Dr Rehan Khan

19/03/2025

17/03/2025

Transillumination using a cold light source is a quick bedside test to detect pneumothorax in neonates, especially in emergency settings or when a chest X-ray is unavailable.Procedure: 1. Darken the room to enhance visibility. 2. Use a fiber-optic cold light source (like a bright penlight or otoscope light). 3. Place the light against the lateral chest wall or just below the axilla. 4. Observe the glow pattern on the opposite side.Interpretation: • Positive for pneumothorax: Excessive, uniform, and bright transillumination over the affected hemithorax. Light spreads diffusely due to free air in the pleural space. More prominent in preterm neonates with thin chest walls. • Negative for pneumothorax: Normal lungs do not show abnormal glow; light remains localized.Limitations:Works best in preterm and low-birth-weight neonates (thinner chest walls). Less reliable in term infants or those with thick chest walls. Cannot distinguish pneumothorax size or side of the leak accurately.If transillumination is positive and pneumothorax is suspected, confirm with a chest X-ray before intervention unless the baby is in severe respiratory distress, in which case needle decompression may be warranted immediately.

04/02/2025

04/07/2024

Burhan from Swat.Patient of GBS

02/06/2024

Congenital Hydrocephalus

01/05/2024

Guillian -Barre Syndrome(GBS).Burhan 13 years of age from swat presented to us with ascending paralysis and respiratory difficulty.O/E power 1/5 with no reflexes and decrease tone. NCS done shows AMAN variant of GBS.The most lethal type.Intubed and remain on vent for 1 month.Tracheostomy done. IVIG given. 5 session of plasmapheresis done.inj rituximab 375mg/m$ BSA given.Rituximab is having very good response indicated in AMAN variant.Burhan is discharged with a smile on his face

28/04/2024

Ataxic gait of the patient with Ataxia Telangectasia

29/02/2024

Patient of Ataxia telengectasia with solid tumor(Lymphoma)
7 years old girl presented with ataxia since 4 years of age with telengectasia in eye since 5years with recurrent chest infections .on examination patient was having ataxic gait,respiratory distress,clubbing ,telengectasia in eyes with bilateral chest crepitations tip of liver palpable .chest xray shows mediastinal widening .HRCT done .diagnosis done on increased level of alpha fetoproteins. Prophylaxis is done with immunoglobulins.

18/02/2024

A child with recurrent chest infections, chronic diarrhoea and ear discharge since infancy .on examination emaciated ,clubbed, tachypnic , absent tonsils and lymph nodes , chest having coarse crepts and scattered wheezes.Decreased level of all immunoglobulin, diagnosed case of x - linked aggamaglobulemenia/ Bruton agammaglobulinemua. Started on regular immunoglobuline replacement with antibiotics prophylaxis.

08/01/2024

Patient with hx of fever breathing difficulty and barking cough.case of croup. Viral infection of upper airway.chest xray show steeple sign(Arrow) subglottic narrowing with widening of distal airway.

10/12/2023

This patient presented to us with chest infection.For feeding we tried to pass NG but failed.We suspect Tracheoesophageal fistula(TEF).Fluoroscopy done show barium contrast not reaching stomach indicates TEF.Type C proximal atresia with distal fistula is the most common type(86%).