Feb 2014 : Report of CME on Pediatric Pathology

St. John's Medical College Hospital, Bengaluru

5th Annual National CME Series

PERSPECTIVES IN PEDIATRIC SURGICAL PATHOLOGY

St. John’s Medical College & Hospital, Bangalore

Departments of Pathology & Paediatric Surgery

23rd February 2014

This CME was organised by the Departments of Pathology and Paediatric Surgery, St. John’s Medical College and Hospital, Bangalore as part of the GOLDEN JUBILLEE CELEBRATIONS of the institution and ANNUAL NATIONAL CME/ WORKSHOP SERIES under the auspices of Rajiv Gandhi University of Health Sciences and Karnataka Chapter of Indian Association of Pathologists and Microbiologists.

Our registration desks opened at the Cardinal Gracious Hall at 8.30 on the morning of 23rd February 2014. Two CME credit hours were issued by Karnataka Medical Council  and the programme was conducted in the presence of Observer from Karnataka Medical Council, Dr Balasubramanyam, Prof and Head of ENT,  St.John’s Medical College, Bangalore.  80 delegates and 14 faculty came in and the CME on ‘PERSPECTIVES IN PEDIATRIC SURGICAL PATHOLOGY’ took off with the first round of quiz which started at 8:50am. The inaugural function started at 9.00am with a prayer song by Dr. Indu, Postgraduate student, Dept of Pathology, SJMC. Dr. Srinivas, Dean of St. John’s Medical College welcomed the gathering and this was followed by the lighting of the lamp by the dignitaries including Master Dikshit a 3 year old boy with Total Colonic Aganglionosis and Master Yogesh with Wilms tumor. Rev. Fr. Lawrence D’Souza, Director of St. John’s National Academy of Health Sciences gave us his message and good wishes. Introductory remarks were given by Dr. Usha Kini, organizing secretary of the CME. She also introduced the main speaker of the day, an eminent Paediatric Pathologist Dr. Vijay V. Joshi, from Hartford Hospital, CT and Clinical Professor of Pathology at Medical College of Virginia, Richmond, VA, USA who shared his expertise, knowledge and experience during this CME along with other faculty. The Director then honoured Dr. Vijay Joshi with a memento as token of our appreciation.

The scientific sessions of the day were divided in to seven parts.

 9.15 – 10.30am;Session I: An Update on Neonatal Cholestasis

This session consisted of 2 parts: First between 9.15 – 10.00am, Dr. Vijay Joshi gave an update  on Neonatal Cholestasis and this followed by a presentation of various case scenarios from 10.00- 10.30am. Two cases each on Biliary Atresia and Paucity of intrahepatic bile ducts were presented by Dr. Suravi Mohanty, Assistant Professor of Pathology, SJMC and Dr. AR Prasanna Kumar, Assistant Professor of Paediatric Surgery, SJMCH. A ten minute interesting interactive session followed between the delegates and the speakers. The session ended with a tea break from 10.30 – 10.45am which included round 2 of the quiz.

 10.45 – 12.15pm; Session II:  Hirschsprung’s disease: Current trends

Dr. Vijay Joshi shared his perspective on Hirschsprung’s disease between 10.45 – 11.30am. Subsequently Dr. Usha Kini, Professor of Pathology, SJMC and Dr. Kanishka Das, Professor of Pediatric Surgery, SJMCH shared their experience on Hirschsprung’s disease between 11.30 – 12.15pm, followed by a discussion between the delegates and the speakers.

 12.15 – 12.45pm; Session III: Lung lesions

Dr. Usha Kini, Professor of Pathology, SJMC and Dr. A M Subha, Associate Professor of Pediatric Surgery, SJMCH presented 4 case scenarios: 1) Congenital adenomatoid malformation, 2) Congenital lobular emphysema, 3) Aspergillosis and 4) Infantile tuberculosis.

 12.45 – 1.00pm;Session IV:  Tips to handle small biopsies

A brief video demonstration on ‘Tips to handle small biopsies’ was taken by Mr. Lokendra Yadav, a PhD student. The video showcased the practical aspects of agar embedding of small tissue biopsies. This was followed by a lunch break and round 3 of quiz between 1.00 – 1.30pm

 1.30 – 3.00pm;Session V.  Wilms tumour & Neuroblastoma:  New Insights

From 1.30 – 2.30pm, Dr. Vijay Joshi discussed various aspects of Wilms tumor and between 2.30 – 3.00pm, Dr. Divya P., Assistant Professor of Pathology, SJMC and Dr. Kiran M, Assistant Professor of Pediatric Surgery, SJMCH presented 3 cases on: 1) Cystic partially differentiated nephroblastoma, 2) Cystic Wilms tumor and 3) Primary Rhabdomyosarcoma of the kidney. Interaction with the delegates was followed by a tea break and quiz round 4 from 3.00 – 3.15pm.

 3.15 – 4.00pm;Session VI: Case seminar – Mixed bag

A mixed bag of cases were presented by 3 faculty and 2 delegates.

1) Dr. Poonam Panjwani, Assistant Professor of Pathology, SJMC; presented 3 cases: a) Burkitt lymphoma, b) B-cell unclassifiable lymphoma (intermediate between Burkitt lymphoma & DLBCL) and c) Primary pleural B-cell lymphoma.

2) Dr. Ashwini Nargund, Lecturer of Pathology, SJMC; presented one case on Mature cystic teratoma with carcinoid – Retroperitoneal mass.

 3) Dr. Suganthi, Postgraduate student of Pathology, SJMC; presented one case on Atypical Rhabdoid tumor of the kidney.

4) Dr. Chatura, Professor of Pathology, JJMMC, Davangere – presented a spectrum of cases on Infantile hemangiomas.

5) Dr. Madhusmitha, Professor of Pathology, MVJ medical college; presented a case on postmortem FNA of a space occupying lesion in the brain – ? PNET.

 4.00 – 4.45pm;Session VII:  Closing Plenary Session – Recognition and Study of a New Disease in Children.

Dr. Vijay Joshi spoken of his experience in recognizing the symptoms of AIDS in children in the early days when there was no published data available.

 4.45 – 5.00pm;Closing Session

The CME came to an end with a discussion on the Quiz answers by the quiz master – Dr. Maria F. Bukelo, Lecturer of Pathology, SJMC. Dr. Nandeesh B. M. from Bangalore Medical College was the winner of the quiz. Finally Dr. Usha Kini, the organizing secretary of the event thanked all the delegates and faculty for their lively participation and active contribution to the CME programme.

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