
 
 
 
                                                     Pediatric ICU
 
MONTH 2014 2015 2016 2017 2018 2019
JANUARY 85 96 59 95 75 85
FEBRUARY 42 46 50 76 78 60
MARCH 43  45 78 61 88 81
APRIL 35  37 53 116 76 70
MAY 80  95 45 56 64  
JUNE 46  49 69 94 74  
JULY 42  37 71 63 80  
AUGUST 72  74 87 127 90  
SEPTEMBER 86  75 97 131 90  
OCTOBER 92  76 60 143 110  
NOVEMBER 85  88 60 119 110  
DECEMBER 69  71 85 104 99  
TOTAL 777 789 811 1185 1034  

 
 
 
 
 
 
NICU WARD TOTAL VENTILATOR CASE              
             
MONTH 2013 2014 2015 2016 2017 2018 2019
JANUARY 36 36 35 47 52 39 61
FEBRUARY 35 26 49 45 23 38 52
MARCH 34 28 24 55 26 20 56
APRIL 46 48  30 51 35 37  
MAY 37 34 40 59 44 48  
JUNE 30 32 30 38 50 47  
JULY 22 26  48 34 48 44  
AUGUST 12 24  48 51 26 66  
SEPTEMBER 12 18  64 32 40 53  
OCTOBER 19 28 54 40 38 59  
NOVEMBER 14 75  62 35 21 41  
DECEMBER 18 106  68 34 44 40  
TOTAL 315 481 552 521 447 532  
 
 
 
 
 
 
 
 

                   IP – NEONATAL WARD
 
MONTH 2013 2014 2015 2016 2017 2018 2019
JANUARY 349 367 283 307 267 234 319
FEBRUARY 315 309 274 313 264 274 313
MARCH 438 431 313 395 339 322  
APRIL 431 472 342 339 308 338  
MAY 472 464 375 336 324 354  
JUNE 426 437 310 294 299 286  
JULY 391 473 323 258 273 354  
AUGUST 399 456 342 279 282 371  
SEPTEMBER 412 481 315 250 279 356  
OCTOBER 448 429 297 332 257 441  
NOVEMBER 385 490 282 312 216 360  
DECEMBER 391 363 294 245 240 348  
TOTAL 4857 5172 3750 3360 3348 4038  


            Performance of DEIC’s (April 2015 to June 2016 )
                                      Name of the district : Salem
 
                                                TOTAL CASE - DEIC - 2015
 
 
                       
S.N Month / Year RBSK SELF Health Facility / Delivery Point Total New  Born Referred for Surgery cases Surgery done cases
1 April 0 0 0 0 0 0 0
2 May 0 34 0 34 29 0 0
3 June 6 36 2 44 15 0 0
4 July 97 3 7 107 16 5 5
5 August 214 6 9 229 19 8 8
6 September 113 7 10 130 0 9 9
7 October 79 35 11 125 0 8 8
8 November 62 40 17 119 5 8 8
9 December 64 140 13 217 48 12 12
  Total 635 301 69 1005 132 50 50
 
 
S.N Month RBSK Self Health Facility / Delivery Point Total New Born Referred for Surgery cases Surgery cases
1 January 41 83 6 130 17 10 10
2 February 89 89 12 190 13 9 9
3 March 231 140 21 392 20 3 3
4 April 148 145 4 297 45 32 -
5 May 111 166 7 284 35 66 -
6 June 332 140 4 476 34 55 -
  Total 952 763 54 1769 164 175 22
                 
 















Performance of DEIC (April 2018 to April 2019)
Name Of the District : Salem
 
S.N Month RBSK Self Health Facility / Delivery Point Total New Born Referred for Surgery cases Surgery cases Dental cases        
1 April 253         30   31        
2 May 207         24   43        
3 June 257         28   36        
4 July 406         22   40        
5 August 365         13   44        
6 September 318         20   56        
7 October 342         19   25        
8 November 280         16   37        
9 December 291         18   49        
1 January 331         12   32        
2 February 649         47   53        
3 March 480         26   31        
4 April 185         8   7        
  Total                        
                           
 
 
 
 
 























