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78 papers 0 to 25 followers
https://www.readbyqxmd.com/read/29779011/fifteen-minute-consultation-red-flags-for-metabolic-disease-in-routine-bloods
#1
Caroline Hart, James E Davison, Maureen A Cleary
No abstract text is available yet for this article.
May 19, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/29802096/fifteen-minute-consultation-the-angry-child
#2
Annie Swanepoel
Children who present with difficult behaviours due to underlying anger are commonly presented to paediatricians for help and advice. This paper gives a basic structure of how to approach the subject, by exploring whether the problems occur at home, school or both, and analysing the behaviour by focusing on antecedents, behaviour and consequences. It is important to find the underlying causes in order to know what to recommend, as this can vary from medication, anger management strategies, school-based interventions, parenting programmes or family therapy...
May 25, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/29514867/fifteen-minute-consultation-the-child-with-a-non-blanching-rash
#3
Thomas Waterfield, Emma M Dyer, Mark D Lyttle
No abstract text is available yet for this article.
March 7, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/29510983/fifteen-minute-consultation-supporting-colleagues-through-a-serious-incident-or-complaint
#4
Martin Ward Platt
Being involved in a complaint or serious incident can be a huge stress for a doctor, whether a trainee or consultant. When affected, it is important to be able to look for the support of a colleague or a more senior person, and just as importantly, those not directly involved need to know what to do to provide support. In this piece I consider what 'support' really means, I provide some tips on what to do and what not to do, and I consider how incidents and complaints can need different approaches.
March 6, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/29475900/fifteen-minute-consultation-the-child-with-an-incidental-finding-of-low-iga
#5
Adrienne Sullivan, Ruth M Bland, Rosie Hague
Low or absent immunoglobulin A (IgA) levels are frequently found in children in whom immunodeficiency is not suspected. IgA deficiency is the most common primary immunodeficiency disorder in the UK affecting approximately 1 in 600 people. Isolated IgA deficiency is often identified coincidentally when investigating a child for conditions such as coeliac disease. The aim of this article is to provide a structured approach to the history, investigation and management of an isolated IgA deficiency.
February 23, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28487433/fifteen-minute-consultation-the-child-with-pica
#6
REVIEW
Ben McNaughten, Thomas Bourke, Andrew Thompson
Pica is defined as the persistent ingestion of non-nutritive substances for more than 1 month at an age at which this behaviour is deemed inappropriate. It occurs most commonly in children, in patients with learning disabilities and in pregnancy. The aetiology of pica is poorly understood and is probably multifactorial. Clinical assessment can be difficult. History and examination should be tailored to address potential complications of the substance being ingested. Complications can be life threatening. Pica often self-remits in younger children...
October 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28487434/fifteen-minute-consultation-practical-pain-management-in-paediatric-palliative-care
#7
Emily Jane Harrop, Karen Brombley, Katherine Boyce
Pain and distress in the paediatric palliative care population can be very difficult to manage. Clinical scenarios range from the acute management of cancer-related pain at the end of life to the ongoing long-term support of children with complex multimodal pain related to progressive neurological conditions. Understanding the child's underlying condition, possible causes of pain and their preferred mode of communication are important to the delivery of holistic care. Modification of environmental factors, basic care consideration and non-pharmacological measures have a large role to play, alongside conventional analgesics...
October 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28495667/fifteen-minute-consultation-in-the-normal-child-challenges-relating-to-sexuality-and-gender-identity-in-children-and-young-people
#8
Thomas O'Neill, Justin Wakefield
Lesbian, gay, bisexual and transgender (LGBT+) young people face several challenges in their daily lives, including specific healthcare inequalities. Negative societal attitudes towards sexual and gender minorities, and the effects of regular experiences of bullying and homophobia/transphobia exacerbate the normal trials and tribulations of childhood and adolescence. Barriers to accessing healthy activities, such as sport, are created by perceived stigma and real-life experiences. Healthcare environments are by default heteronormative and contribute to the isolation and exclusion of LGBT+ young people...
December 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28615181/fifteen-minute-consultation-communicating-with-young-people-how-to-use-heeadsss-a-psychosocial-interview-for-adolescents
#9
Montserrat Doukrou, Terry Yvonne Segal
Adolescents undergo a period of biological, social and psychosocial development, and each of these domains impacts each other. Psychosocial areas of concern often emerge over the adolescent period (such as mental health conditions, drug use and risky sexual behaviour); those with chronic illness being at higher risk. The paper aims to guide health practitioners on when and how to approach the psychosocial interview with young people and assess areas of risk or concern. This will include putting them at ease, developing rapport, seeing them alone and explaining confidentiality before commencing the assessment...
February 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28615182/fifteen-minute-consultation-pain-relief-for-children-made-simple-a-pragmatic-approach-to-prescribing-oral-analgesia-in-the-postcodeine-era
#10
David G Mason
What are the most effective doses of simple oral analgesics such as paracetamol and ibuprofen for pain relief in children? Why can't I prescribe codeine phosphate for children anymore? Is oral morphine really a safe alternative to codeine phosphate, and if so what dose should I prescribe? These questions are frequently asked by clinicians who wish to give analgesics to children for pain relief. In this article I will address these questions and describe a pragmatic approach for pain relief using oral analgesics based on the best evidence available and my experience as a consultant paediatric anaesthetist...
February 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28667047/fifteen-minute-consultation-the-child-with-a-developmental-disability-is-there-an-ocular-or-visual-abnormality
#11
Alison Salt, Jenefer Sargent
OBJECTIVE: To present a structured approach for an outpatient consultation for a child with developmental disability who may have an ocular or visual disorder. METHOD: Review of relevant literature and description of the approach to ocular and visual assessment which could be used by any paediatrician. CONCLUSION: A systematic approach to history, observation and examination of a child with a developmental disability will assist in identifying a possible visual problem...
