Tuberculosis - cough

Tuberculosis

Cite this article as: Hotton, P. Tuberculosis, Don't Forget the Bubbles, 2014. Available at: http://doi.org/10.31440/DFTB.5410 Jamie is a 4 year old with ongoing pyrexia for a couple of weeks.  He has a mild cough but nothing else.  The family mention in passing that grandad recently had TB. Is this common in the developed world?  How…

Community needlestick injury in children

Cite this article as: Goldstein, H. Community needlestick injury in children, Don't Forget the Bubbles, 2014. Available at: http://doi.org/10.31440/DFTB.5241Alfie, 6, is playing at local playground under Mum’s watchful eye. He goes down the slide and jumps off, landing on his hands and feet. He starts to cry and shows his Mum a syringe lying in…

Infantile botulism

Cite this article as: Davis, T. Infantile botulism, Don't Forget the Bubbles, 2014. Available at: http://doi.org/10.31440/DFTB.5172Milla 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 anymore.  On examination, she has poor head…

Finding the fever

Cite this article as: Goldstein, H. Finding the fever, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.4641Jed is a thriving 8 month old brought in by his parents with a fever of 38.8oC; he’s tachycardic and grumpy. His fever began twelve hours ago, and aside from crankiness, he is otherwise well. He is fully immunised…

Bronchiolitis

Cite this article as: Goldstein, H. Bronchiolitis, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3581A 6-month-old child presents with cough and runny nose for 2 days with increased work of breathing.  She is working hard with moderate subcostal recession. Once you hear the cough, it can only mean one thing….the start of bronchiolitis season.  …

Empiric antibiotics for general infection

Cite this article as: Anders, M. Empiric antibiotics for general infection, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3846 Age if meningitis excluded if meningitis is NOT excluded if Staphylococcus aureus suspected < 3 months Amoxicillin 50 mg/kg q6hrGentamycin 7.5 mg/kg q24hr Amoxicillin 50 mg/kg q6hrGentamycin 7.5 mg/kg q24hr Cefotaxime 50 mg/kg q6hr Consider especially…

Chylothorax

Cite this article as: Anders, M. Chylothorax, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3685Definition: accumulation of lymphatic fluid or chyle in the pleural space (triglyceride level >1.1 mmol/l or total cell count >1000 cells/ml with >80% lymphocytes).

Low cardiac output syndrome

Cite this article as: Anders, M. Low cardiac output syndrome, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3711Definition: oxygen delivery provided by CO does not meet oxygen demand (or CI < 2.1 L/min/m2) due to inflammatory response of CPB, myocardial ischaemia from aortic crossclamp, hypo-/hyperthermia, reperfusion injury and surgical treatment (ventriculotomy).

Febrile neutropenia

Cite this article as: Goldstein, H. Febrile neutropenia, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.2912You’re working as the paeds reg overnight at a regional centre when ED phones you about an incoming patient – Josef, 8 – who’s in a delayed intensification cycle of his treatment for ALL and has a fever of 38.6oC….