CMHIS STATISTICS:
                                2014 REPORT
 
MONTH TOTAL CASES CLAIMS APPROVED  TOTAL CASES
JANUARY 24 -
FEBRUARY 22 -
MARCH 28 69
APRIL 9 30
MAY 5 37
JUNE 18 44
JULY 46 27
AUGUST 70 53
SEPTEMBER 49 116
OCTOBER 55 46
NOVEMBER 32 27
DECEMBER
 
21 29
TOTAL 379 478
 
 
                                                 2015 REPORT
 
MONTH TOTAL CASES        PREAUTH APPROVED                      
           TOTAL CASES
CLAIMS APPROVED  TOTAL CASES
    NEW BORN     PAEDIATRIC      
           WARD
 
JANUARY 35 12 23 28
FEBRUARY 53 23 30 41
MARCH 23 7 16 14
APRIL 35 9 26 7
MAY 25 12 13 23
JUNE 37 27 10 34
JULY 41 34 7 55
AUGUST 53 36 17 58
SEPTEMBER 60 42 18 50
OCTOBER 67 46 21 36
NOVEMBER 43 30 13 61
DECEMBER
 
22 16 6 51
TOTAL 494 294 200 440
 
                                     
       
 
 
 
                               2016 REPORT
 
MONTH TOTAL CASES        PREAUTH APPROVED                      
           TOTAL CASES
CLAIMS APPROVED  TOTAL CASES
    NEW BORN     PAEDIATRIC      
           WARD
 
JANUARY 36 25 11 52
FEBRUARY 64 47 17 56
MARCH 39 31 8 26
APRIL 51 39 12 42
MAY 46 36 10 37
JUNE 33 26 7 33
July 68 44 24 10
August 104 47 57 72
September 68 35 33 69
October 36 22 14 87
November 75 66 9 103
December 78 50 28 81
TOTAL 698 468 230 668
 
 
  
 
 
 
 
 
CMCHIS STATISTICS -2017
 
 
       MONTH
 
PREATH APPROVED TOTAL CASES
PREATH APPROVED TOTAL CASES  
CLAIM APPROVED TOTAL CASES
NEW BORN PEADIATIC
WARD
January 56 56 6 68
February 84 61 23 56
March 61 56 5 59
April 29 22 7 89
May 55 43 12 29
June 69 52 17 68
July 49 41 8 82
August 33 30 3 31
September 29 25 4 29
October 53 48 5 16
November 55 22 33 59
December 20 20 - 28
TOTAL 593 476 122 614
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


















CMCHIS STATISTICS -2018
 
 
 
       MONTH
 
PREATH APPROVED TOTAL CASES
PREATH APPROVED TOTAL CASES  
CLAIM APPROVED TOTAL CASES
 
NEW BORN PEADIATIC
WARD
 
January 60 43 17 54 4,00,752
February 44 24 20 61 4,38,768
March 107 77 30 41 2,11,283
April 50 39 11 103 6,16,968
May 62 54 8 23 2,93,300
June 47 37 10 93 5,83,632
July 35 19 16 60 4,09,032
August 55 35 20 44 3,17,880
September 74 46 28 69 3,07,331
October 34 14 20 50 2,11,032
November 41 30 11 53       2,25,216
December 45 25 20 38  
TOTAL 654 443 211 689  


 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
                             DEPARTMENT OF PAEDIATICS   -   2019   INSURANCE   REPORT
 
 
       MONTH
 
PREAUTH APPROVED TOTAL CASES
PREAUTH APPROVED TOTAL CASES  
CLAIM APPROVED TOTAL CASES
 
APPROVED AMOUNT
NEW BORN PEADIATIC
WARD
January 26 19 7 41 3,35,880
February 37 31 6 53 2,97,144
March 42 32 10 53       4,10,160
Total 105 82 23 412 10,43,184
 
 
 
