Thursday, September 18, 2008

Case: a girl of 4 months with osteogenesis imperfecta


The girl, 4 months of age admitted in our hospital for Pneumonia. But her history reveals # of the rt upper arm at the age of 7 days for which she was taken admission in the other hospital of the city. They made multiple x-rays and found # in other sites also.




She was labelled as a case of Osteogenesis imperfecta and advised the parents to take precaution to handle the baby and provide necessary counselling.



badrud doza

Link:

Osteogenesis Inperfecta Foundation

Sunday, September 7, 2008

Case: Neuroblastoma with severe anaemia

Atunu Acharjee, 1 yr 4 months from Chittagong admitted in our hosspital for severe anemia. On examination , a huge mass on the left side of the abdomen, firm, non tender with no notch likely kidney and multiple small masses all over the abdomen were found . Liver was also enlarged 6 cm from the costal margin, firm and non tender.

On evaluation of history, it was found that the patient was consulted in Kolkata 2 months back and CT scan there suggest abdominal neuroblastoma, diffuse tumour infiltration of the left kidny and encasement of large vessels like aorta by the tumor mass.

Laparotomy was done in a hospital there and excised leftsided mass including part of the left kidney.The histopathology suggests Neuroblastoma. Patient was discharged on palliative treaatment from there.

In our ward, we have given the patient blood transfusion and refered the patient to oncologist.


Dr. Badrud Doza
Dr. Abu Sayeed

Link:

Neuroblastoma in Children in Cancerbackup/Uk
Neuroblastoma in NIH