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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 ...
Guideline for the management of children and young people …
WEBIn January 2020, the British Society for Paediatric Endocrinology and Diabetes (BSPED) published an interim guideline for the management of diabetic ketoacidosis (DKA), which replaces the 2015 guideline. There have been substantial changes due to controversies in DKA management, particularly relating to the risk of cerebral oedema. Paediatric DKA is a common presentation in type 1 diabetes ...
How to interpret symptoms, signs and investigations of …
WEBUnfortunately, the symptoms and signs listed above and in table 1 were not specific for dehydration; that is, the presence of one or more of the symptoms could not be used to accurately confirm dehydration as present. The most specific symptoms and signs of dehydration were reported as prolonged capillary refill time of >2 s (positive predictive value (PPV) 0.57–0.65) and decreased skin ...
WEBThere is a danger that with a positive screen other diagnoses may be missed, and it is important to remember that a urine toxicology screen is not a diagnostic test.2 3. negative test tells you that the substance was not present at the time of testing at the minimum threshold quantity for detection, but cannot rule out exposure to the substance ...
Jaundice in newborn babies under 28 days: NICE guideline 2016 …
WEBIn May 2016, the National Institute for Health and Care Excellence (NICE) published updated guidelines entitled ‘Jaundice in newborn babies under 28 days’ (box 1).1 The guideline covers diagnosis and treatment of neonates with jaundice, aiming ‘to help detect and prevent very high levels of bilirubin’. New recommendations focus on measuring and monitoring bilirubin levels and the type ...
Guideline review NICE Clinical Knowledge Summary: balanitis in …
WEBBalanitis is an inflammatory condition typically affecting the glans penis but is commonly associated with inflammation of the foreskin and is consequentially known as ‘balanoposthitis’. It is an illustrative term of which there are numerous causes and risk factors. Among young men, up to 6% are shown to suffer from balanitis.1 Prevalence is higher in uncircumcised men2 due to the ...
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 perform and interpret a middle cerebral artery transcranial ...
WEBTranscranial Doppler (TCD) ultrasound is a non-invasive neuromonitoring technique that falls under the umbrella of point-of-care ultrasound. In this article, we provide a primer to encourage clinicians to perform TCD examinations and to aid them with accurately interpreting the scans. We focus on the middle cerebral artery waveforms and use traumatic brain injury as a model for brain insult.
HYPONATRAEMIA: DIAGNOSIS AND MANAGEMENT - ADC …
WEBSodium and its accompanying anions, chloride and bicarbonate, are the principal solutes in the extracellular fluid (ECF). Because sodium and chloride are nearly completely excluded from the cells, they behave as impermeant solutes and account for most of the osmolality and tonicity of the ECF. Sodium chloride is therefore the main determinant of ECF volume, since changes in its concentration ...
Fifteen-minute consultation: Apparent vaginal bleeding in the pre ...
WEBA parent or carer’s observation of blood in a child’s nappy or underwear can be quite alarming for both parent and child and may indicate vaginal bleeding. At first glance, it may be difficult to ascertain whether the bleeding is from the skin, genital tract, urinary tract or anus. Confirmed vaginal bleeding in a pre-pubertal girl is rare but always abnormal and requires comprehensive ...
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