814 results match your criteria Archives of disease in childhood. Education and practice edition[Journal]


Fifteen-minute consultation: The EATERS method for the diagnosis of food allergies.

Arch Dis Child Educ Pract Ed 2019 Apr 4. Epub 2019 Apr 4.

The Adam Practice, Poole, UK.

The EATERS mnemonic is a novel method for taking an allergy focused clinical history. It provides a degree of certainty for diagnosing food allergy and can be used in both IgE and non IgE mediated reactions. EATERS will allow health care professionals to use their existing clinical skills to interpret the history of an allergic reaction, and by doing so will help to make sense of allergy test results. Read More

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http://dx.doi.org/10.1136/archdischild-2018-316397DOI Listing
April 2019
3 Reads

Abnormal thyroid function in paediatric practice.

Arch Dis Child Educ Pract Ed 2019 Apr 4. Epub 2019 Apr 4.

Department of Paediatric Endocrinology, KK Women's and Children's Hospital, Singapore, Singapore.

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http://dx.doi.org/10.1136/archdischild-2018-316426DOI Listing
April 2019
6 Reads

Long lines and atypical anatomy.

Arch Dis Child Educ Pract Ed 2019 Apr 4. Epub 2019 Apr 4.

Neonatal Unit, Bradford Teaching Hospitals Foundation Trust, Bradford, UK.

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http://ep.bmj.com/lookup/doi/10.1136/archdischild-2018-31661
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http://dx.doi.org/10.1136/archdischild-2018-316612DOI Listing
April 2019
3 Reads

Pituitary gigantism: a rare learning opportunity.

Arch Dis Child Educ Pract Ed 2019 Apr 4. Epub 2019 Apr 4.

Department of Endocrinology, Oxford Children's Hospital, Oxford, UK.

Introduction: Pituitary gigantism is a rare but significant paediatric condition with complexities surrounding diagnosis and management. Transsphenoidal surgery (TSS) is the treatment of choice; however, medical treatment is often considered as adjuvant therapy.

Case: A 10½ -year-old boy presented with tall stature and a height velocity of 11 cm/year. Read More

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http://dx.doi.org/10.1136/archdischild-2018-316282DOI Listing
April 2019
4 Reads

How to interpret urine toxicology tests.

Arch Dis Child Educ Pract Ed 2019 Mar 26. Epub 2019 Mar 26.

Paediatric Department, Addenbrooke's Hospital, Cambridge, UK.

A 13-year-old girl presents to the emergency department for the second time with an unresponsive episode. She has a GCS (Glasgow Coma Scale) score of 11 on arrival and all other observations are normal. The story is unclear, but there are ongoing safeguarding concerns and the family are known to social services. Read More

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http://dx.doi.org/10.1136/archdischild-2018-316139DOI Listing

Earlier introduction of solid food is associated with improved sleep in infants.

Arch Dis Child Educ Pract Ed 2019 Mar 26. Epub 2019 Mar 26.

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http://dx.doi.org/10.1136/archdischild-2019-316960DOI Listing

Acute urinary retention in a 4-year-old girl.

Arch Dis Child Educ Pract Ed 2019 Mar 26. Epub 2019 Mar 26.

Department of Woman, Child and of General and Specialized Surgery, Universita degli Studi della Campania Luigi Vanvitelli, Napoli, Italy.

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Rare and unexpected cause of diabetes in a teenager.

Arch Dis Child Educ Pract Ed 2019 Mar 20. Epub 2019 Mar 20.

Department of Paediatric Endocrinology, Oxford University Hospitals NHS Foundation Trust, Oxford, Oxfordshire, UK.

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http://dx.doi.org/10.1136/archdischild-2018-315857DOI Listing

Fifteen-minute consultation: A guide to managing a child with a new finding of neutropenia.

Arch Dis Child Educ Pract Ed 2019 Mar 4. Epub 2019 Mar 4.

