An emphasis on children’s psychological support this month, particularly around bereavement during Covid. A couple of useful links to PIMS-TS information for GPs and families, a bit more on bites with a safeguarding slant and what to do with constipation when Movicol is not the answer.
A bit of a viral soup this month with articles on ‘flu vaccines, how long should children have off school when unwell, NAFLD, and dermatomyositis. Do leave comments below.
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.
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.
Christmas disease this month, acute psychosis in children, an Emoji guide to the workings of the facial nerve, sleep hygiene and the start of a 2 part series on measles. Happy New Year and do leave comments below!
With thanks to Dr David Gardiner, one of our current paediatric FY2 doctors at Homerton University Hospital, for updating us on HUS.
News story in 1999News story from 2018. Less than 3% of patients die of HUS but 20-30% experience adverse renal outcomes. Think about it in children with bloody diarrhoea and, often, no fever.
Presentation:
Profuse diarrhoea that typically turns bloody after 1-3 days
Abdominal pain (crampy)
Vomiting
Fever (sometimes)
Oedema
Reduced urine output (abrupt onset) but also polyuria/normal urine output (rarer)
September’s newsletter reminds us of the CPD requirements for child safeguarding for all of us, warns us of the dangers of missing Kawasaki Disease, talks about PHE’s #askaboutasthma campaign and describes the differences between fever and sepsis. Do leave comments below:
July 2018 brings HEADSSS as a communication tool in adolescent medicine this month, vaccine hesitancy, chikungunya, empyemas, a good headache course coming to London and appropriate use of the EEG. Please do leave comments below.
June 2018 features include the rotavirus immunisation, febrile myoclonus, investigating normochromic anaemia, complications of sinusitis and the first in our adolescence series. Please do leave comments below: