15.1 Paediatric gynaecology Pamela Rosengarten, Sonia Grover Essentials Prepubescent girls 1 Vaginal examination is inappropriate in paediatric patients and usually provides little information. Ultrasound may provide further information or, if…
18.1 Sexual assault Matt Ryan Essentials 1 Sexual assault occurs when a child is engaged in sexual activity that the child cannot comprehend, for which the child is developmentally unprepared…
16.4 Urinary tract infection in pre-school children Frank Willis Essentials 1 Urinary tract infection is common and potentially serious. 2 Septicaemia may occur in babies. 3 Renal scarring is a…
16.7 Henoch–Schönlein purpura Karen McCarthy Essentials 1 There is no diagnostic laboratory test for the diagnosis of Henoch-Schönlein purpura. 2 The diagnosis is clinical and consists of the tetrad: palpable…
7.8 Diarrhoea and vomiting Christopher Webber Essentials 1 ‘ABC fluids in and out’ is a useful tool in taking a history. 2 Not all diarrhoea and vomiting is gastroenteritis. 3…
11.1 The use of blood products in children Joseph Ting Essentials 1 Blood components are appropriately used when clinical benefits of administration outweigh potential hazards, provided the indication is appropriate….
5.4 Cardiovascular assessment and murmurs Matthew O’Meara Essentials 1 Cardiac problems are uncommon in children, but should be considered in an infant or child with respiratory distress, cyanosis, collapse or…
24.4 Risk management in acute paediatric orthopaedics Robyn Brady Essentials 1 Inadequate identification and management of unstable or displaced injuries such as lateral condylar elbow fractures, Monteggia fracture dislocations, and…
