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Paediatrics

Paediatrics: Managing diarrhoea and vomiting in children

27 Aug 2009Paid-up subscribers

Diarrhoea and vomiting are common symptoms in children. In the majority of cases all that is required is some basic advice on management and appropriate reassurance. However, a few children will be at greater risk of complications or will deteriorate and require hospitalisation. GPs need to be able to differentiate between these groups and recognise the symptoms and signs requiring more active intervention. Guidance from NICE on the diagnosis, assessment and management of diarrhoea and vomiting in children under five provides a synthesis of evidence to aid GPs in the process.It also challenges some of the popular lay and professional myths that have developed around the management of gastroenteritis.

 

Paediatrics: Early intervention is key in juvenile idiopathic arthritis

27 Aug 2009Paid-up subscribers

Juvenile idiopathic arthritis (JIA) is one of the most common chronic diseases of childhood. The annual incidence in the UK is 1 in 10,000 children and the prevalence is 1 in 1,000. JIA occurs in all races and geographical areas and is more common in girls.1 The age of onset peaks between three and six and then again around adolescence. As most children with JIA will first present to primary care, GPs have an important role in diagnosis and management.

 

August 2008: GPs have a vital role in recognising child abuse

13 Aug 2008Paid-up subscribers

What symptoms and signs might indicate child abuse or neglect? What are the referral pathways for child abuse? When should social services be involved?
 

August 2008: Meningococcal disease warrants prompt referral

13 Aug 2008Paid-up subscribers

What are the key features of invasive meningococcal disease? How should suspected cases be managed? Has vaccination been effective?
 

August 2007: Recognising childhood neuropsychiatric disorders

01 Aug 2007Registered users

In the most recent comprehensive survey of the mental health of children in the UK, psychiatric diagnoses were present in 7.7% of boys and 5.1% of girls aged five to ten years. These figures do not include some important disorders (for example of motor function) that overlap and merge with the psychiatric conditions, so they probably underestimate true prevalence.