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Archives of Disease in Childhood. Education and Practice Edition

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https://read.qxmd.com/read/30877088/inhaling-isopropyl-alcohol-from-alcohol-wipes-was-amore-effective-antiemetic-than-oral-ondansetron-in-nauseated-adults
#1
Rebecca Amy Dalrymple
No abstract text is available yet for this article.
March 15, 2019: Archives of Disease in Childhood. Education and Practice Edition
https://read.qxmd.com/read/30833433/fifteen-minute-consultation-a-guide-to-managing-a-child-with-a-new-finding-of-neutropenia
#2
Rebecca M James, Bob Phillips
OBJECTIVE: To describe a structured approach for managing a child with a new finding of neutropenia. METHOD: Literature review and consensus practice of clinicians in our regional centre. CONCLUSION: Neutropenia may arise in a variety of situations from a well child with a physiological neutropenia to a sick infant with life-threatening infection. In most cases a thoughtful history and directed examination will help to identify the severity in order to determine an appropriate care pathway...
March 4, 2019: Archives of Disease in Childhood. Education and Practice Edition
https://read.qxmd.com/read/30798252/nineteen-month-old-girl-with-persistent-fever
#3
Pierluigi Marzuillo, Stefano Guarino, Maddalena Casale, Anna Di Sessa, Raffaella Golino, Velia D'Angelo, Giuseppe Menna, Francesca Rossi, Emanuele Miraglia Del Giudice, Silverio Perrotta
CASE REPORT: A 19-month-old girl with right fourth-degree vesicoureteral reflux and left small non-functional kidney was admitted with a 6-day 39°C fever. She was receiving antibiotic prophylaxis (amoxicillin-clavulanate) for urinary tract infections (UTIs). At admission, she had been taking ciprofloxacin for 2 days due to leucocyturia and nitrites shown by the urine dipstick without urine culture test being done. She appeared pale and in pain, although the clinical examination was unremarkable. Refill time was of 2-3 s...
February 23, 2019: Archives of Disease in Childhood. Education and Practice Edition
https://read.qxmd.com/read/30798251/prophylactic-platelet-transfusion-at-higher-thresholds-was-associated-with-increased-risk-of-death-or-major-bleeding-in-neonates
#4
Abdul Razak, Ishrat Rahman
No abstract text is available yet for this article.
February 23, 2019: Archives of Disease in Childhood. Education and Practice Edition
https://read.qxmd.com/read/30777865/how-to-use-abdominal-x-rays-in-preterm-infants-suspected-of-developing-necrotising-enterocolitis
#5
Roopali Soni, Anastasia Katana, Joe I Curry, Paul D Humphries, Angela Huertas-Ceballos
Necrotising enterocolitis (NEC) in preterm babies is a serious gastrointestinal emergency with potentially devastating consequences. Prompt and accurate diagnosis continues to be a challenge for health professionals. Early identification of clinical warning signs is extremely important, but the diagnosis relies heavily on the interpretation of abdominal radiographs. Postgraduate training of paediatricians and neonatologists in neonatal abdominal radiography is scarce, and there is variability of radiological input to neonatal services...
February 18, 2019: Archives of Disease in Childhood. Education and Practice Edition
https://read.qxmd.com/read/30733241/fifteen-minute-consultation-a-general-paediatrician-s-guide-to-oncological-abdominal-masses
#6
Lena Uzunova, Helen Bailie, Matthew J Murray
The identification of an abdominal mass in a child, either coincidental or symptomatic, may be due to a tumour. An abdominal tumour may present with life-threatening symptoms, requiring prompt assessment and management. Although the discovery of such a finding usually warrants inpatient transfer or outpatient referral to the tertiary oncology centre, the initial evaluation, management and communication with the family by the general paediatrician is crucial. A thorough history and examination, which includes an organised, structured approach to abdominal masses, is paramount...
February 7, 2019: Archives of Disease in Childhood. Education and Practice Edition
https://read.qxmd.com/read/30733240/fifteen-minute-consultation-recognising-primary-immune-deficiencies-in-children
#7
Per Wekell, Olof Hertting, Daniel Holmgren, Anders Fasth
Children with primary immunodeficiency syndromes present with broad variation of clinical features and the consequences are often severe if not promptly recognised. Here, support is provided for the general paediatrician to recognise primary immunodeficiencies among the many children they meet in their clinical practice.
February 7, 2019: Archives of Disease in Childhood. Education and Practice Edition
https://read.qxmd.com/read/30709943/antibiotic-prescribing-for-upper-respiratory-tract-infections-nice-guidelines
#8
Nee Na Kim, Dilshad Marikar
No abstract text is available yet for this article.
February 1, 2019: Archives of Disease in Childhood. Education and Practice Edition
https://read.qxmd.com/read/30709942/case-of-knee-swelling
#9
Sarah Williamson, Subramanian Mahadevan-Bava
What does the X-ray show?InfectionPeriarticular soft tissue calcificationArtefactGout What condition is associated with these radiological findings?Tumorous calcinosisSynovial sarcomaChronic renal failureJuvenile dermatomyositisAll of the above What biochemical abnormality is seen in this condition?Low calciumRaised calciumRaised or normal phosphateNone of the above What is the most appropriate treatment?Normalisation of any biochemical abnormalitiesSurgical excisionConservative managementAll of the above Answers can be found on page 2...
February 1, 2019: Archives of Disease in Childhood. Education and Practice Edition
https://read.qxmd.com/read/30709941/rituximab-is-more-effective-than-tacrolimus-in-steroid-dependent-nephrotic-syndrome
#10
Nicole Solomon, Alex D Lalayiannis
No abstract text is available yet for this article.
