Incomplete Kawasaki Disease

  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.  …

Transition from Fetal Physiology

The imminent arrival of another Tagglet (not to be confused with aglet*) has prompted me to go back to my textbooks and refresh my knowledge of what to expect.  One of the problems of being a medical parent is being expected to know the answers to the most random of medical questions that are thrown out…

Syncope ECGs

In the previous post we learnt that although cardiac syncope is rare, it is potentially fatal. It is, therefore, essential that we know how to recognise ECGs that identify the cause of cardiac syncope. Here we discuss some of the more common variants…

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.

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