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Archives of Disease in Childhood. Education and Practice Edition

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https://www.readbyqxmd.com/read/30297371/unilateral-leg-swelling-in-an-infant
#1
Shilpa Shah, Sarah Berry, Laura Bingham, Gillian Rea
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 3.47 kg (97th centile).His left calf measured 21.5 cm and the right calf 19.5 cm. The overlying skin showed mild eczema. There was no circulatory compromise of the left leg, and he was systemically well.X-rays of the left tibia and fibula were normal. He received oral antibiotics for presumed cellulitis...
October 8, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/30266773/fifteen-minute-consultation-not-the-whole-story-considering-children-s-spirituality-and-advance-care-planning
#2
Mark Clayton, Jan Aldridge
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...
September 28, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/30266772/fifteen-minute-consultation-attachment-as-a-model-to-understand-and-manage-difficult-doctor-parent-relationships
#3
Annie Swanepoel
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...
September 28, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/30219757/twelve-year-old-boy-presenting-with-recurrent-abdominal-pain-and-25-urinary-calculi
#4
Mario Diplomatico, Pierluigi Marzuillo, Daniela Capalbo, Michela Stanco, Rosaria Marotta, Stefano Guarino
: 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. The patient brought 25 hard stones with irregular outline, 2-8 mm in diameter, of deep brown/grey colour that he claimed to have found in his underwear (figure 1)...
September 15, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/30219756/public-health-for-paediatricians-how-can-behavioural-economics-help-to-make-paediatric-practice-more-effective
#5
Rakhee Shah, Ann Hagell
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. Case studies of interventions that have used behavioural economics principles (sometimes called 'nudge theory') are provided...
September 15, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/30181142/fifteen-minute-consultation-a-practical-approach-to-developmental-regression-in-children
#6
Thomas Smith, Dipak Ram
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. While broad, the causes of regression can be categorised based on clinical findings, so that investigation and management options can be tailored appropriately. It is extremely important to try and make a definitive diagnosis if possible...
September 4, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/30177540/review-of-the-new-rcr-guidelines-2017-the-radiological-investigation-of-suspected-physical-abuse-in-children
#7
Sophie Halstead, Georgia Scott, Stefanie Thust, Gayle Hann
No abstract text is available yet for this article.
September 3, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/30177539/constipation-failure-to-thrive-and-recurrent-abscesses-getting-to-the-bottom-of-an-unusual-complaint
#8
Peter Mallett, Caroline Hart, Josip Marjanovic, Damian Maguire, Majella McCullagh, Andrew Thompson
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. Sweat test. Ultrasound scan of the abdomen. At 6 months of age, she presented with a second abscess, constipation and poor weight gain. QUESTION 2: What is the most likely diagnosis?  Congenital anorectal anomaly. Cow's milk protein allergy. Hirschsprung's disease. Immunodeficiency disorder. Infantile perianal Crohn's disease...
September 3, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/30154133/systematic-physician-cross-checking-between-emergency-department-physicians-is-associated-with-a-significant-reduction-in-adverse-events
#9
Victoria Currie, Stuart Hartshorn
No abstract text is available yet for this article.
August 28, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/30154132/how-to-use%C3%A2-respiratory-viral-studies
#10
Simon B Drysdale, Dominic F Kelly
Viral respiratory tract infections are the most common infections of childhood. They result in clinical syndromes ranging from mild upper respiratory tract infection to severe lower respiratory tract disease requiring intensive care. Respiratory viruses are most commonly identified from a respiratory swab or nasopharyngeal aspirate by real-time PCR, which has a very high sensitivity and specificity. In this article, we review when and how children should be tested for viral respiratory tract infections and how to interpret the result in context of the clinical picture...
August 28, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/30154131/stamp-a-continuous-improvement-approach-to-improve-paediatric-prescribing-and-medication-safety
#11
Katherine Styles, Ashifa Trivedi, Tristan Bate, Richa Ajitsaria
We describe an ongoing quality improvement project focusing on paediatric prescribing and medication safety for medical, surgical and oncology patients in a district general hospital. The project is called STAMP-Safe Treatment and Administration of Medicine in Paediatrics. The project has been running continuously for 24 months. No one factor has been identified to sustain a reduction in prescribing error rates. However, we have improved the quality and frequency of feedback to prescribers following errors...
