Category: Paediatrics


Croup is one of the most common winter illnesses we see in paediatrics and rarely these children can become very unwell. This article will help you understand the management options for the well children, and how to escalate management for the unwell children

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Febrile Convulsions

Febrile convulsions are a common presentation in paediatrics. This article will you help differentiate between the concerning presentations that need further investigation and management, and the simple febrile convulsions that can be discharged with safety netting

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Hand, Foot and Mouth Disease

Hand foot and mouth disease is a very common illness in children which commonly causes children to present to A&E and GP. This article tells you all you need to know about hand foot and mouth disease and how to manage it so you can feel confident in your diagnosis and plan when you see a child with HFMD in primary / secondary care

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Pre-School Wheeze

Introduction History Examination Differentials Investigations Management Dependant on severity which can be graded similar to an exacerbation of asthma *Back to back combi nebs means 3 combi nebs given one after the other or every 20 minutes. At the time of deciding to start back to back nebs, it is a good idea to also

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Neonatal Jaundice

Neonatal Jaundice Jaundice in the newborn is a relatively common presentation, typically seen on postnatal wards and presenting to paediatric units in the first couple of weeks of life. It is often managed in concert with midwifery teams both in hospital and in the community, and generally doesn’t present to General Practice, though it is

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Group A Strep – What you need to know

Introduction Epidemiology Signs and Symptoms of GAS Infection: Image credit: Signs and Symptoms of iGAS: Important Points for your History: On examination: Investigations: Management of GAS: Safety net advice to give to parents: Why has there been an outbreak of GAS? The only change in your practice should be that you have a

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Introduction The history of presentation will usually be a few days of cough / coryza and reduced feeding with some increased work of breathing. There may or may not be fever. History Babies are obligate nasal breathers so when they are congested they find it hard to feed and breathe at the same time and

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Respiratory Distress

Written by Dr Rebecca Evans, ST3 Paediatrics One of the most common presentations to paediatric A&E is “SOB” “DIB” or “increased WOB”. There are many different causes of respiratory distress in infants and children, and it is important o be able to narrow down your list of differentials so you can tailor your management plan

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Safeguarding History – The Basics

Children are vulnerable. Unfortunately, child abuse does happen, and it has a significant and lifelong impact. You may be one of the only professionals to have sufficient access to the child to identify concerns. As such you have the responsibility to be knowledgeable of safeguarding issues and best practices for keeping children safe. This article

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Paediatric Chest Pain

Most of the time, chest pain in children originates from a benign cause. However, paediatric chest pain can be a sign of serious pathology, particularly cardiac. It is important that, as the clinicians who often clerk children when they first present to hospital, FY1 doctors are able to recognise the features that would make chest

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