Dr. Ali Hassan Ranjha

Dr. Ali Hassan Ranjha 👨‍⚕ Assalamualaikum! If you’re a parent, soon-to-be parent, or care about child health—this space is for YOU. 💙

✨ Let’s spread knowledge, not fear.

I'm Dr. Ali Hassan Ranjha 👨‍⚕

Pediatrician | Child Health Specialist
🎥 Awareness videos, posts & reels
👶 Healthy children, informed parents

✨ Let’s grow healthy little ones together!
💡 Like & Follow for helpful updates! I'm Dr. Ali Hassan Ranjha 👨‍⚕
I’ve started these platforms to raise awareness among parents about children’s health, common diseases, proper care, what to use, and what to avoid

for their well-being. Let’s raise healthy kids together. ✨

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Although every baby is precious but we call in pediatrics PRECIOUS BABIES🥰 to those who were born after many years of t...
06/09/2026

Although every baby is precious but we call in pediatrics PRECIOUS BABIES🥰 to those who were born after many years of treatment, IVF or some treatment.🥼👶

This baby was born to a family after 6 years through IVF , bay had normal examination at birth with good APGAR score on birth.He was shifted with mother for feeding and routine follow up was advised alongwith vaccination.

DISCLAIMER:This picture is being shared after consent from the parents.Thanks to the parents for allowing it.

Vomiting since infancy. Feeding battles every single meal. A growth curve that had quietly fallen off the chart years ag...
29/08/2026

Vomiting since infancy. Feeding battles every single meal. A growth curve that had quietly fallen off the chart years ago — and nobody had connected the dots.

📸Abeeha Safdar

Then we actually looked at her.

Eyebrows meeting in the middle (synophrys). Long, thick lashes. Small hands with a short thumb. Excess fine hair on her back and arms.

That's not a random collection of features. That's a face genetics can read like a fingerprint.

Diagnosis: Cornelia de Lange Syndrome (CdLS) — a rare cohesin-pathway disorder, and the real reason her reflux never responded to standard treatment. 🦓

How we got there:
🔹 Clinical diagnostic score ≥11 on exam (facial gestalt + limb + growth findings)
🔹 pH-impedance study + EGD → confirmed severe, erosive GERD
🔹 NIPBL gene sequencing (first-line, ~60% diagnostic yield) → de novo pathogenic variant confirmed
🔹 Baseline echo, hearing screen, hand/hip X-rays, ophtho exam — because CdLS rarely affects just one system

How we manage it:
💊 GERD: high-dose PPI + prokinetic; refractory cases often need Nissen fundoplication
🍼 Nutrition: feeding therapy, ± gastrostomy tube if oral intake can't keep up with growth needs
🧬 Genetics: confirm the variant, counsel the family, connect them to CdLS-specific resources
🧠 Development: early intervention — speech, OT, PT, behavioral support
👀 Surveillance: cardiology, audiology, ophthalmology, orthopedics — CdLS needs a village, not a single specialist

The takeaway: refractory GERD + growth delay + a distinctive facial gestalt in a child isn't "just reflux that needs a higher dose." It's a pattern worth a genetics referral.

15 newborns. Gone.💔It is horrifying to hear about the reported deaths of 15 newborns in the NICU at . These babies ha...
26/08/2026

15 newborns. Gone.💔

It is horrifying to hear about the reported deaths of 15 newborns in the NICU at .

These babies had no voice. No way to run. No way to save themselves.
They were 100% dependent on the system that was supposed to protect them.

And that system failed.

If a neonatal ward has no proper emergency exit, no adequate fire-safety measures, and no trained team capable of evacuating critically ill infants, this is not "negligence".
This is a catastrophic administrative and institutional failure.

We can spend trillions on defence...
But we cannot ensure the most basic fire-safety protocols in hospitals?

15 innocent lives have been lost.
Who will take responsibility for these preventable deaths?
How many more tragedies will it take before basic safety standards in our hospitals are treated as NON-NEGOTIABLE?

This cannot be another headline we scroll past.
Share this. Tag authorities. Demand answers.

