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Tuberculosis (NICE clinical guideline 33)
This article summarises the recently updated National Institute for Health and... (Source: Archives of Disease in Childhood - Education and Practice)
Source: Archives of Disease in Childhood - Education and Practice - May 16, 2017 Category: Pediatrics Authors: Turnbull, L., Bell, C., Child, F. Tags: Guideline review Source Type: research

Unexpected bilateral cranial swellings in a neonate
A 9-day-old male child born to a 24-year-old mother with three previous healthy children (one boy and two girls) was admitted with gradually increasing swellings over both parietal regions (figure 1), which was noticed on day 3 of life. He was a full-term normal vaginal delivery after an uneventful antenatal period, weighing 2.5 kg. The cutting of the umbilical cord was not associated with excessive bleeding. Vitamin K had been given intramuscularly at birth. A physical examination revealed a haemodynamically stable but pale baby with bilaterally symmetrically soft, fluctuant swellings measuring 3.5–4 cm in...
Source: Archives of Disease in Childhood - Education and Practice - May 16, 2017 Category: Pediatrics Authors: Dipak, N. K., Nanavati, R. N., Kabra, N. K. Tags: Immunology (including allergy), Neurological injury, Radiology, Clinical diagnostic tests, Radiology (diagnostics), Trauma, Metabolic disorders, Injury Epilogue Source Type: research

Fifteen-minute consultation: problems in the healthy paediatrician--managing the effects of shift work on your health
"You're not healthy unless your sleep is healthy" Professor William Dement, Stanford University, one of the founders of modern sleep medicine Sleep is fundamental to good health. Healthcare professionals receive little teaching on the importance of sleep, particularly with respect to their own health when working night shifts. Knowledge of basic sleep physiology, together with simple strategies to improve core sleep and the ability to cope with working nights, can result in significant improvements both for healthcare professionals and for the patients they care for. (Source: Archives of Disease in Childhood - Education and Practice)
Source: Archives of Disease in Childhood - Education and Practice - May 16, 2017 Category: Pediatrics Authors: Farquhar, M. Tags: Best practice Source Type: research

Fifteen-minute consultation: investigation and management of an infant with stridor
We present a structured approach to guide the clinician through initial assessment, examination and management, including referral to ENT surgery. (Source: Archives of Disease in Childhood - Education and Practice)
Source: Archives of Disease in Childhood - Education and Practice - May 16, 2017 Category: Pediatrics Authors: Hoskison, E., Grainger, J. Tags: Best practice Source Type: research

Fifteen-minute consultation: the complexities of empirical antibiotic selection for serious bacterial infections--a practical approach
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 ba...
Source: Archives of Disease in Childhood - Education and Practice - May 16, 2017 Category: Pediatrics Authors: Bielicki, J. A., Cromwell, D. A., Sharland, M. Tags: Oncology, Best practice, Drugs: infectious diseases Source Type: research