A male term infant, with polyhydramnios, was delivered by caesarean section. Family history included a sibling with Edward’s syndrome. He required non-invasive respiratory support at birth and ...
http://ep.bmj.com/cgi/content/short/archdischild-2023-325613v1?rss=1
Key points Corticosteroids, compared with placebo, are more effective for treating croup within the first 24 hours. Oral treatments with dexamethasone are the preferred treatment of choice ba...
http://ep.bmj.com/cgi/content/short/archdischild-2023-326773v1?rss=1
Key messages The suggested methods of aminoglycoside administration in paediatrics vary within the UK and internationally; however, there is more experience with intravenous infusion administra...
http://ep.bmj.com/cgi/content/short/archdischild-2024-326924v1?rss=1
As the third case in the acute safeguarding essentials in modern-day paediatrics series, this article focuses on sexual relationships, consent and confidentiality. Using the scenario of a 15-year...
http://ep.bmj.com/cgi/content/short/archdischild-2023-326654v1?rss=1
Introduction Humans lived as hunter-gatherers for 95% of our 200 000-year history.1 Social scientists call our modern societies ‘WEIRD’: Western, Educated, Industrialised, Rich and Democrati...
http://ep.bmj.com/cgi/content/short/archdischild-2023-326522v1?rss=1
Precocious puberty has traditionally been defined as the onset of secondary sexual characteristics occurring before age 8 years in girls and 9 years in boys. This earlier onset of puberty may hav...
http://ep.bmj.com/cgi/content/short/archdischild-2023-326217v1?rss=1
Group A streptococcus (GAS) is the most common bacterial cause of pharyngitis in children. GAS causes significant suppurative and non-suppurative complications including invasive GAS disease and ...
http://ep.bmj.com/cgi/content/short/archdischild-2023-325755v1?rss=1
Animal and human bites are a common reason for emergency consultation, especially in children. The most common complication of bite wounds is local infection. Systemic infections are much rarer. ...
http://ep.bmj.com/cgi/content/short/archdischild-2023-326403v2?rss=1
Judicious use of autoantibodies in paediatrics can be challenging. Autoimmune conditions can present with a wide range of signs and symptoms, many of which are non-specific. In combination with c...
http://ep.bmj.com/cgi/content/short/archdischild-2023-326327v1?rss=1
Since screening for cystic fibrosis (CF) was incorporated into the newborn screening program, the number of recognised variants in the CF transmembrane conductance regulator (CFTR) gene has signi...
http://ep.bmj.com/cgi/content/short/archdischild-2023-326767v1?rss=1
Immunoglobulin E (IgE)-mediated food allergy is an immune response, typically to a food protein. Accurate diagnosis reduces unnecessary dietary restrictions and economic and psychological burden ...
http://ep.bmj.com/cgi/content/short/archdischild-2023-325938v1?rss=1
Introduction For decades, cancer treatment has involved various permutations of three modalities: chemotherapy, surgery and radiotherapy. While these remain the backbone of current protocols, ov...
http://ep.bmj.com/cgi/content/short/archdischild-2023-326081v1?rss=1
A 7-year-old boy was referred to a tertiary centre for further assessment having been found to be hypoxic (SpO2 83% in air) during GP consultation where he presented with a 3-day history of non-p...
http://ep.bmj.com/cgi/content/short/archdischild-2023-326480v1?rss=1
A 10-month old, ex 29-week gestation infant attends general paediatric clinic. She is 2 months post-transcutaneous occlusion of a large patent ductus arteriosus (PDA) with a 10x8 ADO1 Amplatzer d...
http://ep.bmj.com/cgi/content/short/archdischild-2023-326725v1?rss=1
The problem Trainees make several transitions during a career, which increase stress and work-related anxiety.1 2 Feedback from a ‘Paediatric Return to Acute Clinical Practice’ (PRACP) Cou...
http://ep.bmj.com/cgi/content/short/archdischild-2023-325389v1?rss=1
Drug dosing and exposure throughout childhood are constantly affected by maturational changes like weight, age or body surface area. In neonatal and paediatric intensive care units (NICU and PICU...
http://ep.bmj.com/cgi/content/short/archdischild-2023-326325v3?rss=1
Background IgA vasculitis (IgAV), previously known as Henoch-Schönlein purpura (HSP), is an IgA-mediated autoimmune vasculitis typically affecting the skin, joints, gastrointestinal (GI) tract...
