{"title":"The Role of Point of Care Ultrasound in Evaluating Paediatric Patients With Limp: An Illustrative Case Series.","authors":"David J McCreary, Peter J Snelling","doi":"10.1111/jpc.70207","DOIUrl":"https://doi.org/10.1111/jpc.70207","url":null,"abstract":"<p><p>Acute refusal to weight-bear or limp is a commonly encountered presentation to the Paediatric Emergency Department (PED). Due to the extensive range of differential diagnoses that may be responsible for these symptoms in the paediatric population, such patients pose a diagnostic challenge. Furthermore, some of the potential causes can be extremely serious or even life-threatening. POCUS has been demonstrated to be useful in assisting and expediting decision making for paediatric patients presenting with lower limb complaints in the PED. This article describes a range of acute lower limb presentations to the PED in which POCUS played a central role in establishing the diagnosis, which was otherwise unclear or assisted as part of its management.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nav La, Schawanya Kaewpitoon Rattanapitoon, Thawatchai Aeksanti, Nathkapach Kaewpitoon Rattanapitoon
{"title":"Expanding the Role of Generative AI in Paediatric Intensive Care Education: Beyond Factual Knowledge Toward Integrated Clinical Reasoning.","authors":"Nav La, Schawanya Kaewpitoon Rattanapitoon, Thawatchai Aeksanti, Nathkapach Kaewpitoon Rattanapitoon","doi":"10.1111/jpc.70213","DOIUrl":"https://doi.org/10.1111/jpc.70213","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fabricated or Induced Illness in Children: Experience of a Tertiary Australian Children's Hospital.","authors":"Sandra Hanna, Ben W R Balzer, Lydia J Garside","doi":"10.1111/jpc.70206","DOIUrl":"https://doi.org/10.1111/jpc.70206","url":null,"abstract":"<p><strong>Aims: </strong>Fabricated or Induced Illness in Children (FIIC) is a complex form of child abuse. Harm to the child is both iatrogenic and psychological, driven by caregivers. Our aim was to characterise the clinical features and outcomes of FIIC cases in a tertiary Australian child protection unit (CPU).</p><p><strong>Methods: </strong>Retrospective review of cases referred for concerns of FIIC over a 15-year period from 1 January 2006 to 31 December 2020. Cases were excluded if they did not meet the Royal College of Paediatrics and Child Health (RCPCH) definition of FIIC or if there was inadequate information available.</p><p><strong>Results: </strong>Twenty-two referrals fulfilled the criteria for diagnosis of FIIC, constituting 0.23% of all referrals for physical abuse and neglect. There was a 4-year duration between first presentation and first concern for FIIC being raised. Indirect evidence of FII was identified in 95% of cases, and only one case had direct evidence in the form of laboratory proof of poisoning. Additional child protection concerns were identified in 36% of cases. Statutory child protection reporting was made in most cases (77%). In 65% of the total cases, the child remained with the carer, who continued to seek excessive medical care-all were cases of indirect FIIC.</p><p><strong>Conclusions: </strong>Children with indirect evidence of FIIC are at risk of further harm through unnecessary and extensive medical investigations. Statutory agency intervention is often required, and further research is needed to identify effective multi-agency management strategies.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145244688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kimberley C W Wang, Philip J Robinson, Alan L James, Peter B Noble, John G Elliot
{"title":"Increased Airway Smooth Muscle Shortening Is Associated With an Earlier Age of Sudden Unexpected Death in Infancy.","authors":"Kimberley C W Wang, Philip J Robinson, Alan L James, Peter B Noble, John G Elliot","doi":"10.1111/jpc.70211","DOIUrl":"https://doi.org/10.1111/jpc.70211","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Shared Decision-Making for Genetic Tests With Children and Young People With Intellectual Disability: Considerations for Inclusive, Person-Centred, and Respectful Approaches.","authors":"Manjekah Dunn, Iva Strnadová, Michelle Tso, Claudia Pantoja Mardones, Jackie Boyle, Erica Longhurst, Julie Loblinzk Refalo, Skie Sarfaraz, Bronwyn Terrill, Elizabeth Emma Palmer","doi":"10.1111/jpc.70202","DOIUrl":"https://doi.org/10.1111/jpc.70202","url":null,"abstract":"<p><p>With over 1000 genetic causes for neurodevelopmental conditions, genetic testing (including exome sequencing) is recommended for people with intellectual disability to guide clinical care, as well as improve empowerment, connection to peer supports, and access to funded therapies. Many genetic neurodevelopmental conditions are inherited, with a parent sharing the genetic change identified in their child. However, despite showing interest in genetic medicine, many young people and adults with intellectual disability feel excluded from full participation. There is a lack of accessible resources to support people with intellectual disability in making informed choices about genetic tests and understanding their test results. There is also little training available to healthcare professionals to help them communicate with and support young people with intellectual disability and their parents about genetics. This situation reflects a broader exclusion of people with intellectual disability from equitable and respectful access to mainstream healthcare, as highlighted in the National Roadmap to Improving the Health of People with Intellectual Disability (2021) and the Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability (2023). In this article, we discuss key approaches and co-produced resources (i.e., resources created together with people with intellectual disability, academic researchers, healthcare professionals, and teachers) to equip healthcare professionals to empower children, young people, and parents with intellectual disability to make informed decisions about genetic testing and understand their test results. We highlight the need for inclusive, person-centred, and respectful healthcare to ensure genetic medicine is equitable and accessible.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145199457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V Thadchanamoorthy, Kavinda Dayasiri, Hemika Yoganathan, S I Majitha, Amanda J Hooper, John R Burnett
{"title":"Incidental Finding of Severe Hypertriglyceridaemia and Diagnosis of Familial Chylomicronaemia Syndrome in a Family.","authors":"V Thadchanamoorthy, Kavinda Dayasiri, Hemika Yoganathan, S I Majitha, Amanda J Hooper, John R Burnett","doi":"10.1111/jpc.70205","DOIUrl":"https://doi.org/10.1111/jpc.70205","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145199381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Luvena Kochetkova, Daniel You, Siu Tsin Au Yeung, Dina Mahmood
{"title":"Tolerability of Antidepressants in Adolescents With Inflammatory Bowel Disease: A Small Case Series.","authors":"Luvena Kochetkova, Daniel You, Siu Tsin Au Yeung, Dina Mahmood","doi":"10.1111/jpc.70203","DOIUrl":"https://doi.org/10.1111/jpc.70203","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}