 
LIST OF PUBLICATIONS BY THE DEPARTMENT
SL NO TITLE PUBLICATION
1 KNOWLEDGE, ATTITUTE AND PRACTICE OF NEONATAL CARE AMONG POSTNATAL MOTHERS IN A URBAN REFERRAL HOSPITAL.
Sundararajan.T.S, Kumaravel.K.S, Ilangovan.R
E-Journal of Tamilnadu
Dr. M.G.R. Medical University,Vol-2,No.6
( Nov-Dec 2012)
2 RASMUSSENS ENCEPHALITIS – A CASE REPORT
Sampath Kumar.D, Kumaravel.K.S, Prasantha kumar. G
E-Journal of Tamilnadu
Dr. M.G.R. Medical University,Vol-2, No.6
( Nov-Dec 2012)
3 A STUDY ON STATUS OF NEONATAL TRANSPORT TO A LEVEL THREE INTENSIVE CARE UNIT
Sampath Kumar.D, Kumaravel.K.S, Fathima Nadia.J
E-Journal of Tamilnadu
Dr. M.G.R. Medical University,Vol-2, No.6
 ( Nov-Dec 2012)
4 BACTERIOLOGICAL SURVEILLANCE OF EARLY ONSET NEONATAL SEPSIS AND THEIR ANTIBIOTIC SUSCEPTIBLITY PATTERN IN A LEVEL III NICU
Sampath Kumar, Kumaravel.K.S, Saranya.R
E-Journal of Tamilnadu
Dr. M.G.R. Medical University,Vol-2, No.2
( Mar-Apr  2012)
5 A CASE OF DOWNS SYNDROME WITH ATLANTO AXIAL INSTABILITY – NEED FOR ROUTINE SCREENING OF ATLANTO AXIAL INSTABILITY IN ALL CASE OF DOWNS SYNDROME
Thennadayalan Kamalakann, Kumaravel.K.S, Priyadharshini.
E-Journal of Tamilnadu
Dr. M.G.R. Medical
University, Vol-2, No.2       
( Mar-Apr  2012)
6 CLINICAL PROFILE AND MORBIDITY PATTERN OF CRADLE BABIES – 15 YEARS EXPERIENCE FROM A CRADLE BABY RECEPTION CENTRE
Sivagamasundari. R, Kumaravel.K.S, Geethanjali.A
E-Journal of Tamilnadu
Dr. M.G.R. Medical University,Vol-2,No.2       
( Mar-Apr  2012)
7 A RARE CASE OF HAEMOPHILIA – A IN A GIRL
Sundararajan.T.S, Kumaravel.K.S, Sundar.K.C
E-Journal of Tamilnadu
Dr. M.G.R. Medical University,Vol-1,No.2       
( Nov- Dec 2011)
8 CLINICAL PROFILE OF SCORPION ENVENOMATION IN CHILDREN – ONE YEAR EXPERIENCE IN A URBAN REFERRAL HOSPITAL
Sivagamasundari.R, Kumaravel.K.S, Amudha Devi. C
 
E-Journal of Tamilnadu
Dr. M.G.R. Medical University,Vol-1,No.2       
( Nov- Dec 2011)
 
 
9
A STUDY ON STATUS OF NEONATAL TRANSPORT TO A LEVEL –III NEONATAL CARE UNIT
P.Sampathkumar, S.Gobinatha
International Journal May-June2018, Vol 5
10 A STUDY ON NEW BORN FOOT LENTH MEASUREMENT TO IDENTIFY HIGH RISK NEONATAL
P.Sampathkumar S.Amudhadevi
IJCP May-June2018, Vol 5, Issued.3
11 A comparative study of serum zinc level in children with febrile seizures and children with fever without seizure in an urban referral hospital
P.Sampath kumar, K.Sureshkannan
IJCP –May-June 2018, Vol 5, Issue.3
12 Study of prevalene, entiology, reponse to treatment and outcome of paediatrics shock in a tertiary care hospital
S.Gobinatha , K.Suresh kannan
IJCP/ May-June 2018/ Vol 5/ Issue 3
13 A study as clinical profile of seizure as newborn babies born in GMKMCH –INDIA
S.Amudhadevi, P.Kanchana
IJCP/Vol 5/ 2018
14 A Study as evaluation of waist height ratio as a  tool for Obesity
 
