This series is covering all you need to know about spina bifida. In the previous posts we looked at issues around diagnosis and antenatal counselling. This week, we look at the prognosis for patients with spina bifida.
This series is covering all you need to know about spina bifida. In the previous posts we looked at issues around diagnosis and antenatal counselling. In this post, we look at the bladder and bowel problems associated with spina bifida.
Milla is a 4 month old girl, brought into ED by her parents. She’s been quieter than normal for the last couple of days and today seems really weak and not sucking on the breast any more. On examination she has poor head control and marked hypotonia. They also mention a history of constipation for…
Paediatricians often have to make a decision about whether to just go ahead and give antibiotics in suspected meningitis, or wait for a lumbar puncture (LP) – this could be due to parental refusal, an unstable patient, or a failed attempt. There is often a discussion about repeating the LP later that day, or even…
An 8 year old boy is rushed into ED following a fall from a fourth story window. He landed on concrete and has obvious signs of external damage to his skull and a GCS of 5. He’s clearly sustained a serious traumatic brain injury – how is this best managed?
An 8 yr old boy presents after three vomits at home. He has a background of spastic diplegic cerebral palsy and has a ventriculo-peritoneal (VP) shunt. He is usually ambulatory and attends mainstream school. What goes wrong with VP shunts? How can we assess them for failure or infection?
This study of LP results strongly suggests that prolonged seizures (>30 minutes) DO not affect cell counts, glucose levels, or protein levels in the CSF. CSF abnormalities should not be attributed to seizures and meningitis should be considered. Seizures do not alter CSF findings.