Pediatrics Subspeciality

Speciality Clinic Of Pediatrics Department

Sr.No	Speciality clinic	Day/Time	Incharge
1	Congenital heart disease & RHD	Monday	Dr Abhijit Choudhary  Dr Abhishek Madhura
2	DMD/ Epilepsy	2nd  and 4th Tuesday	Dr Shikha Jain
3	Asthma	1st 3rd 5 th Tuesday	Dr Abhishek Madhura Dr Abhijit Choudhary
4	Child Developmental	Wednesday	Dr Urmila Dahake Dr Shikha Jain
5	Sickle Cell disease	Thursday	Dr Akash Bang Dr Balkishan Choudhari
6	Endocrinology/ Diabetes	2nd and 4th Friday	Dr Rupali Rokade Dr Supriya Kushwah
7	Rheumatology/ Obesity	1st ,3rd & 5th Friday	Dr Supriya Kushwah Dr Himali Meshram
8	Paediatric Genetic disease	2nd and 4th Saturday	Dr Balkishan Choudhari
9	Paediatric Gastroenterology	Saturday 12-1pm	Dr Himali Meshram

 

Immunisation and Well baby Clinic - Every Monday, Wednesday and Friday.

Disability Certification - Disability certification for children with Specific Learning Disability

Scope of Services

A .Intensive Care

Diagnostic services:

    Diagnostic workup and intensive monitoring of sick children & adolescents with

1. Respiratory distress and failure

• Upper airway obstruction (epiglottitis, croup etc)
• Lower airway obstruction (bronchiolitis, asthma, foreign body etc) Lung Parenchymal Diseases (Pneumonias, ARDS, Pulmonary edema etc)
• Disordered control of breathing (Raised ICT, Status epilepticus)

• Circulatory Failure- Compensated & Hypotensive shock (Hypovolemic, Cardiogenic, Septic, Obstructive)
• Cardiac arrhythmias
• Neurologic dysfunction and emergencies
• Hepatic dysfunction and emergencies
• Renal dysfunction and emergencies
• Fluid, electrolyte disturbances
• Endocrine and Metabolic emergencies
• Severe sepsis, serious infections, multi-inflammatory syndromes
• Oncological emergencies
• Post operative monitoring

Therapeutic services

   Emergency stabilization followed by Critical care for all the above categories of sick children

       1 Basic & Advanced Airway Management

• Intubation, Bronchoscopy, FB removal, Tracheostomy

      2.Management of respiratory distress & failure

• Oxygen therapy
• Noninvasive ventilation
• Invasive ventilation
• Thoracocentesis
• Chest tube insertion

    3.Management of shock

• Fluid therapy
• Blood and Blood Component therapy
• Vasoactive drugs therapy

   4.Management of Cardiac arrhythmias

• Defibrillation, Cardioversion
• Pharmacological therapy

   5.Neurologic dysfunction and emergencies

• Medical management of raised ICT, status epilepticus

  6.Hepatic dysfunction and emergencies

• Interventions to control GI bleed
• Acute and Chronic Liver Failure

  7.Renal dysfunction and emergencies

• Medical management of hypertension, nephrotic, nephritic syndromes
• Plasmapheresis
• Renal Replacement Therapy

 8.Fluid, electrolyte disturbances

 9.Endocrine and Metabolic emergencies

• Management of DKA
• Management of Metabolic Acidosis

 10.Severe sepsis, serious infections, multi-inflammatory syndromes

 11.Oncological emergencies

• Management of Tumour Lysis syndrome
• Management of febrile neutropenia

 12.Post operative monitoring

 13.Environmental emergencies- Heat stroke, Snake/Scorpion bites, Stings

 14.Poisonings

 

Supportive services

• Family counselling
• Genetic counselling
• Webinars / Workshops for empowerment of doctors and paramedics.   

