UK cleft lip and palate care: a contemporary perspective
This article is a general overview of CLP for the paediatrician within the UK context. It discusses epidemiology, embryology, genetics, classification, UK cleft infrastructure and the schedule of cleft care. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - October 9, 2023 Category: Pediatrics Authors: Ambika Chadha, Victoria Beale Tags: Symposium: eyes and ent Source Type: research
Seeing beyond the swelling: orbital and preseptal cellulitis in children
This article aims to develop your knowledge to facilitate your prompt diagnosis of preseptal and orbital cellulitis and to explore management options currently in practice. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - October 6, 2023 Category: Pediatrics Authors: Hannah J Davies, Andora Melany Webster, Eleanor McCance, Patrick Watts, Jordan Evans Tags: Symposium: eyes and ent Source Type: research
Diagnosis and management of middle ear disease in children
Otitis media is a common childhood condition and refers to inflammation of the middle ear. It encompasses a spectrum of diseases including acute otitis media, otitis media with effusion ( ‘glue ear’) and chronic otitis media which are both common in childhood. This short article offers practical advice about how to evaluate and manage otological presentations. A careful history and examination are essential in children presenting with ear problems. Parents and children should be asked about pain, discharge, hearing loss, delays in speech or learning, reports of tinnitus and balance concerns. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - October 5, 2023 Category: Pediatrics Authors: Jacquline Chan, Kate Stephenson Tags: Symposium: eyes and ent Source Type: research
Editorial Board
(Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - September 29, 2023 Category: Pediatrics Source Type: research
Key messages from reviews of serious child protection cases 2017 –2021
This article provides an overview of the new multi-agency arrangements and summarizes key learning points from the final analysis of Serious Case Reviews between 2017 and 2019 and the annual review of Local Child Safeguarding Practice Reviews from 2021. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - September 26, 2023 Category: Pediatrics Authors: Isabel Cowling, Joanna Garstang Tags: Occasional review Source Type: research
Managing raised intracranial pressure in paediatric brain injury
This article aims to promote recognition of children with raised ICP, explore the goals behind available management options and provide clinicians with concise management algorithms in order to promptly reduce ICP and improve patient outcome. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - September 25, 2023 Category: Pediatrics Authors: Eloise Shaw, Shil Patel, Patrick Davies, Craig Stewart Tags: Occasional review Source Type: research
Tracheostomy: a child's journey
A tracheostomy is a surgical procedure in which an artificial airway is created in the trachea in order to bypass the nose, mouth and upper airway. There are many indications as to why one is required in children. The care and decisions made around paediatric tracheostomies are complex and necessitate input from several members of the multidisciplinary team. This short personal practice article discusses our approach, surgical technique and overall care when managing a child who required a tracheostomy for ventilatory purposes. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - September 25, 2023 Category: Pediatrics Authors: Liam Hyland, Elaine Campbell, Liz Shipman, Mat Daniel Tags: Personal practice Source Type: research
How do you manage a child presenting with apparently isolated nystagmus?
Nystagmus is a type of eye movement which can be physiological (normal), or associated with myriad eye disorders and neurological conditions. As such, it is commonly encountered in paediatric practice and context is key. Accordingly, children who present with apparently isolated nystagmus can cause significant clinical concern due to the bewildering number of underlying aetiologies in an otherwise broadly well child. This is compounded by the complexity of eye movement disorder definitions, descriptions, features and classification systems. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - September 22, 2023 Category: Pediatrics Authors: Jay E Self, Helena Lee Tags: Symposium: eyes and ent Source Type: research
An approach to chronic upper airway noisy breathing in neonates, infants and children in the outpatient setting
Noisy breathing in children is a common clinical sign. Parents often present to health care professionals with concerns about the pattern and nature of their child's breathing. In this article, we will discuss causes of chronic noisy breathing in children and our approach to their management. Evaluation begins with careful assessment of the child and video or audio record ings are particularly helpful. The characteristic findings will depend on the affected level of the airway. The most common cause of noisy breathing in an infant is laryngomalacia, although there are several other differential diagnoses for stridor to...
Source: Paediatrics and Child Health - September 21, 2023 Category: Pediatrics Authors: Nadir Kiddo, James Chapman Tags: Symposium: eyes and ent Source Type: research
The solitary swollen joint in an afebrile child: a practical approach
This article aims to describe the more common as well as troubling diagnoses including malignancy, infection and multi-systemic conditions and discusses variation in presentation, examination and investigations between these differentials. It offers a practical approach for health care professionals who encounter a child presenting with a solitary swollen joint without fever. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - September 20, 2023 Category: Pediatrics Authors: Gabrielle Dobson, Charalampia Papadopoulou Tags: Symposium: connective tissue and bone Source Type: research
Management of paediatric benign bone tumour
Primary tumours of bone are a diverse group of lesions that range from benign to malignant neoplasms. While primary benign bone tumours are more prevalent than malignancies in children malignant bone tumours are the seventh most common type of malignancies in children, accounting for roughly 3% –5% of cancers between the ages of 0 and 14 years. Whilst certain aspects of benign bone tumours can be challenging to diagnose and differentiate recent research employing advanced molecular and genetic methodologies has expanded our understanding. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - September 20, 2023 Category: Pediatrics Authors: Muthana Abdelhalim, Jerome Linkwinstar, Ramanan Rajakulasingam, Jonathan R. Perera, Asif Saifuddin, Rob Pollock Tags: Symposium: connective tissue and bone Source Type: research
Sudden unexplained death in childhood
(SUDC) is the sudden and unexpected death of a child between 1 and 18 years of age, which remains unexplained after a thorough investigation. Although it is the 4th leading category of death in England and Wales for children aged 1 –4 years, there is limited awareness of SUDC and limited research into this field. There are currently no known modifiable risk factors or prevention strategies. SUDC deeply impacts families and is particularly difficult due to the sudden nature, the potential trauma of finding a child, and a lack of any clear reason. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - September 12, 2023 Category: Pediatrics Authors: Nikki Speed, Joanna Garstang Tags: Occasional review Source Type: research
Oxygen therapy for children in the community
Oxygen therapy is widely used in the community for patients with chronic hypoxaemia. Although only a small proportion of those are children, more and more paediatric patients are prescribed home oxygen for a variety of indications, most commonly for chronic lung disease related to premature birth. Chronic hypoxaemia in children is diagnosed using pulse oximetry, a method that has limitations, but alternative tests are rarely required. Whilst there are clear advantages in therapy with oxygen outside the hospital setting, clinicians need to be aware of potential impact on family life, housing, school attendance and travel. (...
Source: Paediatrics and Child Health - September 11, 2023 Category: Pediatrics Authors: Theofilos Polychronakis, Sarah Nethercott Tags: Personal practice Source Type: research
Editorial Board
(Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - September 1, 2023 Category: Pediatrics Source Type: research
Juvenile-onset Beh çet's disease
Beh çet's disease (BD) is a multi-system inflammatory disease of unknown aetiology characterised by recurrent painful mouth and genital ulcerations. It is a disease of young adults, with a peak age of onset of 25–30 years. Slightly more than one quarter of cases start before the age of 16 years when it is classified as juvenile-onset BD. The eyes are commonly affected and vision may be lost in up to half the patients. Vasculitis may affect vessels of any size but mainly veins, hence the term variable vessel vasculitis. (Source: Paediatrics and Child Health)
Source: Paediatrics and Child Health - August 31, 2023 Category: Pediatrics Authors: Ali S. Jawad Tags: Symposium: connective tissue and bone Source Type: research