Centre for Reviews and Dissemination, University of York, York, UK.

Objective: To describe a structured approach for managing a child with a new finding of neutropenia.

Method: Literature review and consensus practice of clinicians in our regional centre.

Conclusion: Neutropenia may arise in a variety of situations from a well child with a physiological neutropenia to a sick infant with life-threatening infection. Read More

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http://dx.doi.org/10.1136/archdischild-2019-316829DOI Listing
March 2019
6 Reads

Nineteen-month-old girl with persistent fever.

Arch Dis Child Educ Pract Ed 2019 Feb 23. Epub 2019 Feb 23.

Pediatric Hematology Unit, Department of Woman, Child and of General and Specialized Surgery, Università degli Studi della Campania, Naples, Italy.

CASE REPORT: A 19-month-old girl with right fourth-degree vesicoureteral reflux and left small non-functional kidney was admitted with a 6-day 39°C fever. She was receiving antibiotic prophylaxis (amoxicillin-clavulanate) for urinary tract infections (UTIs). At admission, she had been taking ciprofloxacin for 2 days due to leucocyturia and nitrites shown by the urine dipstick without urine culture test being done. Read More

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http://dx.doi.org/10.1136/archdischild-2018-316493DOI Listing
February 2019
9 Reads

Prophylactic platelet transfusion at higher thresholds was associated with increased risk of death or major bleeding in neonates.

Arch Dis Child Educ Pract Ed 2019 Feb 23. Epub 2019 Feb 23.

Basic Dental Sciences, College of Dentistry, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.

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http://dx.doi.org/10.1136/archdischild-2019-316838DOI Listing
February 2019

How to use abdominal X-rays in preterm infants suspected of developing necrotising enterocolitis.

Arch Dis Child Educ Pract Ed 2019 Feb 18. Epub 2019 Feb 18.

Department of Neonatology, University College London Hospital, London, UK.

Necrotising enterocolitis (NEC) in preterm babies is a serious gastrointestinal emergency with potentially devastating consequences. Prompt and accurate diagnosis continues to be a challenge for health professionals. Early identification of clinical warning signs is extremely important, but the diagnosis relies heavily on the interpretation of abdominal radiographs. Read More

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http://dx.doi.org/10.1136/archdischild-2018-315252DOI Listing
February 2019

Fifteen-minute consultation: A general paediatrician's guide to oncological abdominal masses.

Arch Dis Child Educ Pract Ed 2019 Feb 7. Epub 2019 Feb 7.

Department of Pathology, University of Cambridge, Cambridge, UK.

The identification of an abdominal mass in a child, either coincidental or symptomatic, may be due to a tumour. An abdominal tumour may present with life-threatening symptoms, requiring prompt assessment and management. Although the discovery of such a finding usually warrants inpatient transfer or outpatient referral to the tertiary oncology centre, the initial evaluation, management and communication with the family by the general paediatrician is crucial. Read More

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http://dx.doi.org/10.1136/archdischild-2018-315270DOI Listing
February 2019
1 Read

Fifteen-minute consultation: Recognising primary immune deficiencies in children.

Arch Dis Child Educ Pract Ed 2019 Feb 7. Epub 2019 Feb 7.

Department of Paediatrics, Institute of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden.

Children with primary immunodeficiency syndromes present with broad variation of clinical features and the consequences are often severe if not promptly recognised. Here, support is provided for the general paediatrician to recognise primary immunodeficiencies among the many children they meet in their clinical practice. Read More

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http://dx.doi.org/10.1136/archdischild-2018-315484DOI Listing
February 2019
2 Reads

Antibiotic prescribing for upper respiratory tract infections: NICE guidelines.

Arch Dis Child Educ Pract Ed 2019 Feb 1. Epub 2019 Feb 1.

Paediatric Intensive Care Unit, Addenbrooke's Hospital, Cambridge, UK.

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http://dx.doi.org/10.1136/archdischild-2018-316159DOI Listing
February 2019
9 Reads

Case of knee swelling.

