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Fifteen-minute consultation: Approach to a child with congenital insensitivity to pain
Fifteen-minute consultation: Approach to a child with congenital insensitivity to pain
The hereditary sensory and autonomic neuropathies (HSANs) are a group of rare genetic disorders characterised by variable ...
Fifteen-minute consultation: Management of acute dystonia exacerbation and status dystonicus
Fifteen-minute consultation: Management of acute dystonia exacerbation and status dystonicus
IntroductionDystonia is defined as ‘a movement disorder characterised by sustained or intermittent muscle contractions cau...
Fifteen-minute consultation: a guide to paediatric major haemorrhage
Fifteen-minute consultation: a guide to paediatric major haemorrhage
Major trauma is a principal cause of morbidity and mortality in children. Severe haemorrhage is the second-leading cause o...
Toddler with isolated gross motor delay
Toddler with isolated gross motor delay
A boy presented after his gross motor development plateaued at around 1 year of age. He sat unsupported at 8 months, cruis...
National guidance for the management of children in hospital with viral respiratory tract infections (2023)
National guidance for the management of children in hospital with viral respiratory tract infections (2023)
BackgroundUpdated national guidance1 was issued in October 2023 based on the lessons learnt during COVID-19 in 2020 for th...
NICE guideline review: type 2 diabetes in children and young people - diagnosis and management (NG18)
NICE guideline review: type 2 diabetes in children and young people - diagnosis and management (NG18)
In May 2023, the National Institute for Health and Care Excellence (NICE) updated the section on T2D of the guideline on ‘...
Reducing unplanned extubation in tertiary NICU: a quality improvement project
Reducing unplanned extubation in tertiary NICU: a quality improvement project
SummaryMechanically ventilated neonates are prone to unplanned extubation (UE) or accidental extubation causing cardioresp...
CT brain interpretation in paediatric trauma
CT brain interpretation in paediatric trauma
The management of head trauma is an essential component of working in Emergency Medicine, be it a paediatric, adult or mix...
'More part of the team: co-creating during paediatric placements
'More part of the team: co-creating during paediatric placements
Belonging is critical for the development and well-being of medical students. Feeling a sense of belonging is a significan...
Optimising paediatric bedside teaching for medical students
Optimising paediatric bedside teaching for medical students
Bedside teaching is a common teaching modality in undergraduate and postgraduate curricula and involves students being sup...
Fifteen-minute consultation: Empowering children, young people and families through shared decision-making: a practical guide
Fifteen-minute consultation: Empowering children, young people and families through shared decision-making: a practical guide
Shared decision-making (SDM) is an essential, mandated part of healthcare. When done well, it can transform a patient’s ex...
Fifteen-minute consultation: The approach to the child with precocious puberty
Fifteen-minute consultation: The approach to the child with precocious puberty
Precocious puberty has traditionally been defined as the onset of secondary sexual characteristics occurring before age 8 ...
Acute safeguarding essentials in modern-day paediatrics--sexual relationships, consent and confidentiality
Acute safeguarding essentials in modern-day paediatrics--sexual relationships, consent and confidentiality
As the third case in the acute safeguarding essentials in modern-day paediatrics series, this article focuses on sexual re...
Neonate with a large neck mass
Neonate with a large neck mass
A male term infant, with polyhydramnios, was delivered by caesarean section. Family history included a sibling with Edward...
Secondary bacterial infection of eczema and other common skin conditions: antimicrobial prescribing
Secondary bacterial infection of eczema and other common skin conditions: antimicrobial prescribing
The guideline update, NG (190), on secondary bacterial infection of eczema and other common skin conditions: antimicrobial...
Barking up the wrong bronchial tree
Barking up the wrong bronchial tree
A 1-year-old girl presented to the emergency department with a 3-week history of barking cough and inspiratory stridor at ...
Genomic testing in neonates
Genomic testing in neonates
IntroductionRare genetic conditions are a major cause of neonatal mortality and morbidity.1 2 For some conditions, early r...
RCPCH/NPPG joint standing committee on medicines, best practice consensus guidelines for medication safe paediatric ward rounds, December 2023
RCPCH/NPPG joint standing committee on medicines, best practice consensus guidelines for medication safe paediatric ward rounds, December 2023
BackgroundThe ward round represents an important opportunity for all aspects of a patient’s care to be reviewed, including...
Of oranges and lemons: you are what you eat
Of oranges and lemons: you are what you eat
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Medical student interactions with children in their daily lives
Medical student interactions with children in their daily lives
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Neurological presentation does not always mean a neurological diagnosis
Neurological presentation does not always mean a neurological diagnosis
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Use of corticosteroids for croup in children
Use of corticosteroids for croup in children
Key pointsCorticosteroids, compared with placebo, are more effective for treating croup within the first 24 hours.Oral tre...
How to diagnose IgE-mediated food allergy
How to diagnose IgE-mediated food allergy
IntroductionAdverse food reactions can be broadly classified into immune-mediated and non-immune-mediated reactions, with ...
Public health for paediatricians: how an evolutionary perspective can help us improve childrens well-being
Public health for paediatricians: how an evolutionary perspective can help us improve childrens well-being
Humans lived as hunter-gatherers for 95% of our 200 000-year history.1 Social scientists call our modern societies ‘WEIRD’...
Unusual cause of hypoxia
Unusual cause of hypoxia
A 7-year-old boy was referred to a tertiary centre for further assessment having been found to be hypoxic (SpO2 83% in air...
Fifteen-minute consultation: Group A streptococcal pharyngitis, diagnosis and treatment in children
Fifteen-minute consultation: Group A streptococcal pharyngitis, diagnosis and treatment in children
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Fifteen-minute consultation: Management of mammalian bites in children--from local wound care to prophylactic antibiotics
Fifteen-minute consultation: Management of mammalian bites in children--from local wound care to prophylactic antibiotics
Animal and human bites are a common reason for emergency consultation, especially in children. The most common complicatio...
Fifteen-minute consultation: Assessment of pain in a non-verbal child
Fifteen-minute consultation: Assessment of pain in a non-verbal child
In both inpatient and outpatient settings, clinicians will encounter patients with pain. This consultation is further comp...
Fifteen-minute consultation: Pathophysiology of postural orthostatic tachycardia syndrome in children and adolescents: diagnosis and management strategies
Fifteen-minute consultation: Pathophysiology of postural orthostatic tachycardia syndrome in children and adolescents: diagnosis and management strategies
Postural orthostatic tachycardia syndrome (POTS) affects children and adolescents—normally fit and well and yet troubled b...
Aminoglycoside administration in paediatrics: a literature search comparing international practices of intravenous injection or intravenous infusion
Aminoglycoside administration in paediatrics: a literature search comparing international practices of intravenous injection or intravenous infusion
Key messagesThe suggested methods of aminoglycoside administration in paediatrics vary within the UK and internationally; ...
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