Self-assessment
(Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - September 8, 2021 Category: Pediatrics Authors: Benjamin Schoyer, Peter Heinz Tags: Self-assessment Source Type: research
Bruising: the most common injury in physical child abuse
Bruising is a commonly sustained injury in childhood, and thus is often overlooked during examination. However, it is the most common abusive injury, and may indicate severe internal injury, or precede catastrophic injury. Knowing which bruises warrant further investigation is vital to protect the child. A careful history, including developmental stage, past medical and social history followed by a full top to toe examination is required. Evidence highlights that some patterns of bruising warrant further investigation. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - September 3, 2021 Category: Pediatrics Authors: Emma Louise Johnson, Adam Lee Jones, Sabine Maguire Tags: Symposium: Haematology Source Type: research
Self-assessment
(Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - September 2, 2021 Category: Pediatrics Authors: Claudia Tam, Peter Heinz Tags: Self-assessment Source Type: research
Editorial Board
(Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - September 1, 2021 Category: Pediatrics Source Type: research
Hodgkin and non-Hodgkin lymphoma in children: successes and challenges
Paediatric lymphomas constitute a little over 10% of all cancers in children and fall into one of two pathological classes: Hodgkin lymphoma (HL) and non-Hodgkin lymphomas (NHL). The clinical presentation and management differ for HL and NHL and their associated subgroups. For most childhood lymphoma, current treatment strategies result in high cure rates. However this comes with the significant burden of the late effects of treatment in some patient groups, particularly with the use of radiotherapy in HL. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - August 31, 2021 Category: Pediatrics Authors: Nicola Bloxham, G.A. Amos Burke Tags: Symposium: Haematology Source Type: research
Febrile convulsions
are the commonest form of seizure under the age of 2, occurring in 2 –4% of children in the UK. The majority occur between 12–18 months and are more common in those with a family history. The aetiology is multi-factorial, although most episodes occur in children with viral infections. In most children the seizure will have self-resolved prior to coming to hospit al and the child may be back to normal. No investigation or treatment is necessary. However, it is important to appreciate that for parents who have witnessed the episode, it will have been extremely distressing and frightening. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - August 30, 2021 Category: Pediatrics Authors: Laura Duthie, Roisin Begley Tags: Occasional review Source Type: research
Initial management of suspected poisoning in children and young people
The child or young person with suspected poisoning is a relatively common emergency presentation in paediatrics. The toxic agent is frequently known, though on occasion a significant amount of detective work is required. Fortunately, poisoning causing significant harm is rare, but the possibility is ever present. The cornerstone of assessment and management is good medical and nursing care, combined with early recourse to specialist advice when the risk or presence of significant harm is identified. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - August 12, 2021 Category: Pediatrics Authors: Mark Anderson Tags: Symposium: Accidents and poisoning Source Type: research
Telemedicine: improving clinical care and medical education in paediatrics
The COVID-19 pandemic has led to a rapid increase in the use of telemedicine. This is likely to continue when the social distancing restrictions have been eased. There have been a number of technological advances that have contributed to the roll-out and improved quality of telemedicine consultations. Telemedicine has a number of benefits including facilitating home working for clinicians, reduce travel time for families and allows multidisciplinary team working across different sites. In addition to these clinical benefits there are also the environmental benefits of reduced travel to and from the hospital setting. (Sourc...
Source: Paediatrics and Child Health - August 12, 2021 Category: Pediatrics Authors: Jessica Macwilliam, Iain Hennessey, Gavin Cleary Tags: Occasional review Source Type: research
A practical approach to the intoxicated child
Suspected intoxication causes a range of clinical challenges in the Children's Emergency Department. The majority of ingestions, especially in younger children are unintentional, occurring mainly in the home environment. Adolescence alcohol intoxication is often part of risk-taking behaviour and experimentation; however, clinicians need to be wary of deliberate co-ingestion of other poisons with alcohol in acute mental health crisis. Anatomical and physiological differences in ages effect the way drugs are absorbed and eliminated in the body, effecting clinical features. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - August 6, 2021 Category: Pediatrics Authors: Daniel Murrell, Damian Roland Tags: Symposium: Accidents and poisoning Source Type: research
Recent advances in the treatment of Duchenne muscular dystrophy
Duchenne muscular dystrophy (DMD) is an x-linked, progressive, incurable disease which affects approximately 1 in 3,500 –5,000 live boy births. The condition is caused by a lack of a functional protein, dystrophin, in the muscle. Exciting new advances have been made in the treatment of this condition, including genetic treatments. Treatments for DMD have improved over the last 5–10 years, both a combination of im proved standards of care and equity across treating centres as well as access to clinical trials and some treatments that have been approved as a result of clinical trials. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - August 2, 2021 Category: Pediatrics Authors: Tracey Willis Tags: Symposium: Neurodisability Source Type: research
Risk and prevention of unintentional injuries in children and young people with attention-deficit/hyperactivity disorder
Injuries among children and young people are a leading cause of morbidity and mortality in the UK and globally. Attention-deficit/hyperactivity disorder (ADHD) is an important neurodevelopmental disorder which can be present from preschool age but is generally under-recognised. Children and young people with ADHD are at increased risk of a variety of unintentional injuries. However, interventions to offer safety advice, assessments and safety equipment can help to improve home safety practices and reduce injuries. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - August 2, 2021 Category: Pediatrics Authors: Edward Tyrrell, Vibhore Prasad Tags: Symposium: Accidents and poisoning Source Type: research
Editorial Board
(Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - August 1, 2021 Category: Pediatrics Source Type: research
A clinician's guide to vitamin D and bone health in children
Vitamin D and calcium are key determinants of bone health; deficiency in either or both can cause nutritional rickets in children and osteomalacia in children and adults. Vitamin D is essential for absorption and supply of calcium and phosphate for bone mineralisation. Individuals at risk of deficiency in either nutrient can be broadly classed into 2 categories; healthy at-risk population and those with pre-disposition due to underlying chronic health conditions. In the former, vitamin D deficiency (VDD) predominantly results from restricted Ultraviolet B, either due to environmental (high latitude residence), biological (...
Source: Paediatrics and Child Health - July 21, 2021 Category: Pediatrics Authors: Ruchi Nadar, Suma Uday Tags: Occasional review Source Type: research
Enabling and caring for children with limb loss
The loss of a limb places a significant physical and emotional burden on the child and their family. Limb loss in children can be congenital or acquired due to trauma or disease and its complications. Regardless of the cause, children have unique considerations for managing limb loss, which are not always straightforward and effectively lifelong. They require a multidisciplinary and forward-looking approach to address the child's needs now and into the future. Education and anticipatory guidance to parents are paramount in the child's treatment efforts. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - July 12, 2021 Category: Pediatrics Authors: Poornashree Holavanahalli Ramamurthy Tags: Symposium: Neurodisability Source Type: research
Keeping children and young people with Down syndrome healthy
Down syndrome (trisomy 21) is a common identifiable cause of intellectual disability. People with Down syndrome are individuals, and while there are many shared characteristics, there is considerable variability in how the syndrome manifests. Understanding the condition and its impact on individual lives can help maintain and promote health, and enable individuals to achieve their potential. There are some conditions that are more frequently seen in individuals with Down syndrome, and as such it is important not to fall into the trap of labelling all symptoms as ‘part of Down syndrome’. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - July 5, 2021 Category: Pediatrics Authors: Anastasia Michael, Elizabeth Marder Tags: Symposium: Neurodisability Source Type: research