Arch Dis Child Educ Pract Ed 2019 Feb 1. Epub 2019 Feb 1.

Department of Paediatrics, Russells Hall Hospital, Dudley, UK.

Questions: What does the X-ray show?InfectionPeriarticular soft tissue calcificationArtefactGout What condition is associated with these radiological findings?Tumorous calcinosisSynovial sarcomaChronic renal failureJuvenile dermatomyositisAll of the above What biochemical abnormality is seen in this condition?Low calciumRaised calciumRaised or normal phosphateNone of the above What is the most appropriate treatment?Normalisation of any biochemical abnormalitiesSurgical excisionConservative managementAll of the above Read More

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http://ep.bmj.com/lookup/doi/10.1136/archdischild-2018-31626
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http://dx.doi.org/10.1136/archdischild-2018-316268DOI Listing
February 2019
8 Reads

Rituximab is more effective than tacrolimus in steroid-dependent nephrotic syndrome.

Arch Dis Child Educ Pract Ed 2019 Feb 1. Epub 2019 Feb 1.

Paediatric Nephrology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.

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http://dx.doi.org/10.1136/archdischild-2018-316537DOI Listing
February 2019
7 Reads

Child presenting with breathlessness 1 month after cardiac surgery.

Arch Dis Child Educ Pract Ed 2019 Feb 1. Epub 2019 Feb 1.

School of Medicine, University of Trieste, Trieste, Italy.

Questions: 1. What is your diagnosis?Atelectasis.Pneumothorax. Read More

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http://dx.doi.org/10.1136/archdischild-2018-316156DOI Listing
February 2019
9 Reads

Child with intermittent diplopia after otitis media.

Arch Dis Child Educ Pract Ed 2019 Feb 1. Epub 2019 Feb 1.

Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.

QUESTION 1: What is the diagnosis in this patient?Brain abscessAcute suppurative mastoiditisOptic neuritisCerebral venous sinus thrombosisSubdural haematoma QUESTION 2: What are the most common clinical presentations of this condition? QUESTION 3: How should this patient be managed? Read More

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http://ep.bmj.com/lookup/doi/10.1136/archdischild-2018-31630
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http://dx.doi.org/10.1136/archdischild-2018-316307DOI Listing
February 2019
10 Reads

Transcriptome: from laboratory to clinic room.

Arch Dis Child Educ Pract Ed 2019 Feb 1. Epub 2019 Feb 1.

Department of Clinical Genetics, Royal Hospital for Children, Glasgow, UK.

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http://ep.bmj.com/lookup/doi/10.1136/archdischild-2017-31389
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http://dx.doi.org/10.1136/archdischild-2017-313890DOI Listing
February 2019
6 Reads

How to use clinical signs of meningitis.

Arch Dis Child Educ Pract Ed 2019 Jan 28. Epub 2019 Jan 28.

School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK.

Meningitis is a critical diagnosis not to miss in children presenting with fever. Since the early 20th century, classical clinical signs have been used to aid the diagnosis of meningitis. These classical signs are nuchal rigidity, Kernig's sign and Brudzinski's sign. Read More

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http://dx.doi.org/10.1136/archdischild-2018-315428DOI Listing
January 2019
1 Read

Spots and bends.

Arch Dis Child Educ Pract Ed 2019 Jan 19. Epub 2019 Jan 19.

Radiology, West Middlesex University Hospital, Isleworth, UK.

Questions: What is the differential diagnosis for infantile tibial bowing and what are the clinical clues that aid diagnosis?What is the most likely diagnosis in this case? How will you confirm the diagnosis?What is the significance for future surveillance and prognosis?What is the mechanism and complications of this bone abnormality? Read More

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http://dx.doi.org/10.1136/archdischild-2018-316277DOI Listing
January 2019
1 Read

Fifteen-minute consultation: Emergency management of tracheostomy problems in children.

