Showing posts with label Real Science in Paediatrics. Show all posts
Showing posts with label Real Science in Paediatrics. Show all posts
Wednesday, 3 May 2017

If you don't like what you hear, change the tune. (What to do when you don't hear a wheeze in a child who should be wheezy)

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Every now and then, a clinician will go to see a child who appears to have increased work of breathing and is well (in the way that children...
Tuesday, 15 March 2016

Croup - proof that a number is never enough information

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Croup has to be one of the easiest upper respiratory tract infection diagnoses to make.  You can literally hear the child coming.  The class...
Tuesday, 15 December 2015

How is your wheezer wired? Asthma vs Viral wheeze in the under 5 year old.

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This week, I was asked a very good question by one of my colleagues in primary care: Why are children under the age of five who have recurre...
Sunday, 16 August 2015

The TPR paradox - how do I know if a child might have sepsis?

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When I assess an ill child, I am primarily making a decision about whether the child has possible sepsis.  To a certain extent, everythin...
Saturday, 4 July 2015

More?!? The Salbutamol Paradox

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Dosing in children is quite frankly a nightmare.  While formularies such as the BNFc are excellent and easy to follow, there are alwa...
Wednesday, 3 June 2015

Schrodinger’s Safeguarding Case

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Whether you've been practising medicine for 30 minutes or 30 years, dealing with the issue of safeguarding is one of the biggest challe...