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52 papers 0 to 25 followers
https://www.readbyqxmd.com/read/28073808/fifteen-minute-consultation-assessment-of-a-child-with-suspected-shunt-problems
#1
Harpreet Singh Mangat, Chirag Patel, Desiderio Rodrigues
Cerebrospinal fluid diversion procedures have saved more lives than any other neurosurgical procedure. However, they do have a unique set of complications which a paediatrician in a district general hospital may encounter. Timely recognition and appropriate referral to the neurosurgeon is vital in order to avoid serious consequences and to have a favourable outcome.
January 10, 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28193620/fifteen-minute-consultation-a-structured-approach-to-the-management-of-children-and-adolescents-with-medically-unstable-anorexia-nervosa
#2
Elizabeth Allison, Nicola Dawson, Jane Phillips, Catherine Lynch, Jacinta Coleman
Assessing and managing children who are underweight is an integral part of paediatric practice. Young people with anorexia nervosa (AN) are mainly cared for in the community by specialist eating disorder services. However, increasing numbers require admission to paediatric wards with medical instability due to the complications of starvation. Despite recommendations published in the junior MARSIPAN report in 2012, many paediatricians still feel poorly equipped to care for these high-risk patients. This article aims to provide a safe and structured approach to the assessment and management of children and adolescents with medically unstable AN...
August 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27789515/fifteen-minute-consultation-enterovirus-meningitis-and-encephalitis-when-can-we-stop-the-antibiotics
#3
Simon B Drysdale, Dominic F Kelly
Enterovirus (EV) is the most common cause of aseptic meningitis and has a benign course, unlike EV encephalitis, which can result in long-term neurological sequelae. There are no active treatments or prophylactic agents, and management is purely supportive. Obtaining an EV-positive cerebrospinal fluid result usually allows antimicrobial treatment to be stopped. This review will answer some of the common questions surrounding EV meningitis/encephalitis.
April 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27799152/fifteen-minute-consultation-approach-to-the-child-with-an-acute-confusional-state
#4
Manish Prasad, Arnab Seal, Santosh R Mordekar
Acute confusional state (ACS) refers to sudden impairment of cognitive function and represents a major medical emergency. The impairment may be global or confined specifically to a particular faculty of higher mental function, such as memory. This review highlights the importance of relevant medical history and clinical signs and symptoms in reaching the correct diagnosis. In this review, we have presented a diagnostic approach to a child presenting with ACS and described commonly encountered causes, their treatments and outcomes...
April 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27849163/fifteen-minute-consultation-perinatal-palliative-care
#5
Peter Sidgwick, Emily Harrop, Brenda Kelly, Ana Todorovic, Dominic Wilkinson
Perinatal palliative medicine is an emerging subspecialty within paediatric palliative medicine, neonatal medicine, fetal medicine and obstetrics. It comprises patient-focused, non-judgemental shared decision making and aims to provide holistic multidisciplinary support for families. In this paper we define and describe one model for providing perinatal palliative care, drawing on the personal and professional experience of the authors.
June 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27932389/fifteen-minute-consultation-investigation-and-management-of-an-infant-with-stridor
#6
E Hoskison, J Grainger
Stridor is an abnormal sound caused by turbulent airflow through the airway. In an infant under 3 months of age presenting with stridor, there are many different underlying aetiologies. Some key assessment points help to differentiate those patients who can be reassured and monitored versus those requiring referral to an ear, nose and throat (ENT) surgeon for further assessment or management. We present a structured approach to guide the clinician through initial assessment, examination and management, including referral to ENT surgery...
June 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27879280/fifteen-minute-consultation-the-complexities-of-empirical-antibiotic-selection-for-serious-bacterial-infections-a-practical-approach
#7
Julia A Bielicki, David A Cromwell, Mike Sharland
Potentially life-threatening infections require immediate antibiotic therapy. Most early stage antibiotic treatment for these infections is empirical, that is, covering a range of possible target bacteria while awaiting culture results. Empirical antibiotic regimens need to reflect the epidemiology of most likely causative bacteria, type of infection and patient risk factors. Summary data from relevant isolates in similar patients help to identify appropriate empirical regimens. At present, such data are mostly presented as hospital or other aggregate antibiograms, showing antimicrobial susceptibility testing results by bacterial species...
November 22, 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27520066/fifteen-minute-consultation-supporting-bereaved-parents-at-the-time-of-a-child-s-death
#8
Su Laurent, Julia Samuel, Tracy Dowling
If you are facing a discussion with parents whose child has died, your humanity is as important as your clinical knowledge and skill. Nothing you can say will ever take away the emotional pain they are facing but your involvement on a very human level will make a difference. Listening builds a trusting relationship and is essential if families are to be responded to effectively. The key components needed for good support are honesty, information, choices and time. Parents need to be guided through what will happen next and to know who to turn to when they leave the hospital...
December 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27412044/fifteen-minute-consultation-safety-assessment-prior-to-discharge-of-patient-admitted-for-self-harm
#9
Annie Swanepoel
Paediatricians often admit young people who have self-harmed, as advised by the National Institute for Health and Care Excellence guidelines. A full psychosocial assessment is essential to understand the underlying needs and risks. In this paper we focus on what the discharging doctor needs to know to arrange for a safe discharge. This involves reviewing the admission notes for red flags. We also give advice on the verbal and non-verbal communication skills needed to contain both the doctor's and the patient's difficult feelings...