Pims Hospital Islamabad

22/08/2026

Nightmares after 24 hours Pediatric ER call hit harder then call itself 🥼💉☠️🧠👨‍⚕️🫥🙄🤯



Keywords packed: 24 hours ER call, Nightmares, ER, Emergency Room, Resident Life, Night Shift, PTSD, Codes, MedTok, Doctor Life, Hospital, Burnout

What to expect when bringing your new baby home from the hospital 👶
21/08/2026

What to expect when bringing your new baby home from the hospital 👶

Myths about newborns and some actual facts
18/08/2026

Myths about newborns and some actual facts

*Today in NICU: NEONATAL VARICELLA in a 4 day old newborn* A 4 day old term baby was brought with fever and vesicular ra...
18/08/2026

*Today in NICU: NEONATAL VARICELLA in a 4 day old newborn*

A 4 day old term baby was brought with fever and vesicular rash.
On exam: multiple fluid filled vesicles on erythematous base, scattered over face, trunk and extremities. Some lesions were in different stages.

*History:*
Mother had chickenpox 5 days before delivery. No maternal varicella vaccination history.

*Diagnosis: Neonatal Varicella / Congenital Varicella Syndrome risk*

# # # *Why this is an emergency in Neonatology:*
Neonatal Varicella in the first 7 to 10 days of life is high risk.
If maternal infection occurs 5 days before to 2 days after delivery, baby has no protective maternal IgG and can develop disseminated disease with pneumonia, hepatitis, encephalitis and high mortality.

# # *Management in NICU:*
1. Isolation and strict contact precautions
2. IV Acyclovir started immediately
3. IVIG Varicella Zoster Immune Globulin VZIG given to baby
4. Respiratory support and monitoring for complications
5. Mother and caregivers screened. Breastfeeding guidance given
6. Close monitoring in NICU for sepsis, pneumonia, liver involvement

*Key Clinical Pearls for Pediatricians:*
1. Maternal varicella near delivery is a red flag
2. Early antiviral therapy saves lives in neonatal chickenpox
3. VZIG post exposure prophylaxis is critical if given within 96 hours
4. Vaccinate susceptible mothers postpartum and counsel about future pregnancies

Patient identity protected. Shared with consent for medical education and awareness.

Pediatricians and NICU teams, have you managed a case of neonatal varicella Comment your protocol below

Keywords packed: Neonatal Varicella, 4 day old, Newborn, NICU, Neonatology, Chickenpox, Congenital Varicella, VZIG,

Today in Pediatric ICU: ARNOLD CHIARI MALFORMATION TYPE 2 with PneumoniaA 4 month old infant was admitted with fever, co...
16/08/2026

Today in Pediatric ICU: ARNOLD CHIARI MALFORMATION TYPE 2 with Pneumonia

A 4 month old infant was admitted with fever, cough, and increased work of breathing.
On exam: macrocephalic head, anterior fontanelle full, repaired meningomyelocele on back ,respiratory distress with crackles.

Background history:
Diagnosed case of Arnold Chiari Malformation Type 2
Associated Meningomyelocele repaired in neonatal period
Congenital Hydrocephalus with VP Shunt in situ

ICU Course:
Chest X ray showed bilateral infiltrates consistent with Pneumonia
Started on oxygen, IV antibiotics, chest physiotherapy and close neuro monitoring
Shunt function assessed. No signs of shunt infection or shunt failure at this time
Neurosurgery and pediatrics co-managed

Key Clinical Pearls for Pediatricians, Neurosurgeons and ICU Teams:
1. Arnold Chiari Malformation Type 2 is almost always associated with Myelomeningocele and Hydrocephalus
2. These babies are at high risk for Respiratory Complications due to brainstem dysfunction and poor cough reflex. Pneumonia is a leading cause of morbidity
3. Any febrile illness in a child with VP Shunt needs rule out of shunt infection, shunt malfunction, and meningitis along with sepsis workup
4. Multidisciplinary care saves lives: PICU, pediatric neurosurgery, pulmonology, and rehabilitation

Arnold Chiari Malformation Type 2 is rare but the complications are not. Early recognition of respiratory distress in these children is critical.

Patient identity protected. Shared with consent for medical education and awareness.

To my medical community: Have you managed a similar case in PICU Comment your approach below

PediatricICU PICU PediatricNeurosurgery Meningomyelocele SpinaBifida Hydrocephalus VPShunt ShuntMalfunction Pneumonia RespiratoryInfection

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