Category Archives: For General Practitioners

November 2019 PDF digest

Bloody diarrhoea this month.  Inflammatory bowel disease patients are getting younger.  Also croup and acanthosis nigricans, 2 things that probably don’t go together very often.  Do leave comments below.

October 2019 PDF

Causes of chest pain in children this month (hint: it’s not the heart), causes of tachycardia, nosebleeds, Down Syndrome annual reviews, causes of erythema nodosum and a link to a fantastic document on the top 20 paediatric outpatient referrals.  Read this document from Birmingham Women and Children’s Hospital and cut your referrals by at least 50%!

September 2019 PDF digest

I’m uploading this month’s newsletter while teaching in Vietnam at the invitation of a very impressive charity, https://www.newbornsvietnam.org/.  I’m glad of the extra 6 hours of September – thanks to the time difference – to publish this on time!

Palivizumab this month; are all your eligible patients having it?  A glance at the updated BTS/SIGN guideline on asthma, a very rare case of a cardiac cause of chest pain, how to estimate a child’s weight in an emergency and a bit on haemolysis secondary to G6PD deficiency.  Do leave comments below…

July 2019 PDF

July 2019:  Honing in on coca cola coloured urine this month and a closer look at armpits.  Links to suitable child safeguarding CPD on harmful sexual behaviour and a look at the ANA test.  Do leave comments below.

June 2019 newsletter

Possible causes of macrocephaly this month.  Also the start of a new series on causes of coca-cola coloured urine and updates on safeguarding CPD requirements and the terminology of children “in care”.  Do leave comments below:

April and May became combined this year…

April came and went a bit too fast for my Paediatric Pearls head.  So I’ve produced a joint April/May newsletter for 2019.  There’s a bit of safeguarding again this month with a link to a paper on what young people in care think of the language we use, a guide to enteral rehydration of children with D&V, acrodermatitis enteropathica and a reminder of what is normal on a paediatric ECG.  Do leave comments below:

It is safer to rehydrate children with D&V enterally than intravenously

I got a few blank faces on a ward round recently when I was working out volumes of diarolyte for rehydrating a child with D&V.  We tend to use “5mls every 5 minutes” in our Emergency Departments whatever the size of the child and however dehydrated they are and then, when they fall asleep and we want to move them out of our department for fear of 4-hour breaches, we put an iv line in, take bloods which we then have to act on and start iv fluids which we should then monitor more often than most of us do.  Where is the half way point?

Have a look at http://www.paediatricpearls.co.uk/wp-content/uploads/Fluid-management-in-childhood-gastroenteritis.pdf for some help with enteral rehydration (which is safer and more efficient overall than intravenous fluids).  Please let me know if you disagree with my calculations and work them all out for yourself from scratch if you happen to be dealing with a 16kg child like in the worked example…

March 2019 PDF published

Part 2 of Medically Unexplained Symptoms this month.  Also antibiotics in cystitis, too many investigations in community acquired pneumonia, carotenaemia and heart murmurs in unwell children.  Do leave comments below:

February 2019 newsletter

NICE on honey this month.  And antibiotics in URTIs.  Also blueberry muffin syndrome courtesy of our dermatology contributor, medically unexplained symptoms from a great on line resource from MindEd (https://www.minded.org.uk/Component/Details/525083) and information for practitioners and young people and families after a first afebrile seizure.  Please do leave comments below:

January 2019 newsletter

Genetics this month and an explanation of the microarray test.  Managing measles contacts in the “lessons from the front line” section, use of a smartphone app for recording palpitations and the start of a new dermatology series – skin manifestations of systemic disease.  Do leave comments below.