Thursday, 30 August 2018

You Better Think! - A three dimensional guideline for recognising the unusual diagnosis in the ill child (including Kawasaki disease)

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When assessing ill children, it is easy to presume that the problem is an uncomplicated viral infection.  Most of the time it is.  The odds...
Thursday, 26 July 2018

Paediatric Examination by the Book - (Easter egg- When to measure head circumference in a child and what it means)

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You know that book that you had when you were learning how to do a clinical examination?  Even books have a teaching style.  Mine was like ...
Wednesday, 11 July 2018

I'm On Your Side - How to stop the URTI-antibiotic discussion becoming an ordeal

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The antibiotic debate is a big one for several good reasons.  One of those reasons is that times have changed and change can be challenging...
Sunday, 24 June 2018

Decision Fatigue and What to Do About It - When to Use Antibiotics for URTI, AOM and Tonsillitis in Children

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Recently I was speaking to a GP colleague about the ways to protect oneself from decision fatigue.  Decision fatigue is a serious issue for...
Monday, 11 June 2018

Paediatrics is Not a Specialty - top tips for working with young people

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Paediatrics is difficult to define as a specialty.  At one point the RCPCH talked about “doctors who look at specific health issues, diseas...
Thursday, 7 June 2018

The Right Sort of Confidence - (Easter Egg: Acute abdominal pain in children)

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I feel pretty confident that my car has the right amount of oil in the engine and air in the tires.  Why?  because that has been the case e...
Wednesday, 23 May 2018

Quick and Easy FOAMed - Fallacies and Facts About Foreskin Problems in Children

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In case you hadn't noticed, there is now a guideline for everything.  It is impossible to keep up. FOAMed can be really useful in that...
Wednesday, 16 May 2018

Time for Child Advocacy - 10 things to keep kids safe

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Don't you love it when someone brands something that you've always been doing?  Advocacy is nothing new, but by making a big deal ...