Kawasaki Disease – Beware the Incomplete!

  A four year old Japanese male was brought into Emergency with 5 days of fevers, non-exudative bilaterally injected sclerae, erythematous pharynx and irritability. Wondering about the possibility of Kawasaki Disease, I turned to check the 2017 update of the American Heart Association Scientific Statement, focusing on considering a diagnosis of Incomplete Kawasaki Disease.  …

Cardiac Syncope

Cardiac syncope is extremely rare but potentially fatal. 24% incidence in subsequent cardiac arrest – 10 Australian youths die suddenly every week due to SADS (Sudden Arrhythmic Death Syndrome). These deaths are rare, but preventable. We see a lot more cases with warning symptoms than deaths. We need to recognise the importance of the identification of cardiac syncope to…

Reflex Syncope

Neurally mediated syncope is a heterogenous group of autonomic disorders resulting in orthostatic intolerance. It peaks in toddlers and adolescents. There are two main groups – reflex and postural orthostatic tachycardia syndrome (or autonomic failure). In this post, we will discuss reflex syncope.

Paediatric ECGs

This weeks vodcast compliments our recently added ECG central. The fantastic Amal Mattu talks us through paediatric ECGs highlighting some features that, while potentially worrying in an adult, are normal in the paediatric population.  If you lose track of the numbers as you go through the vodcast remember we have a table of normal ECG…

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