B Sickle Cell and Hematology

Diagnostic services:

    Providing diagnostic testing of following hematologic conditions in children & adolescents

• Sickle Cell Trait, Sickle Cell Anemia, Mixed Hemoglobinopathies
• Thalassemias
• Chronic Hemolytic Anemias (Defects of red cell membranes, enzymes, autoimmune etc)
• Nutritional, Iron deficiency, Megaloblastic Anemias
• Anemia of unknown origin
• Evaluation of Thrombocytopenias, ITP, Pancytopenias
• Evaluation of suspected Leukemias and Lymphomas
• Evaluation of Bone Marrow Failure syndromes
• Evaluation of bleeding and coagulation disorders
• Monitoring for complications of Sickle Cell Anemia- cardiac, renal, pulmonary, ocular, orthopedic

Therapeutic services

• Comprehensive management of Sickle Cell and Hemoglobinopathies- Pharmacological management of steady state, Management of Vaso-occlusive, Aplastic, Sequestration & Hemolytic crises
• Special Vaccines for Sickle Cell Anemia, Thalassemia, Splenectomy patients
• Acute and Chronic Blood and Blood Component Transfusions
• Iron chelation therapy

 

Supportive services

• Family counselling for Sickle Cell Anemia, other chronic hemolytic and hematologic diseases
• Genetic counselling
• Disability certification
• Rehabilitation
• Webinars / Workshops for empowerment of caregivers

C DEVELOPMENTAL PAEDIATRICS

Diagnostic services:

Providing diagnostic testing of following neurodevelopmental disabilities in children. 

• Autism Spectrum Disorder (MCHAT, ISAA, ACSF: SC, INCLEN ASD)
• ADHD (INCLEN ADHD, VAnderbilt ADHD assessment scale)
• Intellectual Disability (IQ test, VSMS)
• Specific Learning Disability (SLD battery of tests)
• Cerebral Palsy (IDDEA card, Clinical assessments)
•  Global Developmental Delay (DQ, SQ assessments
• Rheumatology
• Therapeutic services 
• Support services 
• PEDIATRIC NEUROLOGY
• Paediatric Gastroenterology DIAGNOSTIC
• THERAPEUTIC
• Supportive
• Pediatric Endocrinology
• Therapeutic services
• Support services
• Paediatric PULMONOLOGY

Therapeutic services:

For the identified neurodevelopmental disabilities providing therapeutic services as following

• Pharmacotherapy
• Behavior therapy
• Behavior counselling
• Family counselling

Support services

• Caregivers training in WHO-CST module
• Disability certification for Specific Learning Disability
• Genetic counselling
• Teacher training workshops Conducting workshops for healthcare providers in early identification and referral services for neurodevelopmental disabilities

D Rheumatology

Diagnostic services

       Comprehensive laboratory and imaging back up for diagnosing all rheumatological conditions including:

• Systemic Lupus erythematous
• Juvenile rheumatoid arthritis 
• Juvenile Ankylosing spondylitis
• Enthesitis related arthritis 
• Kawasaki disease 
• Sjögren’s syndrome
• Scleroderma
• Juvenile dermatomyositis
• Vasculitis and other rheumatological disorders

Therapeutic services 

• 24/7 indoor services for emergencies and hospitalisation
• Weekly speciality clinic on Fridays
• Management of comorbidities like optic neuritis, Pulmonary arterial hypertension etc
• Safety and use of conventional DMARDS, IVIg and biologicals
• Serial monitoring of symptoms and disease activity 
• Vaccination 
• Prevention and early detection of complications 
• Pain management 

Support services 

• Patient education for preventing complications and disease flare
• Counselling for long term treatment
• Arrange funds for treatment when necessary

E PEDIATRIC NEUROLOGY 

DIAGNOSTIC

• Epilepsy
• Muscular dystrophy clinic
• Neuromuscular disorders
• Inborn error of metabolism
• Immunological disorders
• Neuroinfections
• MRI brain with various latest sequencing analysis, CT scan, EEG, NCV, EMG, ECHO services are provided within the institute in collaboration with various departments
• Few genetic tests are now outsourced from the institute at subsidised rates

