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Paediatrics
Case report 27/03/2018

A pain in the knee

A pain in the knee

Time to read article: 3 mins
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Miss F, an overweight 11-year-old, attended her GP, Dr A, complaining of knee pain and clicking for two months following a twisting injury whilst playing football...

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Case report 12/12/2017

An elusive foreign body

An elusive foreign body

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Child H, a three-year-old boy, was brought into the Emergency Department (ED) of a private hospital by his mother, having inhaled or swallowed a little building brick. They brought a similar piece with them. Child H was seen by a doctor, Dr W, who documented that he appeared well, with no signs of respiratory distress and a normal auscultation. Dr W arranged for him to have a chest x-ray, which both Dr W and a radiologist considered normal.

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Case report 14/11/2017

A limping child

A limping child

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Three-year-old Matthew was brought to the local A&E department by his mum, Mrs U. She told Dr M, the attending doctor, that Matthew had fallen from a chair three days ago and, although he seemed unharmed at the time, he was now refusing to walk.

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17/11/2016

Mandatory reporting - should doctors be policing our communities?

Mandatory reporting - should doctors be policing our communities?

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Trust sits at the heart of the doctor-patient relationship – it is fundamental. I for one have discussed issues with my GP which I would never dream of discussing with friends and family, and as a doctor myself, have been at the receiving end of equally personal and confidential information from patients.

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Case report 09/11/2015

Childhood brain cancer

Childhood brain cancer

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At presentation, Peter was 14 years old and had presented with migraines since the age of 8. He was taking Pizotifen and his headaches were well controlled. Over the past four weeks he had started getting headaches again. They were in a similar location to his migraines, but were different in nature – he couldn’t put his finger on exactly how.

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01/10/2015

Consent – Children and young people

Consent – Children and young people

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Valid consent is just as important when treating children and young people as it is with adults. In some situations children are able to give consent themselves, and sometimes others need to take the decision on their behalf. This factsheet sets out the basic information to enable you to obtain the appropriate consent from children and young people.

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Case report 15/05/2015

Cumulative errors

Cumulative errors

Time to read article: 3 mins
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Mrs G, 34, presented to the delivery suite at 12pm, 38 weeks into her first pregnancy. Her antenatal care had been uneventful apart from measuring slightly “large for dates”. She was found to have a longitudinal lie with a cephalic presentation, and was experiencing three contractions every ten minutes. The midwife examined her and found her to be 2cm dilated with a fully effaced cervix and “intact membranes”.

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Case report 05/05/2015

Too much oxygen

Too much oxygen

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A baby was born by caesarean section at 27 weeks gestation with a birth weight of 980grams. The baby was intubated, ventilated and endotracheal surfactant was administered.

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02/02/2015

What is Gillick competence?

What is Gillick competence?

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Paediatrician and medicolegal adviser Dr Roger Palmer looks at the issue of consent and capacity in the under 16 age group. In this podcast, Dr Palmer focuses specifically on the issue of Gillick competence, which enshrined the autonomy of competent minors.

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Factsheet 01/10/2013

HSC complaints procedure – Hospital setting

HSC complaints procedure – Hospital setting

Time to read article: 5 mins
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Complaints in health and social care: standards and guidelines for resolution and learning (2009) aims to provide a simple, consistent approach for staff who handle complaints, and for patients who raise complaints across all health and social care services.

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Case report 05/02/2013

Suspected epilepsy: when to warn

Suspected epilepsy: when to warn

Time to read article: 3 mins
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A girl of eight, L, was brought by ambulance to the Emergency Department (ED) with a history of a fit during a lesson in school. There was no reliable history: according to friends who had been playing with L, she had touched an electrical socket, fallen, and then had a fit lasting about five minutes, from which she spontaneously recovered.

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Case report 01/09/2011

Mother knows best

Mother knows best

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Miss T was 17 years old and still at college when she became pregnant with her first child. She gave birth to a healthy baby boy at term, and was discharged the following day, with planned midwifery follow-up at home. At one month old, Miss T became concerned that her infant, baby T, appeared to be having occasional odd movements of his left hand.

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Case report 01/09/2006

A long time to claim

A long time to claim

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Baby P was born by vaginal delivery at home in the early hours of the morning. By lunchtime his mother became concerned that he looked yellow, and discussed this with her midwife. The midwife reassured her, saying that the baby was not washed up yet.

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Case report 02/01/2006

Three visits in four days don't go

Three visits in four days don't go

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Baby O, the son of a European mother and North African father, was born at term in the early 1990s and had his first vaccinations at three months old; the health visitor left the section dealing with TB and BCG tests blank on the vaccination card.

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Case report 01/11/2004

The missing belly button

The missing belly button

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Miss S was born with a very large umbilical hernia. Her consultant paediatrician remarked that it was the largest he had ever seen, and asked a surgical colleague, Mr A, to advise. Mr A told Miss S’s mother that the hernia needed surgery, as it would be unlikely to reduce spontaneously. Miss S’s parents gave their consent for the operation.

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