Sampath Kumar, S.Amudhadevi
International Journal /Vol5/2018
15 Clinical profile of neonatal  admitted to a neonatal intensive care uit at a referral hospital in south India
V.Anu Rekha, K.S.Kumaravel, P.Kumar, D.Satheesh Kumar
International Journal / Feb 2018 / Vol 5 / Issued 2
16 Neonatal Candida blood stream Infection in A Tertiary Care Hospital
V.Anurekha, K.S.Kumaravel, P.Kumar, D.Satheeshkumar, A.Sakthi Ganesan
India Journal Of Neonatal Medicine And Research 2018/ Jul/ Vol 6 (3)
17 Human Milk Banking- One Year Experience From a Tertiary Care Centre.
P.Kumar, K.S.Kumaravel
India Journal of Child Health- vol 5 – issue 7 july 2018
18 A Study on Prevalence of overweight and Obesity in school children from Salem
 
P.Kanimozhi, R.Vasumathy, E.Kandasamy
GJRA vol 7, Issue 5/ May-2018
19 Role of C reactive protein in occult paediatric bacterial infection
 
P.Kanimozhi, E.Kandasamy
 Indian Journal of research
Vol-6, issue-8, August 2017
     
 
 
 
 
 
 
 
DISSERTATION ACTIVITIES
 
  1. A STUDY ON BEHAVIOURAL DISORDERS IN 6 TO 12 YEARS CHILDREN WITH HIV ATTENDING ART CENTRE IN SALEM. DR.T.S.SUNDARARAJAN M.D,DCH, PROFESSOR & HOD, PAEDIATRICS, DR.PRASANTHA KUMAR, POST GRADUATE IN PAEDIARTICS,.
 
  1. A STUDY ON ETIOLOGY, CLINICAL PROFILE AND OUTCOME ON NEONATAL THROMBOCYTOPENIADR.P.SAMPATH KUMAR  M.D,DCH, ASSOCIATE PROFESSOR,PAEDITRICS, DR.S.RADHIKA , POST GRADUATE IN PAEDIATRICS.
 
  1.  A STUDY ON CARDIAC TROPONIN T(CARD TEST) IN EARLY DIAGNOSIS OF MYOCARDIAL INJURY IN PERINATAL ASPHYXIA AND ITS COMPARISION WITH OTHER MODALITIES, DR.T.S.SUNDARARAJAN, M.D,DCH,PROFESSOR,& HOD,PAEDIATRICS, DR.A.GEETHANJALI, POST GRADUATE IN PAEDIATRICS.
 
  1. A STUDY ON CLINICAL AND ECHOCARDIOGRAPHIC EVALUATION OF NEONATAL CARDIAC MURMURS AND THEIR FOLLOW UP AT 6 WEEKS OF AGE. DR.R.SIVAGAMASUNDARI, M.D,DCH, PROFESSOR & HOD OF PAEDIATRICS.DR.R.SARANYA, POST GRADUATE IN PAEDIATRICS.
 
  1. A STUDY TO EVALUATE THE SIGNIFICANCE OF SERUM CREATINE KINASE MUSCLE  BRAIN FRACTION (CK-MB) AND LACTATE DEHYDROGENASE (LDH) IN NEONATES WITH BIRTH ASPHYXIA DR.S.KANIMOZHI, POST GRADUATE IN PAEDIATRICS.
 
  1.  A STUDY ON NUTRITIONAL SURVEILLANCE IN HIV INFECTED CHILDREN LESS THAN 5YEARS OF AGE ATTENDING ART CENTRE, SALEM.DR.D.SAMPATH KUMAR, M.D,DCH, ASSOCIATE PROFESSOR, PAEDIATRICS,DR.ARYADEVI, POST GRADUATE IN PAEDIATRICS
  2.  A  STUDY ON CLINICAL PROFILE OF TUBER CULOSIS IN HIV INFECTED CHILDREN ,DR.R.SIVAGAMASUNDARI, M.D,DCH, PROFESSOR & HOD OF PAEDIATRICS,  DR.M.NIRMALA,POST GRADUATE IN PAEDIATRICS.
 
