Flail chest in thoracic injuries can be a cause of concern, as in the presence of associated injuries; it carries high morbidity and mortality. Flail chest injuries usually result from deceleration injuries and may be associated with sternal fracture, aortic and tracheobronchial disruption. Flail chest influences the morbidity encountered in multiple injured patients. The clinical presentation of the flail chest depends on the size of the flail segment, the intrathoracic pressure gradient during breathing, and the associated injury to the lung and thoracic wall. Treatment of these patients depends on the physiologic impairment caused by the flail segment and the severity of other associated injuries.

Introduction: Among the paediatric neurological disorder, seizure ranks first. Status Epilepticus (SE) is a neurological emergency. It is associated with significant morbidity and mortality. The objectives of the presented study were to determine the clinical profile and outcome of status epilepticus in infant and children at a tertiary care hospital in Philippines. Methodology: It was a retrospective study conducted in Department of Pediatrics, National Children's Hospital, Quezon City, Philippines. All the patients in the age range 1 month to 18 years, admitted and diagnosed as cases of SE between January 2008 to December 2014 formed the sample size. Results: The seven-year average hospital based incidence of SE was 138.5 per 100,000 admissions. The most common underlying cause of SE was seizure disorder (29.89%), followed by bacterial meningitis (13.8%), and cerebral palsy (10.3%). Conclusion: Febrile SE is the common form of convulsive SE. There is high morbidity and mortality associated with SE.

A 22 years old young male, presented with darkening of the skin of the left side of the face, which began 3 years ago and was gradually progressive. On examination, bluish to brown coalescing macules and predominantly patches were seen involving forehead, malar region and temple with sparing of periorbital skin. On further assessment, his sclera showed bluish discoloration spanning the pericorneal region. The bluish discoloration of the sclera was present since birth. A diagnosis of naevus of Ota was made.