December 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27469126/fifteen-minute-consultation-on-the-healthy-child-breast-feeding
#10
F Cleugh, A Langseth
Despite extensive evidence about the benefits of breast feeding for both infants and mothers, breastfeeding rates in the UK remain low. Most infants presenting with feeding issues are otherwise well but are often over diagnosed with clinical conditions such as maternal milk insufficiency, cow's milk intolerance or reflux. With simple advice and troubleshooting common problems, all child health professionals can support mothers to establish and continue breast feeding exclusively for longer.
February 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27473151/fifteen-minute-consultation-the-child-with-systemic-arterial-hypertension
#11
Cheentan Singh, Helen Jones, Helen Copeman, Manish D Sinha
Hypertension in children is a relatively uncommon condition but its prevalence is increasing with the rising rates of excess weight during childhood. It is important that hypertension is diagnosed early in children, particularly in those with symptoms, in those with secondary causes and in those with target organ damage. This article presents a systematic approach to the evaluation of a child with arterial hypertension, highlighting important points on history and examination, out-of-office monitoring and baseline investigations before consideration for more detailed investigations and treatment...
February 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27378521/fifteen-minute-consultation-public-health-for-paediatricians-adolescent-public-health
#12
Dougal S Hargreaves, Bhanu Williams, Fiona Straw, Anna Gregorowski, Arrash Yassaee, Delan Devakumar
Paediatricians have a key role to play in ensuring a holistic, integrated approach is taken to meeting adolescent health needs. There is increasing evidence that failure to do so can lead to poor healthcare experience, avoidable ill health and increased need for healthcare services, both in the short term and in adult life. This article aims to guide paediatricians in answering the questions 'How well are the public health and clinical needs of the adolescent population in my area being met? And how can we improve?'...
October 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27389545/fifteen-minute-consultation-the-agar-plates-your-microbiology-colleagues-want-you-to-be-scared-about
#13
G Winzor, J Gray, M Patel
The WHO has recognised antibiotic resistance as one of the greatest threats to human health. As a microbiologist, antibiotic resistance is a problem that keeps me awake at night and inevitably the impact of antibiotic resistance on paediatricians is a matter of when, and not if. I fear for the future of paediatric services such as neonatology, oncology and elective surgery. A recent US study found that 26.8% of post chemotherapy infections and 38.7-50.9% of post-operative infections were caused by bacteria resistant to standard antibiotic prophylaxis...
December 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27307463/fifteen-minute-consultation-diagnosis-and-management-of-congenital-cmv
#14
Tejshri Shah, Suzanne Luck, Mike Sharland, Seilesh Kadambari, Paul Heath, Hermione Lyall
Congenital cytomegalovirus (cCMV) infection can result in permanent neurological problems and is a potentially preventable cause of sensorineural hearing loss in the UK. There is an urgency to diagnose and assess cCMV as antiviral treatment and has only been shown to be effective if started in the first 4 weeks of life. A recent randomised controlled trial of 6 months of treatment using oral valganciclovir has shown modest benefit in preventing hearing deterioration and in improving some neurodevelopmental outcomes...
October 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27112910/fifteen-minute-consultation-on-problems-in-the-healthy-child-sleep
#15
Jessica R Turnbull, Michael Farquhar
Sleep-related issues are common reasons children present to health professionals. Many factors can adversely affect sleep quality, and there are many associations of inadequate sleep, including behavioural problems, obesity and accidental injury. We review the current evidence, and suggest practical management strategies to promote better sleep, and hopefully, better functioning for child and family alike.
August 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27150358/fifteen-minute-consultation-approach-to-management-of-respiratory-problems-in-children-with-neurodisability
#16
Sonal Kansra, Kelechi Ugonna
Children with neurodisability have an increased prevalence of respiratory symptoms and morbidity. Several underlying physiological impairments and coexistent problems, like aspiration, make these children vulnerable to respiratory difficulties. The management of these respiratory problems is aimed at improving the quality of life, reducing the risk of exacerbations and further lung damage. This is based on identifying and, where possible, modifying physiological impairments, managing any exacerbating factors and proactive treatment of any complications...
October 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/26837501/fifteen-minute-consultation-medically-unexplained-symptoms
#17
David John Cottrell
Medically unexplained symptoms are common and not always easy to manage. A wide range of symptoms may be presented and anxiety in the child, family and paediatrician about the possibility of a missed serious organic diagnosis may hamper effective management. Evidence-based approaches to a number of different presenting problems share a number of components. A model for assessment and management based on clinical experience and this evidence base is described.
June 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/26933045/fifteen-minute-consultation-problems-in-the-healthy-child-toilet-training
#18
Hannah Jacob, Ben Grodzinski, Caroline Fertleman
Toilet training is a process that all healthy children go through. It is one of the developmental milestones for which parents most often seek medical help. Despite this, many paediatricians feel unconfident managing children presenting with a toilet training problem. We address some common questions arising when assessing and managing such a child, including identifying rare but important diagnoses not to miss.
June 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/26396225/fifteen-minute-consultation-tics-and-tourette-syndrome
#19
REVIEW
Min Tsui Ong, Santosh R Mordekar, Arnab Seal
Tic disorders including Tourette syndrome (TS) are neuropsychiatric disorders that are common referrals to paediatricians, paediatric neurologists and child psychiatrists. Although differentiating tics and TS from other movement disorders is not difficult, it is essential to detect comorbid conditions and their contribution to TS.
April 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/26464416/fifteen-minute-consultation-an-evidence-based-approach-to-research-without-prior-consent-deferred-consent-in-neonatal-and-paediatric-critical-care-trials
#20
Kerry Woolfall, Lucy Frith, Angus Dawson, Carrol Gamble, Mark D Lyttle, Bridget Young
No abstract text is available yet for this article.
February 2016: Archives of Disease in Childhood. Education and Practice Edition
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