Breast anomalies

—Most breast lesions in children and adolescents are benign and self limiting. However, it is important not to overlook the impact that abnormal breast development can have on an adolescent’s self-esteem and self-confidence. Here Catherine Boorer (Plastic and Reconstructive Surgeon) discusses the spectrum of presentations. Polythelia (accessory nipples) —Can occur anywhere along the mammary ridge…

Grindlay on disasters

The DFTB team have teamed up with APLS to share the videos from their Paediatric Acute Care Conferences. These videos have never been open access before, so if you weren’t able to attend the conferences, then now’s your chance to catch up. The PAC Conference is run each year by APLS and consists of presentations…

Obesity

 A 10 year old girl, Gemma, has been admitted to the general paediatric unit with an acute exacerbation of asthma. She weighs 70kg and is 1.4m tall. Her symptoms have improved and discharge planning has begun. At the end of your round the consultant asks you to go and discuss Gemma’s weight with her family.

Sick day rules for diabetes

You receive a phone-call from the mother of a 7 year old diabetic – he’s been unwell all day with temps and coryzal symptoms and he’s off his food.  The BSLs have been creeping up all day and are now 16 mmol/l.  She’s not sure what else to do so they are on their way…

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