Paediatric Snippets

When children come into the ED with a history of trauma, there is a need to exclude fractures and internal injury, but sometimes we may be requesting more CT scans than necessary. In many circumstances an X-ray of the C-spine, Chest or Pelvis may suffice, especially in a haemodynamically stable child with no evidence of external injury. If a CT is deemed necessary, a targeted approach will reduce the radiation exposure to the child. Increasingly, we are being told to liaise with SORT for advice, when determining the need for CT.

Please see the attached papers!

CT radiation dose awareness among paediatricians, by Al-Rammah T.Y. Italian Journal of Pediatrics; Aug 2016; vol. 42 (no. 1)

 

Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: A retrospective cohort study, by Pearce M.S.; Salotti J.A.; Howe N.L.; Craft A.W.; Little M.P.; Lee C.; Ronckers C.M.; Rajaraman P.; De Gonzalez A.B.; McHugh K.; Kim K.P.; Parker L.  The Lancet; Aug 2012; vol. 380 (no. 9840); p. 499-505

A Powerpoint presentation by Joshua Burns and Megan Collins.

Click on the link below to view the presentation.

bacterial-infection-of-vzv-treatment

A Powerpoint presentation by Joshua Burns and Louis Darby.

Click on the link below to access the slides.

sjs-presentation

A Powerpoint presentation by Philippa Clery and Megan Collins.

Click on the link below to access the slides.

acceptable-oxygen-sats-targets-in-bronchiolitis-presentation

A Powerpoint presentation by Philippa Clery and Louis Darby.

Click on the link to view the slides.

what-is-the-crp-threshold-for-performing-lp-in-neonatal-sepsis

Wilne, S; Walker, D.,  Archives of disease in childhood. Education and practice edition; Apr 2010; vol. 95 (no. 2); p. 47-54

Only 2% of childhood tumours occur in the spine and spinal cord; yet these tumours account for a disproportionate degree of morbidity in children with cancer. Spine and spinal cord tumours frequently initially present with non-specific symptoms such as back pain and clumsiness and are therefore often associated with a prolonged period between symptom onset and diagnosis. Many children present repeatedly to healthcare services before a diagnosis is made. and appropriate imaging is often only instigated once a child has developed neurological deficits. Unfortunately, despite treatment, these deficits are often only at best partially reversible. This article reviews the pathology and presentation of spine and spinal cord tumours in children and advises on the appropriate assessment of a child who may have a spine or spinal cord tumour. The principles underlying the management of these tumours are discussed and the management strategies for individual tumour types summarised.

This article may be accessed by clicking here . You will need your OpenAthens account username and password to read the full text.

adc-education

Association of HSP with CD has not been evaluated. This paper from Rheumatology International journal aims to evaluate whether CD prevalence is increased in children with HSP. The paper discovered a CD seropositivity rate in children with HSP (12 %), which is significantly higher than the rate in healthy children. Although the number of children with HSP is small in this preliminary study, this result suggests that celiac screening may be considered in children with HSP.
Click on the link below to read this open access paper online. PDF download is also available. Comments and discussion are welcome.

Rheumatol Int. 2016 May;36(5):713-7

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Picture: Original uploader was Okwikikim at English Wikipedia – Transferred from en.wikipedia to Commons., Public Domain, https://commons.wikimedia.org/w/index.php?curid=4233585