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85 papers 0 to 25 followers
https://www.readbyqxmd.com/read/29907583/fifteen-minute-consultation-modern-day-art-and-science-of-managing-cerebral-palsy
#1
Jill Cadwgan, Jane Goodwin, Charlie Fairhurst
While there remains limited intervention to address the damage to the developing brain, current multidisciplinary management of cerebral palsy (CP) needs to minimise the impact of secondary musculoskeletal complications. A focus on comorbidities to maximise function for activity and participation by supporting the child and family in their environment is required. Comprehensive clinical guidance was published by National Institute for Health and Care Excellence (NICE) earlier this year. This article aims to provide a practical clinical approach to the child and family based on:(1) art: empathy, listening and weighing up the clinical picture of the child and family in context; diagnosis, the need for support and space; and care coordination at the right time; and (2) science: the current science in CP care is rapidly expanding in terms of plasticity, pathophysiology, functional assessments and treatments...
June 15, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/29934359/fifteen-minute-consultation-preseptal-and-orbital-cellulitis
#2
Jonathan Adamson, Thomas Waterfield
'It is midnight and you are called to see a thirteen-year-old boy who has been brought to the paediatric emergency department with a 24-hour history of swelling and redness of his left eye. He has had a 'runny nose' for a couple of days. He is systemically well. His upper and lower lids are red and swollen such that his eye is not open fully, though you elicit normal eye movements when you open his eye. Pupils are equal and reactive with no afferent pupillary defect. Visual acuity and colour vision are normal on examination...
June 22, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/29934360/fifteen-minute-consultation-childhood-burns-inflicted-neglect-or-accidental
#3
Stephen Mullen, Roisin Begley, Zoe Roberts, Alison Mary Kemp
Burns are a relatively common injury in children accounting for over 50 000 emergency department attendances each year. An estimated 1 in 10 of these are due to maltreatment. These may present in the form of physical abuse or neglect with a reported ratio of 1:9. A burn associated with maltreatment may be a marker for future abuse or neglect and it is paramount that concerns are identified and addressed at the initial visit. Paediatricians need to be confident to identify safeguarding concerns specific to childhood burns and investigate accordingly...
June 22, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/29970591/fifteen-minute-consultation-management-of-the-upper-limb-in-unilateral-cerebral-palsy
#4
Jill Cadwgan, Janice Pearse, Anita Devlin, Anna Basu
Children with unilateral cerebral palsy (UCP) have complex health, education and social care needs. Delayed gross motor milestones are the most common presenting feature, and much of the early management focuses on gross motor skills and lower limb management. In later childhood, adolescence and adulthood, upper limb function has significant impact on activity, participation and independence. There is clear pathophysiological rationale and emerging clinical evidence that earlier intervention to improve upper limb function is beneficial...
July 3, 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
#5
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/30131352/fifteen-minute-consultation-polydipsia-polyuria-or-both
#6
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/30181142/fifteen-minute-consultation-a-practical-approach-to-developmental-regression-in-children
#7
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/29779011/fifteen-minute-consultation-red-flags-for-metabolic-disease-in-routine-bloods
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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