THERAPEUTIC

• Pharmacotherapy
• Genetic counselling
• Various drug under clinical trial as therapeutic option for untreatable diseases

SUPPORTIVE

• Follow up care and rehabilitation for outpatients
• Community program- Sensitisation of school teachers regarding epilepsy, and providing diagnostic and therapeutic services to children with epilepsy attending urban and rural government school in Nagpur District

F Paediatric Gastroenterology

DIAGNOSTIC

• Liver biopsy.
• Ascitic tap.
• Evaluation of Chronic liver Disease, chronic Gi disorders, Acute liver Failure, acute
• And chronic Pancreatitis

THERAPEUTIC

• Management of Acute liver Failure, acute Hepatitis, chronic liver disease,
• Chronic Diarrhoea, IBD, Gerd, celiac Disease, Acute and Chronic Pancreatitis

Supportive

• Education and Dietary Counselling of Child and Parents for Celiac Disease,
• Wilsons Disease, other Chronic liver And GI Disorders.

G Pediatric Endocrinology: 

Diagnostic services:

• Growth charting and assessment for children with growth failure.
• Growth hormone stimulation test for children with suspected growth hormone deficiency.
• Etiological and complication screening of obesity.
• Evaluation of children with delayed and precocious puberty.
• Evaluation of children with gynecomastia, micropenis and undescended testis
• Evaluation of children with atypical genitalia
• Evaluation of adolescents with menstrual irregularity
• Evaluation of children with goiter and solitary thyroid nodule
• Evaluation of children with hypoglycemia
• Evaluation of children with both Type 1 and Type 2 Diabetes Mellitus
• Evaluation of children presenting with rickets

Therapeutic services:

• Growth hormone therapy for children with short stature as indicated
• Hormonal replacement in multiple pituitary hormone deficiency
• Pubertal induction in delayed puberty4. Treatment of precocious puberty, menstrual disorders and micropenis
• Insulin therapy in children with Type 1 Diabetes Mellitus
• Treatment of Type 2 Diabetes Mellitus in adolescents
• Thyroxine supplementation in children with congenital and acquired hypothyroidism
• Treatment of Grave’s disease and other causes of thyrotoxicosis
• Steroid replacement in cases with Congenital Adrenal Hyperplasia
• Treatment of resistant rickets

Support services

• Comprehensive diabetes education
• Financial support to non affording families of diabetes patients
• Training of healthcare providers for timely identification patients with endocrine disorders.
• Genetic counseling
• Periodic monitoring of all the children with endocrinal disorders

 

Therapeutic services:

• Growth hormone therapy for children with short stature as indicated
• Hormonal replacement in multiple pituitary hormone deficiency
• Pubertal induction in delayed puberty4. Treatment of precocious puberty, menstrual disorders and micropenis

• Insulin therapy in children with Type 1 Diabetes Mellitus
• Treatment of Type 2 Diabetes Mellitus in adolescents
• Thyroxine supplementation in children with congenital and acquired hypothyroidism
• Treatment of Grave’s disease and other causes of thyrotoxicosis
• Steroid replacement in cases with Congenital Adrenal Hyperplasia
• Treatment of resistant rickets

Support services

• Comprehensive diabetes education
• Financial support to non affording families of diabetes patients
• Training of healthcare providers for timely identification patients with endocrine disorders.
• Genetic counseling
• Periodic monitoring of all the children with endocrinal disorders

H Paediatric Pulmonology

•  Pediatric Bronchoscopy
•  Allergy testing
•  Pediatric ASTHMA/Allergy clinic on Thursday
•  Pediatric Pulmonology clinic on Thursday
•  Pediatric Allergy testing Centre
•  Allergen specific immunotherapy for dust mite and pollen sensitized patients.
• Pediatric Sleep Studies
• NIV initiation and titration studies