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Diarrhoea, vomiting and reduced wet nappies - a familiar story with unexpected twists
Diarrhoea, vomiting and reduced wet nappies - a familiar story with unexpected twists
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Postexposure prophylaxis for varicella/shingles: a review of the UKHSA guidelines
Postexposure prophylaxis for varicella/shingles: a review of the UKHSA guidelines
BackgroundVaricella zoster virus (VZV) is a human herpes virus that causes chickenpox (or varicella) and shingles. Chicken...
NEO-TRAIN pushing the boundaries of quality improvement on the neonatal unit
NEO-TRAIN pushing the boundaries of quality improvement on the neonatal unit
Key messagesWHAT WE ALREADY KNOW ON THIS TOPICImplementing sustainable change can be challenging.Quality improvement (QI) ...
Guideline review: Sudden and unexpected postnatal collapse - BAPM framework
Guideline review: Sudden and unexpected postnatal collapse - BAPM framework
‘Sudden and Unexpected Postnatal Collapse: A BAPM Framework for Reducing Risk, Investigation and Management’ (Framework)1 ...
Four months of tuberculosis (TB) treatment is non-inferior to the current 6-month treatment in drug-susceptible paediatric TB
Four months of tuberculosis (TB) treatment is non-inferior to the current 6-month treatment in drug-susceptible paediatric TB
Study design Design: An open-label, non-inferiority, randomised controlled trial. Allocation: 1:1 allocation, stratified...
Fifteen-minute consultation: Rectal bleeding in children
Fifteen-minute consultation: Rectal bleeding in children
Bleeding per rectum in children is an infrequent presentation associated with a wide range of differential diagnoses, from...
Fifteen-minute consultation: A structured approach to the child with palpable cervical lymph nodes
Fifteen-minute consultation: A structured approach to the child with palpable cervical lymph nodes
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Fifteen-minute consultation: Recognition and management of eating disorders presenting to the emergency department
Fifteen-minute consultation: Recognition and management of eating disorders presenting to the emergency department
IntroductionIt is estimated that over 700 000 people in the UK have an eating disorder, with the highest risk of onset in ...
How to use lumbar puncture manometry in children
How to use lumbar puncture manometry in children
Box 3 How much CSF can be safely collected?In adults, with a typical cranial CSF volume of at least 150 mL,26 it has been ...
How to use the Bristol Stool Chart in childhood constipation
How to use the Bristol Stool Chart in childhood constipation
Case historyA 10-year-old girl is referred to the general paediatric outpatient clinic with constipation. She has been tre...
Tailing growth, neonatal jaundice and anaemia
Tailing growth, neonatal jaundice and anaemia
At medical school, there is a phrase to help us remember that common things are common: ‘If you hear hooves think horses, ...
Gene therapy for spinal muscular atrophy
Gene therapy for spinal muscular atrophy
GlossaryVg/kg = vector genomes/kilogramSMA = Spinal Muscular AtrophyAAV9 = Adeno-associated virus serotype 9CHOP-INTEND: C...
Two-year-old boy with sparse hair
Two-year-old boy with sparse hair
Our patient was born full term and with no complications from non-consanguineous healthy parents. He was referred to the p...
Fifteen-minute consultation: Management of constipation in childhood
Fifteen-minute consultation: Management of constipation in childhood
Constipation is common in childhood. It is a frequent presentation to primary care and common reason for referral to secon...
Can we apply more generalism in child health?
Can we apply more generalism in child health?
A workshop at the 2022 meeting of the Royal College of Paediatrics and Child Health used the fictitious case of Shelly (bo...
Mysterious chronic skin lesions
Mysterious chronic skin lesions
A 10-year-old boy presented to our paediatric emergency department with a 10-month history of chronic diffuse cutaneous le...
Developing and assessing health information technologies: opportunities and challenges
Developing and assessing health information technologies: opportunities and challenges
IntroductionInternationally, billions of dollars have been invested in Health Information Technologies (HITs).1 In the UK,...
Using coaching skills in paediatric practice: a summary of use and benefits
Using coaching skills in paediatric practice: a summary of use and benefits
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How to design and deliver a successful paediatric placement for medical students
How to design and deliver a successful paediatric placement for medical students
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Making sense of the paediatric ECG: ST segments
Making sense of the paediatric ECG: ST segments
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Fifteen-minute consultation: What do paediatricians need to know about child refugee and migrant health needs?
Fifteen-minute consultation: What do paediatricians need to know about child refugee and migrant health needs?
Increasing numbers of refugees have entered Europe over recent years, reflective of international crises caused by conflic...
Fifteen-minute consultation: Management of paediatric minor burns
Fifteen-minute consultation: Management of paediatric minor burns
Burn injuries are a common presentation to the paediatric emergency department (PED) and are painful, distressing and may ...
Fifteen-minute consultation: A guide to the paediatric primary survey
Fifteen-minute consultation: A guide to the paediatric primary survey
The caseYou are the paediatric ST6 covering a busy PED and receive a prealert at 21:00 hours. The paramedic relays the fol...
Secondary survey in paediatric trauma
Secondary survey in paediatric trauma
AbstractThe purpose of a secondary survey is to identify the non–life-threatening injuries that are not a priority in the ...
Epilogue: Anaemia + abdominal mass = is it cancer?
Epilogue: Anaemia + abdominal mass = is it cancer?
A 2-year-old boy presented with several weeks of pallor, lethargy, intermittent fever and increasing abdominal distension....
Unconventional management approach to a life-threatening neonatal respiratory condition
Unconventional management approach to a life-threatening neonatal respiratory condition
A steroid-exposed 1100g infant of 27+3 weeks’ gestation was born by emergency caesarean section for maternal COVID-19 pneu...
Making sense of the paediatric ECG: P waves
Making sense of the paediatric ECG: P waves
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How to interpret cardiac biomarkers in children?
How to interpret cardiac biomarkers in children?
Cardiac biomarkers are used as first-line diagnostic tools in suspected myocardial injury and heart failure in adult patie...
Catatonic conundrum
Catatonic conundrum
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Fifteen-minute consultation: An overview of major incidents
Fifteen-minute consultation: An overview of major incidents
IntroductionMajor incidents are defined as specific events (or series of events) causing multiple casualties which exceeds...
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