ArogyaUDHC Health Issue ID : 273

( Botanical ) Name of the patient:   LAUNAEA736ASPLENIIFOLIA

Solution dated :   Sun, Jul 7, '13

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Health issue inputs URL :   http://www.udhc.co.in/INPUT/displayIssueGraphically.jsp?topic_id=273

Health Issue solution URL :   http://www.udhc.co.in/SOLUTION/viewSolution.jsp?topic_id=273&solution_id=80

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

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For patient input http://care.udhc.co.in/INPUT/displayIssueGraphically.jsp?topic_id=273

Local daktarer jonye suggestion:

Aro kichu test

Chest X ray

Complete LFT including AST/ALT and serum albumin

Urine for reducing substances

regards,

ArogyaUDHC team

Ouput 2: Date: Sat, Apr 13, 2013 at 11:56 AM

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.