December 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28667045/fifteen-minute-consultation-an-evidence-based-approach-to-the-child-with-preschool-wheeze
#12
Renu Khetan, Matthew Hurley, Abraham Neduvamkunnil, Jayesh Mahendra Bhatt
Preschool wheeze is very common and its prevalence is increasing. It consumes considerable healthcare resources and has a major impact on children and their families due to significant morbidity associated with acute episodes.History taking is the main diagnostic instrument in the assessment of preschool wheeze. Diagnosis and management is complicated by a broad differential and associations with many other diseases and conditions that give rise to noisy breathing, which could be misinterpreted as wheeze. Several clinical phenotypes have been described but they have limitations and do not clearly inform therapeutic decisions...
February 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28710183/fifteen-minute-consultation-the-management-of-microscopic-haematuria
#13
Rebecca Amy Dalrymple, Ian John Ramage
Haematuria can be a troublesome symptom with various different methods of presentation and aetiologies. Microscopic haematuria is a common coincidental finding often found when the patient has presented for another reason. We will discuss the subject of haematuria but will focus the majority of this article on the discussion of microscopic haematuria, including a definition, the important features to cover in the history and examination, aetiologies to suspect in children and infants, and a suggested approach to assessing these patients in secondary care...
October 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28751533/fifteen-minute-consultation-stabilisation-of-the-high-risk-newborn-infant-beside-the-mother
#14
COMPARATIVE STUDY
Natalie Batey, Charles W Yoxall, Joe A Fawke, Lelia Duley, Jon Dorling
Paediatric and adult resuscitation is often performed with family present. Current guidelines recommend deferred umbilical cord clamping as part of immediate neonatal care, requiring neonatal assessment next to the mother. This paper describes strategies for providing care beside the mother using both standard resuscitation equipment and a trolley designed for this purpose.
October 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28754804/fifteen-minute-consultation-monogenic-forms-of-diabetes-with-onset-after-age-6-months
#15
Emma M Dyer, Rakesh Amin
Monogenic forms of diabetes (historically known as Maturity Onset Diabetes of the Young (MODY)) are caused by single gene mutations inherited in an autosomal dominant fashion that result in reduced pancreatic beta cell function. Children with these forms of diabetes may be misdiagnosed as having type 1 or 2 diabetes, which has important implications for treatment, genetic counselling, screening of family members and prognosis. Useful tools now exist to aid in their diagnosis and management. Here, we attempt to outline the clinical features that will help the physician make the differentiation from other diabetes subtypes...
April 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/29122831/fifteen-minute-consultation-liver-disease-in-children
#16
Jake P Mann, Kathy Gallagher, Emer Fitzpatrick, Anil Dhawan
Liver disease in children can present in many ways from the frequently encountered prolonged neonatal jaundice to the comparatively rare acute liver failure. In this article, we will discuss 'red flags' of liver disease, the initial investigations required and when to refer to a specialist liver centre. Across all presentations, the degree of elevation of alanine aminotransferase or aspartate aminotransferase provides only little diagnostic information. Measurement of clotting is vital, and coagulopathy should be followed by a trial of intravenous vitamin K before being repeated...
November 9, 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28780496/fifteen-minute-consultation-a-structured-approach-to-the-management-of-chronic-cough-in-a-child
#17
Cherry Alviani, Gary Ruiz, Atul Gupta
Coughing is a primary pulmonary defence mechanism that enhances clearance of secretions and particles from the airways and protects against aspiration of foreign materials. Coughing may affect 30% of children at any given time (1). Many are healthy children but some may have serious underlying disease. Childhood cough accounts for a large number of consultations and 80% of families who are referred to a paediatric respiratory clinic for chronic cough have sought medical advice five times or more (2). The majority of childhood coughs are secondary to an acute respiratory tract infection and will improve once the infection resolves, usually within 1 to 3 weeks...
April 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28790134/fifteen-minute-consultation-the-healthy-child-my-child-is-a-fussy-eater
#18
Ilana R Levene, Annabel Williams
Feeding a child is an emotive experience. Selective eating (often referred to as fussy eating) is a typical part of early childhood but can cause significant anxiety to parents. This article covers the factors that influence the development of selective eating, the key points to elicit in history and examination, and evidence-based advice for parents.
April 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28844056/fifteen-minute-consultation-assessment-surveillance-and-management-of-hemihypertrophy
#19
Catherine Mark, Caroline Hart, Anthony McCarthy, Andrew Thompson
This article aims to provide a structured and concise guide for the general paediatrician managing a child with hemihypertrophy. Hemihypertrophy is a relatively uncommon condition. The significance is that a proportion of those affected are at risk of developing malignancies in childhood. For these children regular surveillance is required. We have outlined how one might assess and investigate a child presenting with hemihypertrophy. We have also formulated a practicable surveillance strategy which is in line with the current Royal College of Paediatrics and Child Health (RCPCH) guideline 'Wilms' tumour surveillance in at-risk children'...
June 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/29079591/fifteen-minute-consultation-diabulimia-and-disordered-eating-in-childhood-diabetes
#20
Toby Candler, Rhian Murphy, Aisling Pigott, John W Gregory
Type 1 diabetes mellitus (T1DM) is a common chronic disease in children and young people. Living with diabetes can pose many challenges both medical and psychological. Disordered eating behaviours, intentional insulin omission and recognised eating disorders are common among young people with diabetes and are associated with increased risk of short-term and long-term complications and death. Recognition of these behaviours is important to ensure that relevant support is provided. Joint working between diabetes and mental health teams has challenges but is essential to ensure all needs are met during treatment and recovery...
June 2018: Archives of Disease in Childhood. Education and Practice Edition
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