http://ep.bmj.com/cgi/content/short/archdischild-2023-326239v1?rss=1
A 10-month-old boy was admitted with a 4-month history of progressive macroglossia, coarse facial features and loss of motor skills (figure 1). Test your knowledge What is the most likely diagno...
http://ep.bmj.com/cgi/content/short/archdischild-2023-326806v1?rss=1
The problem Congenital heart defects (CHD) are the most common congenital anomaly and range from asymptomatic to lethal.1 2 Early recognition is critical to prevent postnatal collapse as CHD acc...
http://ep.bmj.com/cgi/content/short/archdischild-2023-325304v1?rss=1
Introduction Clinical exposure to paediatrics increases student interest in the specialty. However, the paediatric placement is relatively short and usually falls towards the end of medical scho...
http://ep.bmj.com/cgi/content/short/archdischild-2023-325944v2?rss=1
Background Adrenal insufficiency (AI) is characterised by a deficiency in adrenal cortisol production. It can arise due to a primary adrenal disorder (eg, autoimmune Addison’s disease or conge...
http://ep.bmj.com/cgi/content/short/archdischild-2023-325725v1?rss=1
The digital world continues to evolve and is apparent in all aspects of daily life. For children and young people, their online life is as real to them as their in-person life. Health professiona...
http://ep.bmj.com/cgi/content/short/archdischild-2023-326160v1?rss=1
Summary Implementation of a quarterly multidisciplinary neonatal transitional care (NTC) study day to ensure all staff working in postnatal clinical environments have specific NTC training that ...
http://ep.bmj.com/cgi/content/short/archdischild-2023-325860v1?rss=1
In both inpatient and outpatient settings, clinicians will encounter patients with pain. This consultation is further complicated if the child is non-verbal. This article aims to equip the clinic...
http://ep.bmj.com/cgi/content/short/archdischild-2023-326330v1?rss=1
Introduction Palpitations are a common presenting symptom in the paediatric population and generate understandable anxiety around issues regarding the heart and the possible consequences of an u...
http://ep.bmj.com/cgi/content/short/archdischild-2023-325817v1?rss=1
Postural orthostatic tachycardia syndrome (POTS) affects children and adolescents—normally fit and well and yet troubled by a myriad of everyday symptoms. Understanding the pathophysiology of t...
http://ep.bmj.com/cgi/content/short/archdischild-2023-325933v1?rss=1
The death of a child is a devastating event. Families experience profound grief and loss immediately following the death, and this remains and evolves as time progresses. In this, the second in a...
http://ep.bmj.com/cgi/content/short/archdischild-2023-326387v1?rss=1
The death of a child is a complex and hugely significant time for a family and community. Sophisticated but sensitive management by clinicians can have both short-term and long-term impacts on ho...
http://ep.bmj.com/cgi/content/short/archdischild-2023-326386v1?rss=1
Albuminuria is a marker of diabetic kidney disease. Raised albuminuria in children and young people with diabetes is associated with an increased risk of microvascular and macrovascular complicat...
http://ep.bmj.com/cgi/content/short/archdischild-2023-326275v1?rss=1
Key points Infants born <32 weeks or <1500 g are at risk of developing metabolic bone disease of prematurity (MBDP). Additional risk factors increase the need for regular screening. Most babi...
http://ep.bmj.com/cgi/content/short/archdischild-2023-326100v1?rss=1
Approaching discussions and introducing the idea of dysmorphology to parents and families can be perceived as difficult and even daunting by health professionals resulting in uneasiness in how be...
http://ep.bmj.com/cgi/content/short/archdischild-2023-325658v1?rss=1
Parents and caregivers may seek help with different questions or concerns on how to handle the diverse gender expressions of their children. Sometimes the issue may be evident while seeking medic...
http://ep.bmj.com/cgi/content/short/archdischild-2023-325709v1?rss=1
Stridor in an infant is a significant clinical sign; the primary objectives are to ensure that the airway is safe and to arrange timely, appropriate management. A structured history, examination ...
http://ep.bmj.com/cgi/content/short/archdischild-2022-325213v1?rss=1
Abstract Headache is a common presentation among children, and is classified as either primary or secondary, with secondary headaches caused by underlying pathology. Tension type headache and mi...
http://ep.bmj.com/cgi/content/short/archdischild-2022-324085v1?rss=1