A 10 year old girl presented to Aster Hospital’s Audiology Department with her parents on 31st July 2017. The family visited the hospital to get clearance from the Audiology Department for her to get admitted into School.
The child had Cerebral Palsy and had been undergoing treatment for the same. Upon thorough investigation of her case, correlative study and testing including BERA, DPOAE, TEOAE and TYMPANOMETRY, it was recognized that the child suffered from a rare disorder known as Auditory Dyssynchrony, which generally has an incidence of 3-4 in every 10,000 children. For the past 10 years the child was being treated for other abnormalities and no hearing test was ever conducted. The child had a speech delay which was considered as the result of Cerebral Palsy.
1.When should one start giving drinking water to babies?
Babies younger than 6 months old should never be given water to drink. Daily water intake is fulfilled by mother’s milk up to the age of 6 month. If formula milk started the water requirement is fulfilled by it. We don’t need to give additional drinking water.
2. What happens if we give drinking water apart from breast feeding or formula milk?
29yrs old Primi at 24 weeks of pregnancy was brought to the emergency by ambulance in shock with complaints of sudden onset of epigastric pain and dizziness. There was no complaint of bleeding per vaginum.
The patient was resuscitated and urgent ultrasound was done which revealed massive hemoperitoneum with intra uterine fetal death. Emergency laparotomy was done through midline vertical incision (with differential diagnosis of ruptured uterus, abruption, non-obstetric causes of bleeding) with arrangements being made for blood and blood products. Laparotomy findings were as follows;