Arch Dis Child Educ Pract Ed 2019 Jan 11. Epub 2019 Jan 11.

ENT Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK.

It is vital for healthcare professionals to have a basic understanding of tracheostomy tubes, including their routine and emergency care. Children with tracheostomies can be encountered in all areas of paediatrics from the community to tertiary units; they can be more prone to respiratory infections and may have comorbidities that increase hospital attendance. Tracheostomy-related emergencies are associated with significant morbidity and potential mortality; however, the majority of tracheostomy-related complications are preventable. Read More

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http://dx.doi.org/10.1136/archdischild-2018-316099DOI Listing
January 2019
2 Reads

Adolescent with unilateral vision loss.

Arch Dis Child Educ Pract Ed 2019 Jan 7. Epub 2019 Jan 7.

Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.

QUESTION 1: What is the most likely diagnosis?Optical neuritis (ON).Central nervous system (CNS) tumour.Functional visual loss (FVL). Read More

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http://dx.doi.org/10.1136/archdischild-2018-316153DOI Listing
January 2019
2 Reads

Fifteen-minute consultation: Why and how do children get urinary tract infections?

Authors:
Kjell Tullus

Arch Dis Child Educ Pract Ed 2019 Jan 7. Epub 2019 Jan 7.

This paper describes urinary tract infections (UTI) from the perspective of a disturbed balance between bacterial virulence and host defence. In some children, a UTI is caused by a virulent while in other cases children with abnormal renal tracts can get infected by almost any bacteria. Such knowledge can help in guiding treatment, investigations and follow-up of a child with a UTI. Read More

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http://dx.doi.org/10.1136/archdischild-2018-315023DOI Listing
January 2019
1 Read

Say 'ahh'… assessing structural and functional palatal issues in children.

Arch Dis Child Educ Pract Ed 2018 Dec 19. Epub 2018 Dec 19.

Clinical Sciences, Murdoch Children's Research Institute, Parkville, Victoria, Australia.

Case History: A 5-year-old girl presented with a suspected palatal abnormality, first observed by her general practitioner during a routine examination at 4 years. She had a history of conductive hearing loss on a background of recurrent otitis media, however her hearing had improved since grommet insertion at 4 years and 8 months. Her middle ear dysfunction was thought to be due to abnormal palatal muscles that also control Eustachian tube drainage. Read More

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http://dx.doi.org/10.1136/archdischild-2018-316320DOI Listing
December 2018
2 Reads

There is no role for routine annual echocardiography in patients with repaired dextro-transposition of the great arteries without other cardiac anomalies.

Arch Dis Child Educ Pract Ed 2018 Dec 8. Epub 2018 Dec 8.

Paediatrics, Leeds General Infirmary, Leeds, UK.

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http://dx.doi.org/10.1136/archdischild-2018-316526DOI Listing
December 2018
3 Reads

How to use… iron studies.

Arch Dis Child Educ Pract Ed 2018 Dec 1. Epub 2018 Dec 1.

General Paediatric Department, Altnagelvin Hospital, Londonderry, UK.

Iron studies are frequently requested in paediatric practice. They are useful both as a diagnostic tool and as a way of monitoring certain conditions, particularly those causing iron overload. This article outlines the physiology of iron metabolism and discusses laboratory aspects of performing iron studies, including factors influencing interpretation. Read More

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http://dx.doi.org/10.1136/archdischild-2018-315234DOI Listing
December 2018
2 Reads

Sudden onset of lower limb flaccid paralysis.

Arch Dis Child Educ Pract Ed 2018 Nov 26. Epub 2018 Nov 26.

Department of Paediatrics, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

A previously well 15-year-old boy presented to the emergency department with sudden-onset severe back pain and inability to weight bear. Preceding this event, he stretched out in bed and felt a click in his back.On examination, he was alert and interactive with normal vital signs. Read More

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http://dx.doi.org/10.1136/archdischild-2018-315903DOI Listing
November 2018
4 Reads

Multiple fractures of different ages.