February 1, 2019: Archives of Disease in Childhood. Education and Practice Edition
https://read.qxmd.com/read/30709940/child-presenting-with-breathlessness-1-month-after-cardiac-surgery
#11
Valentina Gesuete, Simona Salis, Giulia Gortani, Egidio Barbi
1. What is your diagnosis?Atelectasis.Pneumothorax.Right pleural effusion.Pneumonia. 2. Considering the result of the chest X-ray and the clinical conditions, which treatment is required for this patient?Antibiotic treatment.Video-assisted thoracoscopy.Urgent thoracentesis.Medical treatment with diuretics and antibiotic. 3. Which additional investigations should be carried out?Lung and heart MRI scan.Cardiac evaluation with echocardiogram.Pulmonary CT.Bronchoscopy with bronchoalveolar lavage. 4. Which is the most likely cause of the pleural effusion?Heart failure...
February 1, 2019: Archives of Disease in Childhood. Education and Practice Edition
https://read.qxmd.com/read/30709939/child-with-intermittent-diplopia-after-otitis-media
#12
Giulia Caddeo, Aldo Skabar, Massimo Gregori, Egidio Barbi, Giorgio Cozzi
QUESTION 1: What is the diagnosis in this patient?Brain abscessAcute suppurative mastoiditisOptic neuritisCerebral venous sinus thrombosisSubdural haematoma QUESTION 2: What are the most common clinical presentations of this condition? QUESTION 3: How should this patient be managed? Answers can be found on page 2 .
February 1, 2019: Archives of Disease in Childhood. Education and Practice Edition
https://read.qxmd.com/read/30709938/transcriptome-from-laboratory-to-clinic-room
#13
Rebecca Amy Dalrymple, Shelagh Joss
No abstract text is available yet for this article.
February 1, 2019: Archives of Disease in Childhood. Education and Practice Edition
https://read.qxmd.com/read/30692129/how-to-use-clinical-signs-of-meningitis
#14
Alexander Tracy, Thomas Waterfield
Meningitis is a critical diagnosis not to miss in children presenting with fever. Since the early 20th century, classical clinical signs have been used to aid the diagnosis of meningitis. These classical signs are nuchal rigidity, Kernig's sign and Brudzinski's sign. Each of these relies on the principle that stretching the inflamed meningeal membranes causes clinically detectable irritation. Several primary studies have quantified the diagnostic performance of clinical examination in detecting meningitis in children...
January 28, 2019: Archives of Disease in Childhood. Education and Practice Edition
https://read.qxmd.com/read/30661016/spots-and-bends
#15
Alexandra Lemaigre, Anjan Chakrabarty, Archana Kshirsagar, Caroline Miller
What is the differential diagnosis for infantile tibial bowing and what are the clinical clues that aid diagnosis?What is the most likely diagnosis in this case? How will you confirm the diagnosis?What is the significance for future surveillance and prognosis?What is the mechanism and complications of this bone abnormality? Answers can be found on page 2.
January 19, 2019: Archives of Disease in Childhood. Education and Practice Edition
https://read.qxmd.com/read/30635281/fifteen-minute-consultation-emergency-management-of-tracheostomy-problems-in-children
#16
Elizabeth Ross, Kate Stephenson
It is vital for healthcare professionals to have a basic understanding of tracheostomy tubes, including their routine and emergency care. Children with tracheostomies can be encountered in all areas of paediatrics from the community to tertiary units; they can be more prone to respiratory infections and may have comorbidities that increase hospital attendance. Tracheostomy-related emergencies are associated with significant morbidity and potential mortality; however, the majority of tracheostomy-related complications are preventable...
January 11, 2019: Archives of Disease in Childhood. Education and Practice Edition
https://read.qxmd.com/read/30617152/adolescent-with-unilateral-vision-loss
#17
Michele Mazzolai, Aldo Skabar, Fulvio Parentin, Egidio Barbi
QUESTION 1: What is the most likely diagnosis?Optical neuritis (ON).Central nervous system (CNS) tumour.Functional visual loss (FVL).Idiopathic intracranial hypertension (IH). QUESTION 2: How is this condition investigated and managed? Answers can be found on page 2.
January 7, 2019: Archives of Disease in Childhood. Education and Practice Edition
https://read.qxmd.com/read/30617151/fifteen-minute-consultation-why-and-how-do-children-get-urinary-tract-infections
#18
Kjell Tullus
This paper describes urinary tract infections (UTI) from the perspective of a disturbed balance between bacterial virulence and host defence. In some children, a UTI is caused by a virulent Escherichia coli, while in other cases children with abnormal renal tracts can get infected by almost any bacteria. Such knowledge can help in guiding treatment, investigations and follow-up of a child with a UTI.
January 7, 2019: Archives of Disease in Childhood. Education and Practice Edition
https://read.qxmd.com/read/29802097/fifteen-minute-consultation-using-point-of-care-ultrasound-to-assess-children-with-respiratory-failure
#19
Helen L Ord, Michael J Griksaitis
Point of care ultrasound (POCUS) is well established in adult emergency medicine and critical care. It is used for immediate diagnosis and evaluation of the impact of bedside interventions in the acutely unwell child. This article highlights how ultrasound can be helpful in paediatric practice when dealing with the neonate, infant or older child with undifferentiated respiratory distress, respiratory failure or ventilation problems. It highlights indications for use, key diagnostic features of common pathology and outlines the benefits of POCUS in everyday practice...
February 2019: Archives of Disease in Childhood. Education and Practice Edition
https://read.qxmd.com/read/29779011/fifteen-minute-consultation-red-flags-for-metabolic-disease-in-routine-bloods
#20
Caroline Hart, James E Davison, Maureen A Cleary
No abstract text is available yet for this article.
February 2019: Archives of Disease in Childhood. Education and Practice Edition
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