General approach to poisoning
21.1 General approach to poisoning Naren Gunja Essentials 1 Poisoning in children is usually accidental, particularly in the under-6 age group. Deliberate self poisoning may become apparent as they mature…
Infective endocarditis
5.7 Infective endocarditis Sarah Dalton Essentials 1 Infective endocarditis is the microbial infection of cardiac endothelium. 2 Risk factors include congenital heart disease, central venous access, intravenous drug use and…
Abdominal pain
7.1 Abdominal pain Jason Hort Essentials 1 Only a small percentage of children presenting with abdominal pain have an underlying surgical cause. 2 The age of the child with abdominal…
Foreign bodies and caustic ingestion
14.5 Foreign bodies and caustic ingestion Stuart Lewena, Gervase Chaney Essentials Nasal foreign bodies 1 Foreign body removal from the nasal passage requires good preparation and lighting. 2 The appropriate…
Diabetic emergencies in children
10.2 Diabetic emergencies in children Kam Sinn Essentials 1 Diabetes mellitus is one of the most common chronic diseases in childhood. 2 The incidence of childhood diabetes has been increasing…
Retropharyngeal abscess
14.4 Retropharyngeal abscess James Tilleard Essentials 1 The potential for airway compromise and other complications mandates early diagnosis and treatment. 2 Retropharyngeal abscess should be suspected in children with sore…
Bilious vomiting
7.5 Bilious vomiting Andrew J.A. Holland Essentials 1 Bilious vomiting generally indicates an intestinal obstruction due to surgical pathology. 2 Early referral to a paediatric surgeon is recommended. 3 Rarely…
CNS infections: meningitis and encephalitis
8.7 CNS infections meningitis and encephalitis Mike Starr Essentials 1 Bacterial meningitis can be rapidly progressive, and result in substantial morbidity and mortality. 2 A high index of suspicion of…