Arch Dis Child Educ Pract Ed 2018 Nov 24. Epub 2018 Nov 24.

Department of Hematology and Oncology Service, KK Women's and Children's Hospital, Singapore, Singapore.

A 2-year-old boy, who was previously well, was admitted for limping associated with left knee pain of 1 month duration. There was no history of witnessed trauma or significant infective symptoms. Systemic review was otherwise unremarkable. Read More

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http://dx.doi.org/10.1136/archdischild-2018-316074DOI Listing
November 2018
16 Reads

Fifteen-minute consultation: When medicines don't work-the child with poorly controlled seizures.

Arch Dis Child Educ Pract Ed 2018 Nov 24. Epub 2018 Nov 24.

Department of Paediatric Neurology, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK.

Drug-resistant epilepsy (DRE) occurs in 20%-30% of children with epilepsy with significant impact on their quality of life. Management of this group of children has greatly improved in the recent years with streamlining of epilepsy surgery services and associated quaternary multimodal evaluation. This article provides a review of DRE in children and management based on recent evidence and published opinion. Read More

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http://dx.doi.org/10.1136/archdischild-2018-316035DOI Listing
November 2018
6 Reads

Guideline review: Epinephrine use in anaphylaxis (AAP guideline 2017).

Authors:
Nicola Goodall

Arch Dis Child Educ Pract Ed 2018 Nov 15. Epub 2018 Nov 15.

Department of Paediatrics, Northumbria Healthcare NHS Foundation Trust, Newcastle, UK.

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http://ep.bmj.com/lookup/doi/10.1136/archdischild-2017-31459
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http://dx.doi.org/10.1136/archdischild-2017-314592DOI Listing
November 2018
23 Reads

Fifteen-minute consultation: How to use an interpreter in a medical consultation.

Arch Dis Child Educ Pract Ed 2018 Nov 15. Epub 2018 Nov 15.

General Paediatrics, Birmingham Children's Hospital, Birmingham, UK.

The use of interpreters is essential in our multicultural society. The families and patients we treat come from differing backgrounds, cultures and spoken language. Many are not proficient in, or may even entirely lack, the ability to communicate effectively in English. Read More

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http://ep.bmj.com/lookup/doi/10.1136/archdischild-2018-31598
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http://dx.doi.org/10.1136/archdischild-2018-315989DOI Listing
November 2018
14 Reads

Clue to the diagnosis on chest X-ray in a child with neck swelling.

Arch Dis Child Educ Pract Ed 2018 Nov 15. Epub 2018 Nov 15.

Department of Paediatric Neurology, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates.

Differentiated thyroid cancer is a rare disease in children and adolescents and manifests exclusively in the form of papillary thyroid cancer (PTC). We present a rare case of PTC who presented initially with lung symptoms and miliary nodules on chest X-ray. This case emphasises the important differential of miliary mottling of the lungs. Read More

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http://ep.bmj.com/lookup/doi/10.1136/archdischild-2018-31585
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http://dx.doi.org/10.1136/archdischild-2018-315856DOI Listing
November 2018
18 Reads
1.456 Impact Factor

Fifteen-minute consultation: Safety netting effectively.

Arch Dis Child Educ Pract Ed 2018 Nov 14. Epub 2018 Nov 14.

Department of Health Sciences, University of Leicester, Leicester, UK.

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http://ep.bmj.com/lookup/doi/10.1136/archdischild-2018-31599
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http://dx.doi.org/10.1136/archdischild-2018-315991DOI Listing
November 2018
12 Reads

Early discharge and rehabilitation in paediatric acquired brain and neurological injury: a transferable model.

Arch Dis Child Educ Pract Ed 2018 Oct 20. Epub 2018 Oct 20.

Department of Paediatric Neurosciences, Nottingham Children's Hospital, Queen's Medical Centre, Nottingham, UK.