     8. A STUDY ON PREVALENCE OF HEARING IMPAIRMENT BY USING OTO-      ACOUSTIC EMISSIONS IN BABIES IN GOVT MOHAN KUMARAMANGALAM     MEDICAL COLLEGE HOSPITAL, DR.T.S.SUNDARARAJAN M.D,DCH, PROFESSOR &  HOD, PAEDIATRICS , DR.K.C.SUNDAR POST GRANULATE IN PAEDIATRICS.
   9. A STUDY ON CLINICAL AND EPIDEIMIOLOGICAL STUDY IN BRONCHIAL   ASTHMA IN CHILDREN & ASSESSMENT AND ITS CORRELATION WITH SEREUM IgE LEVELS, DR.T.S.SUNDARARAJAN M.D,DCH,PROFESSOR & HOD, PAEDIATRICS  DR.PRIYADHARSINI, POST GRADUATE IN PAEDIATRICS.
  10. A STUDY ON CLINICAL PROFILE OF NEONATAL SEIZURES IN NEWBORN   BABIES BORN IN GOVT MOHAN KUMARAMANGALAM MEDICAL MEDICAL    COLLEGE HOSPITAL, DR.T.S.SUNDRARAJAN M.D,DCH, PROFESSOR & HOD,       PAEDIATRICS ,DR.S.AMUDHADEVI POST GRADUATE IN PAEDIATRICS.
  11. A STUDY ON CLINICAL PROFILE OF PAEDIATRIC HIV INFECTION IN THE AGE GROUP OF 18 MONTHS TO 12 YEARS AND TO CORRELATE WITH CD4         COUNT,DR.K.MUTHUKUMAR, MD,DCH,DR.SURESHKUMAR, DEPARTMENT OF             PAEDIATRICS.
  12. A STUDY ON CLINICAL PROFILE OF  TUBERCULOSIS IN HIV CHILDREN              DR.R.SIVAGAMASUNDARI, M.D,DCH, PROFESSOR & HOD OF PAEDIATRICS,DR.M.NIRMALA, POST GRADUATE IN PAEDIATRICS,
  13. A STUDY ON INCIDENCE OF CONGENITAL ANOMALIES IN NEWBORN IN TERTIARY CARE HOSPITAL,DR.R.SIVAGAMASUNDARI, M.D,DCH, PROFESSOR &           HOD OF PAEDIATRICS,DR.N.MANIVANNAN, POST GRADUATE IN PAEDIATRICS.
   14. A STUDY ON  TO   ASSESS THE PREDICTIVE VALIDITY OF LEUKOCYTE COUNT AND PLATELET COUNT IN PREDICTING CLINICAL CARDIAC SEVERITY OF SCORPION STING. DR.D.SAMPATHKUMAR M.D. DR.SAKTHI SEETHA LAKSHMI POSTGRADUATE IN PAEDIATRICS.
 
 15. A STUDY ON CLINICAL PROFILE OF CHILDHOOD TUBERCULOSIS
AND DIAGNOSTIC EFFICACY OF CBNAAT IN GMKMCH,  SALEM. DR.D.SAMPATHKUMAR M.D, PROFESSOR.  DR. AKALYA POST GRADUATE IN PAEDIATRICS.
16. A STUDY ON CORRELATION OF NUCLEATED RED BLOOD CELLS WITH SEVERITY OF BIRTH ASPHYXIA AND ITS IMMEDIATE OUTCOME IN TERM NEWBORNS.DR.KUMARAVEL M.D, PROFESSOR.  DR. OVIYAVEENA POST GRADUATE IN PAEDIATRICS.
17. A STUDY OF MORBIDITY AND MORTALITY PATTERN OF SNAKE BITE IN CHILDREN AND ASV DOSE TITRATION IN TERTIARY CARE HOSPITAL.  DR.P.SAMPATHKUMR M.D, DCH.HOD & PROFESSOR.  DR. SUGANYA, POST GRADUATE IN PAEDIATRICS.
 
