{"title":"Fifteen-minute consultation: Management of raised intracranial pressure in children.","authors":"Claire Rafferty, Deborah Cross","doi":"10.1136/archdischild-2024-327443","DOIUrl":"10.1136/archdischild-2024-327443","url":null,"abstract":"<p><p>Raised intracranial pressure (ICP) in children can be very challenging to recognise and manage. In order to minimise secondary brain injury, measures to reduce intracranial pressure must be initiated as soon as possible. Initial management is often commenced in District General Hospitals prior to transfer for definitive treatment. This article is aimed at general paediatricians and provides a framework for the initial stabilisation and management of a child with raised ICP, with discussion of the underlying physiological principles.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"59-63"},"PeriodicalIF":1.1,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481644","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":"Treatment of toxic shock in children.","authors":"Vivian Giang, Brendan McMullan","doi":"10.1136/archdischild-2023-325642","DOIUrl":"10.1136/archdischild-2023-325642","url":null,"abstract":"<p><p>Toxic shock syndrome (TSS) is a life-threatening complication of infection typically caused by one of two bacterial species: <i>Staphylococcus aureus</i> and <i>Streptococcus pyogenes</i> The outcomes in children with TSS can be devastating. Careful consideration of TSS is required as a potential differential diagnosis of children presenting with sepsis or severe illness associated with fever and rash.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"64-69"},"PeriodicalIF":1.1,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535998","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}
Jingjing Wang, Clair-Soo Blackwood, Fiona McQuaid, Sonia Joseph
{"title":"Learning to TODDLE: inspiring the paediatricians of tomorrow.","authors":"Jingjing Wang, Clair-Soo Blackwood, Fiona McQuaid, Sonia Joseph","doi":"10.1136/archdischild-2023-325409","DOIUrl":"10.1136/archdischild-2023-325409","url":null,"abstract":"<p><p>With numbers of children and young people waiting for treatment rising to record-high levels in the UK, the need for paediatricians is emphasised. In order to accommodate these demands, it is essential that more medical students are encouraged to pursue paediatric careers. By providing vital career support to aspiring paediatricians at an undergraduate level, recruitment into paediatrics can be amplified. An important way in which medical students gain early exposure to paediatrics is through local paediatric organisations like university societies, who can nurture interest towards the specialty and provide links to exploring and building upon paediatric career development. By empowering student initiatives to create opportunities for students to pursue paediatrics, we can build and support the next generation of paediatricians from the ground up. This was demonstrated by the Edinburgh University Paediatrics Society's free virtual career building series TODDLE: 'The building blOcks to Developing your paeDiatric portfoLio and carEer'. Feedback from the TODDLE series evidently showed an appetite for paediatric career support at an undergraduate level internationally, with attendees commenting on the usefulness, novelty and accessibility of the series. TODDLE emphasised the importance of providing paediatric career advice to medical students and showed the feasibility and practicality of student-led initiatives in providing this support as well as other paediatric exposures. Through collaborative work and the sharing of resources, any organisation at a student level can offer opportunities for engagement in paediatrics on a national and international basis.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"85-88"},"PeriodicalIF":1.1,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460938","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":"Persistent painless eyelid swelling in an infant.","authors":"Takashi Tagaya, Yoko Shioda, Yoshiyuki Tsutsumi, Takako Yoshioka","doi":"10.1136/archdischild-2023-326476","DOIUrl":"10.1136/archdischild-2023-326476","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"88-90"},"PeriodicalIF":1.1,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753458","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":"Incidental ring-shaped cerebral lesions in a 3-year-old.","authors":"Rebecca Borg, David Pace","doi":"10.1136/archdischild-2024-326860","DOIUrl":"10.1136/archdischild-2024-326860","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"90-92"},"PeriodicalIF":1.1,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141768052","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":"Drug-induced liver injury in children.","authors":"Bharanikumar Ravikumar, Guruprasad Aithal, Chayarani Kelgeri","doi":"10.1136/archdischild-2024-326853","DOIUrl":"10.1136/archdischild-2024-326853","url":null,"abstract":"","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":"75-79"},"PeriodicalIF":1.1,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140946672","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":"Fifteen-minute