Children and young people who require rehabilitation following sustaining an acquired brain injury often experience long lengths of stay (LOS) and potentially poorer recovery outcomes due to limited access to therapy and little proactive discharge planning. After stakeholder enquiry we launched a new team and pathway with a primary aim to reduce LOS. The secondary aims were to pilot an outreach model, reduce cost and improve patient and family satisfaction. Read More

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http://dx.doi.org/10.1136/archdischild-2018-315096DOI Listing
October 2018

Fifteen-minute consultation: History and examination in adolescent gynaecology.

Arch Dis Child Educ Pract Ed 2018 Oct 20. Epub 2018 Oct 20.

Imperial College Healthcare NHS Trust, London, UK.

Disorders of reproductive and sexual health are commonly encountered in paediatric clinics and can present many challenges to the general paediatrician. In this article we aim to discuss general consultation skills relevant to adolescents, appropriate screening questions for reproductive health concerns and the comprehensive assessment of any gynaecological symptoms identified. Crucially a vast array of conditions can be diagnosed with history and examination alone, sometimes with the addition of simple and readily available investigations, without the need for specialist gynaecology referral. Read More

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http://ep.bmj.com/lookup/doi/10.1136/archdischild-2018-31621
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http://dx.doi.org/10.1136/archdischild-2018-316215DOI Listing
October 2018
11 Reads

How to use the videofluoroscopy swallow study in paediatric practice.

Arch Dis Child Educ Pract Ed 2018 Oct 15. Epub 2018 Oct 15.

Royal Belfast Hospital for Sick Children, Belfast, UK.

In paediatric practice feeding, eating, drinking and swallowing difficulties are present in up to 1% of children. Dysphagia is any disruption to the swallow sequence that results in compromise to the safety, efficiency or adequacy of nutritional intake. Swallowing difficulties may lead to pharyngeal aspiration, respiratory compromise or poor nutritional intake. Read More

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http://ep.bmj.com/lookup/doi/10.1136/archdischild-2017-31378
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http://dx.doi.org/10.1136/archdischild-2017-313787DOI Listing
October 2018
16 Reads

Unilateral leg swelling in an infant.

Arch Dis Child Educ Pract Ed 2018 Oct 8. Epub 2018 Oct 8.

Department of Clinical Genetics, Belfast Health and Social Care Trust, Belfast, UK.

An 8-month-old boy presented with a week's history of left lower limb swelling. He was apyrexic, well and developmentally age appropriate. He was born at 35+5 via by C-section for breech presentation, weighing 3. Read More

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http://ep.bmj.com/lookup/doi/10.1136/archdischild-2018-31552
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http://dx.doi.org/10.1136/archdischild-2018-315527DOI Listing
October 2018
20 Reads

Fifteen-minute consultation: Not the whole story-considering children's spirituality and advance care planning.

Arch Dis Child Educ Pract Ed 2018 Sep 28. Epub 2018 Sep 28.

Martin House Children's Hospice, Wetherby, West Yorkshire, UK.

In a society of diverse views, faiths and beliefs, what can paediatric palliative care contribute to our understanding of children's spirituality? By failing to recognise and respond to their spirituality in this work, we risk missing something of profound importance to children and their families. We overlook their search for wholeness in the absence of cure and fall short of offering truly holistic care. This paper explores how developments in advance care planning and related documentation are addressing these issues. Read More

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http://dx.doi.org/10.1136/archdischild-2017-314525DOI Listing
September 2018
1 Read

Fifteen-minute consultation: Attachment as a model to understand and manage difficult doctor-parent relationships.

Authors:
Annie Swanepoel

Arch Dis Child Educ Pract Ed 2018 Sep 28. Epub 2018 Sep 28.