18. A STUDY OF A CLINICAL STUDY ON THE   EFFECTIVENESS OF EARLY PRAZOSIN THERAPY IN CHILDREN WITH SCORPION STING. DR.D.SAMPATH KUMAR M.D DCH, PROFESSOR, DR.HIMA SURENDRAN POST GRADUATE IN PAEDIATRICS.
19.  A STUDY OF THE ANALYSIS ON THE TREND OF SCREENING   POSITIVE RATE AND CORELATIVE RISK FACTORS OF RETINOPATHYN OF PREMATURITY. DR.T.S.SUNDARARAJAN, MD,DCH.  PROFESSOR AND HOD,  DR. YASEEN POST GRADUATE IN PAEDIATRICS.
20. A STUDY  ON BREAST MILK DONATION : ACCEPTANCE AND KNOWLEDGE OF DONORS AND RECIPIENTS, DR.P.SAMPATHKUMAR,MD,DCH, PROFESSOR. DR.P.SENTHILKUMAR  POST GRADUATE IN PAEDIATRICS.
 
21. COMPARISON OF NEBULISED ADRENALINE,NEBULISED SALBUTAMOL AND NEBULISED BUDESONIDE IN THE TREATMENT OF BRONCHIOLITIS - A DOUBLE BLINDED RANDOMIZED  TRIAL ". GUIDE- DR.P.SAMPATH KUMAR M.D,DCH.      DR. SHANMUGAPRIYADHARSINI
 
22. PROSPECTIVE STUDY OF CLINICAL PROFILE AND OUTCOME OF CHILDREN PRESENTING WITH POISONING IN GOVT MOHAN KUMARAMANGALAM MEDICAL COLLEGE HOSPITAL, SALEM. GUIDE PROF.DR.T.S.SUNDARARAJAN,M.D(PEDS),D.C.H, HOD& PROFESSOR. DR. BALA MURUGAN.
 
23. TO ASSES THE REDUCTION IN BONE MINERAL DENSITY AMONG CHILDREN WHO COMPLETED STEROID THERAPH FOR NEPHROTIC SYNDROME. GUIDE DR.D.SAMPATHKUMAR M.D, DR. PRASANA POST GRADUATE IN PAEDIATRICS.
 

  

 
 
 
            CME ON PAEDIATRIC SUBSPECIALITIES CONDUCTED ON 30th OCT 2015

      1.  APPROACH TO  ACYANOTIC CONGENITAL HEART DISEASE     DR.MAGESH,D.M(CARDIOLOGY), ASSISTANT PROFESSOR ,DEPARTMENT OF           CARDIOLOGY,JIPMER,PONDICHERY.
      2.   APPROACH TO CHILDHOOD SEIZURES DR.SANGEETHA, D.M  (NEUROLOGY),        ASSOCIATE   PROFESSOR ,DEPARTMENT OF NEUROLOGY,CMC VELLORE.
      3.  APPROACH TO A CHILD WITH FEVER WITH HEPATOSPLENOMEGALY                                            DR.SIVASUBRAMANIAM ,DM(GASTROENTEROLOGY), ASSISATANT  PROFESSOR, DEPARTMENT OF MEDICAL GASTROENTEROLOGY.
      4.  APPROACH TO CHILD WITH HAEMATURIA, DR.NAGARAJAN, DM      (NEPHROLOGY) , HOD ,DEPARTMENT OF NEPHROLOGY , GMKMCH,SALEM.
      5.  APPROACH TO  CHILD WITH PEM DR.P.SAMPATHKUMAR  M.D,DCH,            ASSOCIATE             PROFESSOR , DEPARTMENT OF PAEDIATRICS,GMKMCH,SALEM.    
                                                                                                                                   

    INTERESTING CASES:

1.COFFIN  SIRIS   SYNDROME
PARTICIPANT: Dr.S.PRASANNA ,IInd yr PG[PEDIATRICS]
GOVT. MOHAN KUMARAMANGALAM MEDICAL COLLEGE, SALEM, TAMIL NADU.
GUIDE/PROFFESSOR:Dr.T.S.SUNDARARAJAN.,M.D.,DCH.,
SYNONYMS:DWARFISM-ONYCHODYSPLASIA,FIFTH DIGIT SYNDROME,MENTAL RETARDATION WITH HYPOPLASTIIC 5TH FINGERNAILS & TOENAILS AND SHORT STATURE-ONYCHODYSPLASIA.
 It is a rare genetic disorder that causes developemental delays and absent/Hypoplastic  FIFTH FINGERNAILS & TOENAILS.
EPIDIMIOLOGY: There has been reported to be around 31 cases by 1991.the number has grown and is reported to be around 140.
CHARECTERISTIC FEATURES:
  • mild to severe intellectual disability,also called as “developemental disability”
  • short fifth digits with hypoplastic or absent nails
  • low birth weight
  • feeding difficulties upon birth
  • frequent respiratory infections during infancy
  • hypotonia
  • wide mouth
  • sparse scalp hair
  • joint laxity
  • delayed bone age
  • microcephaly
  • coarse facial features,including wide nose,wide mouth and thick eyebrows & lashes.
 
