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Yield of second imaging in non-accidental injury
Yield of second imaging in non-accidental injury
Current guidance for investigating suspected non-accidental injury recommends a repeat skeletal survey after 11–14 days to...
Dual therapy with paracetamol and ibuprofen for fever: a network meta-analysis
Dual therapy with paracetamol and ibuprofen for fever: a network meta-analysis
How often do you advise parents to alternate paracetamol with ibuprofen to manage a young child with a fever? First, The A...
Should we replace nail plates after repairing nail bed injuries in children?
Should we replace nail plates after repairing nail bed injuries in children?
Clinical scenarioA boy in his early childhood presented to the paediatric emergency department with a fingertip injury. Hi...
History of the regulation of the medical profession in Britain
History of the regulation of the medical profession in Britain
Before legal regulation, there was ‘self-regulation’ as typified by the Hippocratic oath (460–370 BC): ‘I will abstain fro...
Sleep disorders in young adults
Sleep disorders in young adults
Don’t all adolescents have sleep problems? It is a time of fast physical growth as well as emotional and cognitive develop...
Review of implementation models for childrens sleep support services in the UK
Review of implementation models for childrens sleep support services in the UK
Sleep deprivation has a serious impact on physical and mental health. Children with neurodevelopmental disorders are frequ...
Artificial food additives: hazardous to long-term health?
Artificial food additives: hazardous to long-term health?
Many additives, some of which have no nutritional value, can be legally used in processed foods. They intensify colour, th...
Harry Potters extendable ear: reaching deaf children
Harry Potters extendable ear: reaching deaf children
New, affordable hearing devices for children with conductive hearing loss consist of a novel headset using bone conduction...
One-to-one counselling and school attendance in the UK: a single group pre-post study
One-to-one counselling and school attendance in the UK: a single group pre-post study
IntroductionBackgroundSchool attendance is positively associated with educational attainment1 2 and can boost children’s l...
Rituximab treatment in children with IgA vasculitis nephritis: a case series of an international cohort
Rituximab treatment in children with IgA vasculitis nephritis: a case series of an international cohort
Treatment recommendations for IgA vasculitis (IgAV)-associated nephritis (IgAVN) are mainly based on expert opinion result...
Greenish-yellow fluorescence of scalp kerion celsi using Woods lamp
Greenish-yellow fluorescence of scalp kerion celsi using Woods lamp
A 7-year-old boy presented with a 3-week history of a progressively enlarging, tender and boggy scalp lesion with associat...
Cystic fibrosis transition from paediatric to adult care: international survey results
Cystic fibrosis transition from paediatric to adult care: international survey results
Transition is the planned and purposeful movement of patients from paediatric to adult care.1 Over the last five decades t...
Mycoplasma pneumoniae induced cold agglutinin syndrome: an unusual mimicker of childhood vasculitis
Mycoplasma pneumoniae induced cold agglutinin syndrome: an unusual mimicker of childhood vasculitis
A girl in her early childhood presented with fever for 10 days with erythematous non-blanching maculopapular rash involvin...
Are empiric antibiotic choices for orbital cellulitis in children presently unnecessarily broad (and unable to prevent surgery)?
Are empiric antibiotic choices for orbital cellulitis in children presently unnecessarily broad (and unable to prevent surgery)?
Orbital cellulitis, infection of the soft tissues of the orbit posterior to the orbital septum, mostly occurs secondary to...
My experience with allergic rhinitis
My experience with allergic rhinitis
I was first introduced to the concept of allergic rhinitis at 5 years of age with sneezes, a runny nose and itchy eyes eve...
Progressive multifocal leukoencephalopathy in children with HIV: still a challenge
Progressive multifocal leukoencephalopathy in children with HIV: still a challenge
A male teenager from Guinea-Bissau, in Portugal for 15 days, presented with a two-month history of progressive headache, d...
Long-term evaluation of faecal calprotectin levels in a European cohort of children with cystic fibrosis
Long-term evaluation of faecal calprotectin levels in a European cohort of children with cystic fibrosis
IntroductionCystic fibrosis (CF) is a genetic life-threating disease resulting from absence or dysfunction of the cystic f...
Screening for type 1 diabetes
Screening for type 1 diabetes
Every good medical student will learn the Wilson and Jugner criteria required for a good screening test. Although these 10...
Accidental intravenous paracetamol overdoses in children
Accidental intravenous paracetamol overdoses in children
It is 03:00, you are called as a febrile infant has received an accidental tenfold intravenous paracetamol overdose. What ...
Adoption in England: past and present challenges
Adoption in England: past and present challenges
AbstractOver the last century, changes in legislation, social constructs and the perceptions of what family life ‘should’ ...