consultation: a guide to pertussis.","authors":"Rachael Purcell, Ulrich Heininger, Jim Buttery","doi":"10.1136/archdischild-2024-327134","DOIUrl":"https://doi.org/10.1136/archdischild-2024-327134","url":null,"abstract":"<p><p>Pertussis (whooping cough) is a bacterial infection caused by the organism <i>Bordetella pertussis</i> It can lead to severe illness and death, especially in neonates and young infants. Pre-vaccination, pertussis was a major contributor to childhood morbidity and mortality. Despite global vaccination programmes, it remains a considerable public health challenge. Infants at high risk of infection presenting with cough and/or apnoea with a peripheral hyperleucocytosis due to lymphocytosis should be investigated and managed with caution. It is important for clinicians to recognise the risk of severe disease in young infants and test symptomatic patients rapidly to guide treatment decisions and inform public health response. The testing of asymptomatic persons or close contacts is not routinely recommended. Antimicrobial treatment, usually an oral macrolide, is recommended for infants, close contacts of symptomatic patients and individuals at risk of severe disease to decrease both severity and the infectious period. Preventative strategies such as immunisation programs encompassing vaccination during each pregnancy, childhood immunisation and considering lifelong additional pertussis vaccine booster doses for adults (especially when in close contact with infants and other vulnerable persons) are important patient-centred public health strategies for clinicians.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558583","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}
Isobel Dodds, Alan Peter Sanderson, Mahmood Bhutta
{"title":"How to perform otoscopy.","authors":"Isobel Dodds, Alan Peter Sanderson, Mahmood Bhutta","doi":"10.1136/archdischild-2023-326451","DOIUrl":"https://doi.org/10.1136/archdischild-2023-326451","url":null,"abstract":"<p><p>Performing and interpreting otoscopy is a core clinical skill for any healthcare practitioner who looks after children. However, training and experience can vary hugely, which affects the accuracy of diagnosis. This article aims to succinctly explain how to correctly perform and interpret findings of otoscopy. We include clinical examples of hearing loss, fever and the recurrent or persistently discharging ear.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544631","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}
Tomas Moore, Clare Nourse, Shuan Dai, Tania Zappala, Angela Berkhout
{"title":"Fifteen-minute consultation: Approach to recurrent cutaneous and ophthalmic herpes simplex virus infection.","authors":"Tomas Moore, Clare Nourse, Shuan Dai, Tania Zappala, Angela Berkhout","doi":"10.1136/archdischild-2024-327381","DOIUrl":"https://doi.org/10.1136/archdischild-2024-327381","url":null,"abstract":"<p><p>Herpes simplex virus (HSV) infection in children is a common and challenging disease characterised by frequent misdiagnosis, a variety of treatment protocols and frequent recurrences from latent infection. With potential consequences such as pain, disfigurement, self-esteem issues, school exclusion and vision loss in eye disease, early diagnosis, informed management and appropriate interventions to prevent recurrences are essential.Management of HSV disease typically involves the use of oral antivirals for cutaneous disease and a combination of oral and topical treatment for eye disease. For children with recurrent disease, management options include episodic or chronic suppressive treatment for cutaneous disease, while longer-term suppressive therapy is often recommended for eye disease.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525257","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":"Fifteen-minute consultation: An approach to the child protection medical assessment-a focus on non-technical skills.","authors":"Nkiru Asiegbunam, Helen Morris","doi":"10.1136/archdischild-2024-328384","DOIUrl":"https://doi.org/10.1136/archdischild-2024-328384","url":null,"abstract":"<p><p>Child protection medical assessments (CPMAs) are carried out to seek evidence of abuse or neglect and for this reason many paediatricians find them daunting. In this article we explore how CPMAs differ from routine clinical assessments of children. We describe how preparation can help ensure the assessment goes smoothly and provide tips for communication with the child and carer. We also highlight the importance of self-care for clinicians working in this emotive area of paediatrics. We conclude by sharing some pitfalls and how practitioners can overcome them.</p>","PeriodicalId":55471,"journal":{"name":"Archives of Disease in Childhood-Education and Practice Edition","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517520","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}