CAUSES:AUTOSOMAL RECESSIVE is most likely,but SPORADIC mutations and AUTOSOMAL DOMINANT cases may also occur.
This syndrome has been associated with Mutation in ARID1B GENE, SOX11 gene.
REFERENCE:
  1. Levy P,Baraister M[May 1991].COFFIN-SIRIS SYNDROME.J.Med.genet.28[5]:338-41.doi:10.1136/jmg.28.5.338. PMC 1016855.PMID
  2. ‘Greenville:A home of one’s own-Ledger transcript’.Ledger transcript retrieved 13 june 2015
  3. Coffin siris @ webMD
Coffin siris syndrome genetic home reference 8 june 2015.retrieved 13 june 1015.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
2.MERMAID SYNDROME
                                       SYN: SIRENOMELIA
  • A very rare congenital deformity in which the legs are fixed together giving the appearance of a mermaids tail.
Inc:1/1 lakh live births (as rare as conjoined twins )
  • 100 times more likely to occur in identical twins then in single births or fraternal twins.
  • Usually fatal within a day or two of birth because of complications associated with abnormal kidney or urinary bladder development and function
  • More than half of the cases of SIRENOMELIA result in STILLBIRTH
  • MATERNAL DIABETES has been associated with caudal regression syndrome and SIRENOMELIA
  • A severe form of caudal regression syndrome
  • It occurs when the UMBLICAL CORD fails to form two arteries thus preventing a sufficient blood supply from reaching the fetus, due to insufficient blood supply ,fails to develop into two separate limbs.
  • It is caused by a deficiency of mesoderm migration of the caudal region of the embryo during granulation.
  • Mesoderm of this region is also involved in the development of the lumbosacral vertebrae as well as the urogenital and gastrointestinal system.
  • It is also associated with renal agenesis.
May be broadly divided into three main categories based on the number and morphology of the lower limbs
  • SIRENOMELIA DIPUS
Two fixed feet ,two tibia, fused fibula,two femur.
  • SIRENOMELIA UNIPUS
One rudimentary foot,two tibiae, fused femur.
  • SIRENOMELIA APUS
Absent feet, fused femur/tibiae,absent fibula.
  • ANTENATALLY can be diagnosed by USG
  • 1st case reported in black race.

 
B/O BABY, TERM/AGA/LBW/SIRENOMELIA DIPUS, delivered by LSCS,not cried after birth
Died within 1 hour of life.
Antenatal H/O: UNBOOKED CASE,not diagnosed

 

          3.CONGENITAL CHLOROQUINE  RESISTANT MALARIA IN
                                NEWBORN PERIOD                                                         
 
A 21 day old male neonate with weight of 3.2kg was admitted in our NICU ON 26.8.14
with history of fever and abdominal  distension of one day duration


         
 
Significant Antenatal history of
 Mother is primi 20 years old ,non consangunious marriage resident of tharamangalm,she is
booked and immunized.her LMP:24.10.13,EDD:10.8.14,H/O staying at thirupathi since conception Which is one of the high transmission risk zone in india ,
 H/O FEVER during her second trimester and investigated and found to be plasmodium vivax
positive on 14.5.2014 with GA of 29 weeks & H/O taking antimalarial treatment with no proper
evidence.  
  This baby delivered in our hospital by labour naturalis on 5.8.14 at 12.46am with apgar of 8/10 and 9/10, with a birth weight of 3 kg.Baby was on breast feed since birth .Baby passed urine and meconium on day 1 and
discharged on day 3 without any significant llness                                                                                                       
On examination                                                                               
On physical examination;
 The neonate was febrile(Temp-39 C )and pallor.
 No dehydration,
 cry,activity- fair with presents of cephalhematoma.
 On systemic examination;
 Cvs s1 s2 + no murmur. HR-145/min ,
 RS-BAE + tachypenic with SCR . RR-71/min
 P/A-soft with distensio,,SPLENOMEGALY + 3cm beloe left costal margin
 CNS-AF N,Tone and NNR are normal\


