Ventriculoperitoneal shunts

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?

Talking to teens

The last patient presented in morning handover is Buffy, 14, who was admitted overnight with pyelonephritis. The admitting registrar couldn’t get much more than flank pain and a wee out of her overnight. Your resident rolls her eyes, quietly muttering “Not another teenager!”…

Minor burns

Jasmina, a five old girl, is brought in by her mother after a Sunday afternoon barbecue.  Having had very little for breakfast she became very excited when the burgers came out and reached out to grab one from the grill burning her hand.  Bottom line Simple first aid is often forgotten and cold running water…