Category Archives: Paediatrics

Reflux in infants

(BMJ 2017;357:j1802, supplemented by checking the original guidance) Not to be referred to as GORD unless the symptoms are interfering with the baby’s quality of life or causing complications (poor weight gain, difficulty sleeping, recurrent chest infections). Otherwise, it’s physiological … Continue reading

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Bits and bobs

Useful bunch of motley learning points from the 15th April BMJ: A double-blind trial reported in NEJM has looked at the effects of treating borderline thyroid results (raised TSH with normal T4) in the elderly. It didn’t show any benefit … Continue reading

Posted in BMJ, Cardiovascular, Credits 2017, Endocrinology, Hypertension, Medication, Paediatrics, Thyroid | Leave a comment

Squints in childhood

My son has a squint, so I’m familiar with treatment of childhood squints. However, I wasn’t previously aware of red flags to look for when children present with a squint: Abnormal red reflex Limited abduction Diplopia Headaches (the article just … Continue reading

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Constipation in children

Red flags Constipation from birth or within first few weeks Failure to pass meconium in first 48 hours Ribbon stools (more likely in <1 yr) Undiagnosed or new weakness in legs Motor delay Abdominal distension with vomiting, or gross abdominal … Continue reading

Posted in Gastroenterology, Paediatrics | Leave a comment

Examination of eyes/vision in young children

(From BMJ learning unit, based on BMJ article BMJ 2015:350:h1716) Have child sitting on parent’s lap, facing you, parent leaning slightly backwards Sing a nursery rhyme for distraction Visual inspection of the eyes Dim lights & use ophthalmoscope from a … Continue reading

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Cow’s milk intolerance in children, and other food allergies

Cow’s milk intolerance is a type of non-IgE-mediated allergy. It may present as: Reflux Colic Vomiting Diarrhoea – may be bloody and/or mucousy Eczema Faltering growth (less common) The more symptoms that are involved, the more likely they are to … Continue reading

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Wheezing in pre-school children

I never quite understood why wheezing in pre-school children is not meant to be called asthma when it looks like asthma, sounds like asthma and behaves like asthma, but apparently the reason is the absence of eosinophilic airways inflammation. Some … Continue reading

Posted in BMJ, Credits 2013, Paediatrics, Respiratory | Leave a comment