Investigations:
 
 ON LAB FINDING;
 Renal parameters ,blood sugar and s.electrolytes are within normal limits
 CBC-normal limit except his Hemogloblin10.4 gms%
 Pheripheral smear study demonstrates;
Smear positive for malarial parasite
plasmodium vivax                

                                                                                                                                           
      CRP-POSITIVE
 BLOOD C/S;
 E.COLI GROWTH IDENTIFIED with sensitive to amikacin,gentamycin and ofloxacin
 CXR-Suggestive of pneumonia
 Baby was treated empirically with iv ampicillin,cefotaxime for lateonset sepsis for 2 days,
 Then switched over to iv amikacin according to blood  culture and sensitivity pattern for E coli
 After smear confirmation of p.vivax ,diagnosed as congenital malaria , started syr chloroquine 30mg
stat followed by 15mg after 6hours,24 hours & 48 hour
 Baby was fever free after initiation of antimalaria drugs.
 Baby was developed fever and cough again after 7 days AND Repeat pheripheral smear study
demonstrates schzionts,trophozoite stage of pl.vivax seen with few ring forms along with lymphocytosis.
 So consider as chloroquine resistant congenital malaria
 Baby started with Tab. QUININE 15mg bd
 After 3 days of treatment baby is free from fever and cough                                                                                                                                                                                                                                                                                                                                                                          
DISSCUSSION                                                                                                            
           CONGENITAL MALARIA                                                                                                                                                 
Congenital malaria is rare disease,so far,300 cases reported in literature
 Congenital malaria was first described in 1876 More recent studies however suggest suggest that
incidence has increased and value between 0.3% to 0.33% have been observed from both endemic
and non endemic areas
Congenital malaria defined as the presence of plasmodium parasites in the erythrocytes of newborns aged less than seven days.It can be acquired by tranmission of parasites from the mother prenatally or perinatally.The first sign or symptoms most commonly occurs between 10 and 30 days of  age.                                                                                                                                                                            
Congenital malaria usually occur in the offspring of a nonimmune mother with p.vivax or p.malariae infection,it can be observed with any of the human malarial species
 Hence it is reported rarely ,in endemic areas , congenital malaria is an important cause of abortions,stillbirths,premature births,IUGR,and neonatal death
 
Signs and symptoms:
 
 The most common clinical features in 80% 0f
cases are FEVER,ANEMIA AND SPLENOMEGALY,
 Other features includes,
 Hepatomegaly
 Jaundice
 Regurgitation
 Loose stools,vomitting
 Poor feeding
 Drowsiness
 Restlessness
 Cyanosis
 Respiratory distress
 Possibly convulsion
 
Diagnostic techniques
 
 Peripheral smear study by microscope(thick and thin smears)-GOLD STANDARD
 Rapid Immunochromatographic test for p.falciparam-HRP2 and aldolase is approved for testing for p.falciparum and p.vivax
 PCR-More sensitine than microscopy but is technically more complex
 
Treatment
 
 Chloroquine is the drug of choice
 Infection with chloroquine resistant strain require multidrug therapy.
 Primaquine is not reqired for congenital malaria,because there is no persistant liver phase
in congenitally acquired infections
 There is no official data on how to use ACT IN THIS AGE GROUP,despite the fact that malaria can
occur at a very young age and that ACT offers greater efficacy and tolerability compared with
quinine which is often used in infants with clinical malaria
 
 
INSTRUMENTS DONATED BY MLA

 
LG AIR CONDITIONING MACHINE DONATED BY MR. KRISHNAN, MLA, BALPAKKI, SALEM. ON 27.02.2012 TO NEW BORN WARD.
 


 

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