Big Picture Paediatrics : The Dunedin Study

So much of paediatrics, and medicine in general, is focussed on small experimental or observational studies. This series of posts takes the wider view; we’re talking here about some of the biggest and longest running studies that help us frame, measure and understand childhood through time and across the world. Are there similar studies? There…

Upper GI Bleed

A 7 year old boy is referred from a peripheral hospital for a 2 day history of passing black tarry stool. On the 3rd day he passes loose stools mixed with dark maroon blood clots. For the last week he had been having upper respiratory tract symptoms and had daily doses of ibuprofen for his…

Send in the clowns

Clowns – you either love them or you hate them.  There is no middle ground.  But what do children think about them? Hospitals can be strange, scary places, even in daylight. So some have introduced ‘clown’ doctors to help allay fears. But do they? (Editor note: If you have *coulrophobia then don’t read this post)

Opioids and Constipation

Opioids and constipation   The bottom line -Opioids are an illogical choice for treating pain associated with constipation -Pain needs to be treated promptly and effectively -Abdominal pain requiring opioids should raise suspicion of a surgical diagnosis   Why are we talking about opioids and constipation? This post arose from a twitter conversation that began…

Treadmill Burns

Chase, 3, is brought in by ambulance with his hand wrapped in a towel. His sweaty father – wearing running gear – explains that Chase touched the treadmill whilst Dad was in full flight. A recently published paper in Burns reviews the epidemiology of treadmill burns; Goltsman D, Li Z, Connolly S, Meyerowitz-Katz D4, Allan…