How to use clinical signs of meningitis - ADC Education & Practice …
WEBMeningitis is a critical diagnosis not to miss in children presenting with fever. Since the early 20th century, classical clinical signs have been used to aid the diagnosis of meningitis. These classical signs are nuchal rigidity, Kernig’s sign and Brudzinski’s sign. Each of these relies on the principle that stretching the inflamed meningeal membranes causes clinically detectable irritation.
How to interpret lactate - ADC Education & Practice Edition
WEBThe association between hyperlactataemia and poorer outcomes in acutely unwell adults and children is well recognised. Blood lactate testing has become readily available in acute settings and is considered a first-line investigation in international guidelines for the management of sepsis. However, while healthcare professionals do appreciate the value of measuring blood lactate in acute ...
Paracetamol: pharmacology, prescribing and controversies
WEBParacetamol (internationally known as acetaminophen) is the most common medicine encountered in paediatric practice. It is used widely by parents and health professionals and it has analgesic and antipyretic effects. Its short-term safety and efficacy are well established and it is readily available for purchase over the counter. Its mechanism of action is not fully understood but it is known ...
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WEBArchives of Disease in Childhood: Education & Practice is a Plan S compliant Transformative Journal.. Archives of Disease in Childhood is led by Dr Nick Brown, clinician, epidemiologist and international child health expert. His vision is to enhance child health through training, advocacy, and publishing high quality research that will influence policy, and to do all this “with passion, wit ...
How to use the fractional exhaled nitric oxide test
WEBIntroduction. Asthma is defined as airway hypersensitivity and inflammation.1 It is a chronic condition that often affects children, with one in 11 children in the UK living with asthma.2 Globally, there are approximately 300 million people with asthma and annually up to 250 000 die prematurely, with 90% of these deaths thought to be avoidable.2 As a result, it is important to diagnose and ...
How to use the Bayley Scales of Infant and Toddler Development
WEBThe Bayley Scales of Infant and Toddler Development—Third Edition (Bayley-III) is a gold standard series of behavioural assessments used by clinicians and researchers to assess the developmental functioning of young children. The rigorous psychometric properties of the tool are attributed to the carefully standardised normative sample and quantitative scoring system. It is a common end-point ...
Use of prostaglandins in duct-dependent congenital heart …
WEBCongenital heart disease (CHD) remains a leading cause of infant mortality, which is even higher in infants with undiagnosed duct-dependent CHDs. Up to 39%–50% of infants with critical CHD are being discharged undiagnosed from the hospital. Infants with duct-dependent critical CHD remain well during the fetal period and may deteriorate when the ductus arteriosus (commonly called ‘duct ...
How to interpret a paediatric blood culture | ADC Education
WEBBlood culture is one of the most important diagnostic tests in medicine, considering the significant morbidity and mortality associated with bloodstream infection (BSI). However, it is an often misused and misinterpreted test in everyday paediatric practice. In this article, we explore the evidence related to paediatric blood cultures, with the aim of providing clear and clinically-relevant ...
Fifteen-minute consultation: Paediatric night sweats—when to …
WEB3-year-old Susie has been referred to the medical paediatric clinic by her general practitioner with sweating at night; her parents change Susie’s pillowcase whilst she is asleep at around 11pm as her hair looks wet with sweat. Her mother has searched ‘ sweating overnight ’ on the internet and is worried that her child has cancer. What should you do? Night sweats are a common complaint ...
KAWASAKI DISEASE - ADC Education & Practice Edition
WEBKawasaki disease; coronary arterial aneurysm; acquired heart disease; vasculitis; Dr Tomisaku Kawasaki published a case series of 50 children in 1967 1 who were febrile and all had a rash, non-exudative conjunctivitis, erythema of the palms and soles of the feet, and cervical lymphadenopathy. This constellation of signs Dr Kawasaki termed “acute febrile mucocutaneous syndrome”; however the ...