Paediatricians are often faced with managing the child who is unwell, and parents, who may present in ways that are difficult to manage. Difficult behaviours can range from those who disregard their child's needs, to those who overstate their child's minor symptoms, to those who ask for help but then refuse to accept it. This paper gives a framework using attachment theory to help paediatricians recognise, understand and deal with difficult doctor-parent interactions in a way that is appropriate and sensitive. Read More

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http://ep.bmj.com/lookup/doi/10.1136/archdischild-2018-31557
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http://dx.doi.org/10.1136/archdischild-2018-315570DOI Listing
September 2018
1 Read

Twelve-year-old boy presenting with recurrent abdominal pain and 25 urinary calculi.

Arch Dis Child Educ Pract Ed 2018 Sep 15. Epub 2018 Sep 15.

Department of Woman, Child and of General and Specialized Surgery, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.

: A 12-year-old boy, with intermittent abdominal pain from 3 years of age, presented with increased frequency of right lower quadrant pain (at least three episodes per week over the past six months) and pain during micturition affecting school attendance. His family history included referred urolithiasis. An abdominal ultrasound performed 1 year before our visit showed a small stone of 4 mm in the right renal pelvis for which he did not receive any therapy. Read More

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http://ep.bmj.com/lookup/doi/10.1136/archdischild-2018-31507
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http://dx.doi.org/10.1136/archdischild-2018-315073DOI Listing
September 2018
30 Reads

Public health for paediatricians:How can behavioural economics help to make paediatric practice more effective?

Arch Dis Child Educ Pract Ed 2018 Sep 15. Epub 2018 Sep 15.

Association for Young People's Health, London, UK.

Understanding the principles of behavioural economics is important for paediatricians because behavioural economics offers ideas to help improve the quality of paediatric care. It can also be used to inform health interventions/policy at a population level. This paper summarises key behavioural economic concepts such as bounded rationality, bounded willpower and social influence, explaining how they can be used to shape healthy behaviours in children and adolescents. Read More

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http://dx.doi.org/10.1136/archdischild-2018-315229DOI Listing
September 2018

Fifteen-minute consultation: A practical approach to developmental regression in children.

Arch Dis Child Educ Pract Ed 2018 Sep 4. Epub 2018 Sep 4.

Department of Paediatric Neurology, Royal Manchester Children's Hospital, Manchester, UK.

Developmental regression is an important red flag in any child's developmental performance and should be recognised promptly. It is the loss of previously acquired skills and can affect any sphere of childhood development. Presentation and underlying causes are heterogeneous in nature, in turn presenting many clinical challenges. Read More

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http://dx.doi.org/10.1136/archdischild-2017-313792DOI Listing
September 2018
1 Read

Review of the new RCR guidelines (2017): The radiological investigation of suspected physical abuse in children.

Arch Dis Child Educ Pract Ed 2018 Sep 3. Epub 2018 Sep 3.

IBSc Paediatrics and Child Health, University College London, London.

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http://dx.doi.org/10.1136/archdischild-2017-314591DOI Listing
September 2018

Constipation, failure to thrive and recurrent abscesses: getting to the bottom of an unusual complaint.

Arch Dis Child Educ Pract Ed 2018 Sep 3. Epub 2018 Sep 3.

Department of Paediatric Education and Simulation, Royal Belfast Hospital for Sick Children, Belfast, UK.

QUESTION 1: Which procedure may have been most appropriate to offer an initial clue to her diagnosis? Abdominal X-ray. Digital rectal examination. Perianal swab for streptococcal infection. Read More

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http://ep.bmj.com/lookup/doi/10.1136/archdischild-2018-31531
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http://dx.doi.org/10.1136/archdischild-2018-315317DOI Listing
September 2018
7 Reads

Systematic physician cross-checking between emergency department physicians is associated with a significant reduction in adverse events.

Arch Dis Child Educ Pract Ed 2019 Apr 28;104(2):111. Epub 2018 Aug 28.

Emergency Department, Birmingham Children's Hospital, Birmingham, UK.

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http://dx.doi.org/10.1136/archdischild-2018-315850DOI Listing
April 2019
3 Reads