This episode discusses asthma in children

The structure of Early Intervention (EI) services in India is built upon an ambitious public health framework characterized by unparalleled scale and a profound reliance on multi-sectoral coordination, primarily achieved through the Rashtriya Bal Swasthya Karyakram (RBSK) and the Integrated Child Development Services (ICDS). This comprehensive effort is anchored by the Rights of Persons with Disabilities (RPwD) Act, 2016, which provides the legal and ethical mandate for universal access to services.

In this episode of 'Pediatrics In-depth,' we delve into the critical topic of Raised Intracranial Pressure (ICP) in children. Join us as we explore the causes, recognize the subtle and overt symptoms, and discuss the diagnostic and management strategies for this potentially life-threatening condition, offering essential insights for healthcare professionals and concerned families.

In this episode of 'Little Brains, Big Challenges,' we delve into the complexities of hydrocephalus in children. Join us as we explore the causes, symptoms, and cutting-edge treatments for this condition, offering insights and support for families navigating this journey.

A pediatric patient presents with fever and new-onset thrombocytopenia on their complete blood count (CBC). This common clinical scenario presents a broad differential diagnosis, ranging from benign, self-limiting viral illnesses to life-threatening emergencies.

This episode provides a systematic approach to evaluating a child with fever and thrombocytopenia. We move beyond the basics to discuss the underlying pathophysiology and key clinical pearls that guide diagnosis and management.

Join us as we discuss:

• Pathophysiological Mechanisms: A review of decreased platelet production, increased destruction (immune vs. non-immune), and sequestration.

• Differential Diagnosis:

  • Infectious Etiologies: A detailed look at Dengue, Epstein-Barr virus (EBV), Cytomegalovirus (CMV), Parvovirus B19, and bacterial sepsis.

  • Immune-Mediated Conditions: Differentiating classic Immune Thrombocytopenic Purpura (ITP) from infection-triggered phenomena.

  • Malignancy: Recognizing when to have a high index of suspicion for hematologic malignancies like leukemia.

  • Other Causes: Brief discussion on drug-induced thrombocytopenia and Hemolytic Uremic Syndrome (HUS).

• Diagnostic Workup: Interpreting the CBC with peripheral smear, and determining the need for further investigations like bone marrow aspiration.

• Management Principles: An evidence-based overview of management, from watchful waiting and supportive care to the indications for intravenous immunoglobulin (IVIg), steroids, and platelet transfusions.

In this deep-dive episode of Vital Signs, we tackle a pervasive and challenging comorbidity on the medical wards: anemia in the setting of acute congestive heart failure. Affecting over half of all patients hospitalized with heart failure, anemia is far more than a simple lab abnormality—it is a powerful driver of symptoms, a predictor of poor outcomes, and a key factor in hospital readmissions. Join us as we move beyond the basics to provide a comprehensive clinical masterclass designed for residents and seasoned practitioners alike.We'll unravel the intricate pathophysiology of the cardiorenal anemia syndrome, exploring how chronic inflammation, iron dysregulation, and renal dysfunction create a vicious cycle that accelerates heart failure progression. You will learn to perform a systematic diagnostic workup, moving beyond a standard CBC to master the nuanced interpretation of iron studies in the context of chronic disease. We will then critically review the latest evidence-based management strategies, including a detailed analysis of landmark trials like FAIR-HF and AFFIRM-AHF that champion the use of intravenous iron, and the RED-HF trial that cautioned against the routine use of erythropoiesis-stimulating agents. This episode provides a complete roadmap for identifying, diagnosing, and effectively treating anemia in your sickest heart failure patients, empowering you to improve their functional capacity, reduce their symptom burden, and change the trajectory of their disease.