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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; ...
What is cystic fibrosis screen positive inconclusive diagnosis? And what is it not?
What is cystic fibrosis screen positive inconclusive diagnosis? And what is it not?
Since screening for cystic fibrosis (CF) was incorporated into the newborn screening program, the number of recognised var...
Implementation of a group coaching initiative for paediatric trainees approaching career transitions
Implementation of a group coaching initiative for paediatric trainees approaching career transitions
The problemTrainees make several transitions during a career, which increase stress and work-related anxiety.1 2 Feedback ...
Fifteen-minute consultation: Palpitations in children
Fifteen-minute consultation: Palpitations in children
IntroductionPalpitations are a common presenting symptom in the paediatric population and generate understandable anxiety ...
Fifteen-minute consultation: Management of albuminuria in children and young people with diabetes
Fifteen-minute consultation: Management of albuminuria in children and young people with diabetes
In addition to urinary ACR, glomerular filtration rate (GFR) is a useful marker of kidney function. The ISPAD and ADA guid...
Child bereavement--what matters to the families. Part 1: Immediate and short-term communication and care
Child bereavement--what matters to the families. Part 1: Immediate and short-term communication and care
The death of a child is a complex and hugely significant time for a family and community. Sophisticated but sensitive mana...
Child bereavement--what matters to the families. Part 2: The long term
Child bereavement--what matters to the families. Part 2: The long term
The death of a child is a devastating event. Families experience profound grief and loss immediately following the death, ...
Multidisciplinary training initiative for postnatal clinical environments to increase staffs confidence in managing babies requiring neonatal transitional care
Multidisciplinary training initiative for postnatal clinical environments to increase staffs confidence in managing babies requiring neonatal transitional care
SummaryImplementation of a quarterly multidisciplinary neonatal transitional care (NTC) study day to ensure all staff work...
Fifteen-minute consultation: How to approach the initial discussions of dysmorphism with parents
Fifteen-minute consultation: How to approach the initial discussions of dysmorphism with parents
Approaching discussions and introducing the idea of dysmorphology to parents and families can be perceived as difficult an...
What are CAR T-cells?
What are CAR T-cells?
IntroductionFor decades, cancer treatment has involved various permutations of three modalities: chemotherapy, surgery and...
Applied pharmacokinetics to improve pharmacotherapy in neonatal and paediatric intensive care units: focus on correct dose selection
Applied pharmacokinetics to improve pharmacotherapy in neonatal and paediatric intensive care units: focus on correct dose selection
Drug dosing and exposure throughout childhood are constantly affected by maturational changes like weight, age or body sur...
Term neonate with neck and supraclavicular swelling at birth
Term neonate with neck and supraclavicular swelling at birth
A term infant was delivered via elective caesarean section (CS). Antenatal history was unremarkable. Delivery of the head ...
UK Kidney Association guideline review: 'The initial management of IgA vasculitis (Henoch-Schönlein purpura) in children and young people in conjunction with 'The management of complications-associated IgA vasculitis (Henoch-Schönlein purpura) in children and young people
UK Kidney Association guideline review: 'The initial management of IgA vasculitis (Henoch-Schönlein purpura) in children and young people in conjunction with 'The management of complications-associated IgA vasculitis (Henoch-Schönlein purpura) in children and young people
IgA vasculitis (IgAV), previously known as Henoch-Schönlein purpura (HSP), is an IgA-mediated autoimmune vasculitis typica...
Adolescent with an abrupt onset of muscle pain and fever
Adolescent with an abrupt onset of muscle pain and fever
An early-teen boy with spastic bilateral cerebral palsy predominantly affecting the lower limbs was admitted to hospital w...
Weak femoral pulses post procedure
Weak femoral pulses post procedure
A 10-month old, ex 29-week gestation infant attends general paediatric clinic. She is 2 months post-transcutaneous occlusi...
Fifteen-minute consultation: The prepubescent gender-diverse child: how to answer parents questions
Fifteen-minute consultation: The prepubescent gender-diverse child: how to answer parents questions
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Fifteen-minute consultation: Management of primary headaches in children
Fifteen-minute consultation: Management of primary headaches in children
AbstractHeadache is a common presentation among children, and is classified as either primary or secondary, with secondary...
Fifteen-minute consultation: Approach to the infant with stridor and suspected laryngomalacia
Fifteen-minute consultation: Approach to the infant with stridor and suspected laryngomalacia
Stridor in an infant is a significant clinical sign; the primary objectives are to ensure that the airway is safe and to a...
Recognition, prevention and management of 'digital harm
Recognition, prevention and management of 'digital harm
Taking a full digital history in every consultation is impractical, therefore recognition of common digital harm outcomes ...
Emergency and perioperative management of adrenal insufficiency in children and young people: BSPED consensus guidelines
Emergency and perioperative management of adrenal insufficiency in children and young people: BSPED consensus guidelines
Adrenal insufficiency (AI) is characterised by a deficiency in adrenal cortisol production. It can arise due to a primary ...
Infant with macroglossia
Infant with macroglossia
A 10-month-old boy was admitted with a 4-month history of progressive macroglossia, coarse facial features and loss of mot...
Interpretation: use of autoantibodies in children
Interpretation: use of autoantibodies in children
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Paediatric shadowing: a student-led initiative to increase medical student interest in paediatric careers
Paediatric shadowing: a student-led initiative to increase medical student interest in paediatric careers
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