Based on the email inputs received from two associate professors of pediatrics in PCMS, Bhopal, our emailed Outputs to the patient was as below:
Output 1:
Date: Fri, Apr 12, 2013 at 10:50 PM
Subject: re:LAUNAEA736ASPLENIIFOLIA 49 day baby girl
For patient input http://care.udhc.co.in/INPUT/displayIssueGraphically.jsp?topic_id=273
Local daktarer jonye suggestion:
Aro kichu test
Eye examination should include - e/o cataract, chorioretinitis,
CMV IgM is essential
LFT- serum albumin and serum gamma glutamyl transferase are important.
Benedict's test for reducing substance in urine should be done after
pretreatment of urine with conc. Hydrochloric acid to be able to
detect lactose.
Questions to the parent and Local Physician:
Regarding the baby's appearance, does she resemble any of her parents
or other relatives? Is her facial appearance- abnormal?
Is the baby feeding poorly now?
If yes, since when?
Is it after starting Gardenal? Is the baby still on Gardenal? If yes,
how many ml in a day?
Is the poor activity only during fever and cold episodes?
How many times does the baby pass urine in 24 hours?
It would be useful to document the weight weekly on follow up.
Has she been prescribed vitamin A & vit D? (it is not clear from the
prescriptions)
It is important to give her weekly vitamin K injections
regards,
ArogyaUDHC team
Both the two pediatricians providing these emailed outputs above eventually looked after the patient once the child was brought to PCMS, Bhopal, India.