August 28, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/30131352/fifteen-minute-consultation-polydipsia-polyuria-or-both
#12
Mark Mahon, Gold Amaechi, Fionn Slattery, Aideen Lydia Sheridan, Edna F Roche
Children can present with polydipsia and/or polyuria for a number of reasons. We will discuss polydipsia and polyuria, how a child may present and how to investigate further in order to establish the cause. We highlight the important areas to cover in the history and examination of a child presenting with polydipsia and/or polyuria.
August 21, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/30131351/pica-lead-poisoning-and-public-health
#13
Kirsty McManus, Hazel Henderson
A boy aged 2 years and 10 months was referred to the paediatric clinic by his general practitioner with pallor and pica. He predominantly consumed cow's milk. Non-food items eaten included paint, plaster and wood. He lived with his parents and sibling in a 1970s housing association house.Haemoglobin 80 g/L (100-140 g/L)Mean corpuscular volume 49 fL (73-86 fL)Ferritin 2.1 µg/L (12-300 µg/L)Lead level 1.67 μmol/L (threshold 0.24 μmol/L for <5 years old)The regional haematology team did not recommend chelation as the child was asymptomatic...
August 21, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/30131350/right-shoulder-pain-in-an-athletic-14-year-old-girl
#14
Jia Xuan Siew, Fabian Yap
A 14-year-old athletic girl with a history of intermittent aches and pains following sports presented with right shoulder pain after a fall during basketball. On examination, tenderness over the anterolateral deltoid to the mid-humeral shaft was noted, extremes of shoulder movement were limited, but no deformity was present. No other injuries were present. A right shoulder X-ray was requested (figure 1). edpract;archdischild-2018-315774v1/F1F1F1Figure 1Right shoulder X-ray. QUESTIONS 1: 1. What abnormalities are visible on the shoulder X-ray? QUESTION 2: 2...
August 21, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/30104325/how-to-use%C3%A2-imaging-for-umbilical-venous-catheter-placement
#15
Andrew Young, Katherine Harrison, Mark William Sellwood
No abstract text is available yet for this article.
August 13, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/30104324/fifteen-minute-consultation-fever-in-children-being-treated-for-cancer
#16
Jessica E Morgan
Fever is a common symptom in children receiving treatment for cancer. Clinicians and families are most concerned about febrile neutropenia, though non-neutropenic fever often causes more challenging treatment dilemmas. This article provides a structured approach to the initial assessment, examination, investigation and risk assessment of children with fever during treatment for childhood cancer. Non-neutropenic fever in children with cancer is not well researched. There are no systematic reviews of its management and no National Institute for Health and Care Excellence (NICE) (or other international) guidance about what to do...
August 13, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/30097429/how-to-write-an-interpretation
#17
Thomas Waterfield, Sam Behjati
Every day we interpret examination findings and clinical tests with the aim of coming to a diagnosis. But how well do we interpret these tests? Whether it is a traditional examination technique used by doctors for centuries or a new cutting edge biomarker, the diagnostic landscape shifts over time. The aim of interpretations is to produce a library of evidence-based resources directing the use of clinical tests including examination techniques. In this article we discuss how best to tackle writing an interpretation...
August 10, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/30097428/criteria-led-discharge-of-wheezy-children-from-a-short-stay-assessment-unit
#18
Lucinda Armstrong, Mark D Lyttle
Implementation and evaluation of criteria led discharge from a short stay assessment unit for children with wheeze.
August 10, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/30087095/diagnosis-and-treatment-of-childhood-onset-systemic-lupus-erythematosus-european-evidence-based-recommendations-from-the-share-initiative
#19
Eve M D Smith, Ethan Sukumar Sen, Clare E Pain
No abstract text is available yet for this article.
August 7, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/30077987/fifteen-minute-consultation-chickenpox-vaccine-should-parents-immunise-their-children-privately
#20
Sebastian J Gray, Katrina Cathie
Varicella zoster virus primarily causes chickenpox, usually a mild self-limiting illness of childhood. However, complications occur in 1% with 4200 annual deaths. Since the first vaccination was developed in the 1970s, many countries have introduced universal mass immunisation, but the UK currently only routinely immunises 'at-risk' populations. With increasing availability of private varicella vaccination, this article reviews the pros and cons of whether parents should be immunising their children with the chickenpox vaccine privately...
August 4, 2018: Archives of Disease in Childhood. Education and Practice Edition
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