Shows
You're Kidding, Right?Lupus | Systemic Lupus Erythematosis (SLE)Welcome back to Your Kidding, Right? In this episode, Dr. Freya Bleathman is joined by the wonderful Dr. Myles Loughnan, a fellow pediatric registrar, as they tackle the fascinating yet challenging topic of systemic lupus erythematosus (SLE). Together, they unpack a pediatric lupus case, highlighting key clinical features, the immunological underpinnings of lupus, the differences between pediatric and adult lupus, the significance of serological markers, and the importance of early recognition and management. This episode is packed with humor, insights, and high-yield pearls for medical professionals and students alike. Tune in for a...2025-03-2618 minYou're Kidding, Right?JDM | Juvenile DermatomyositisJuvenile dermatomyositis, or JDM is a rare autoimmune myopathy. In their first episode back after sitting specialty exams, Freya and Anne use a case to help explain what JDM is, as well as presentation, treatment and diagnosis (plus a couple of tangents about their day to day work as doctors!). Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss any episodes and RATE to help other people find us! (This isn’t individual medical advice, please use y...2023-08-0823 minYou're Kidding, Right?Anne's Big News | choosing a specialtyIn this episode, we take the podcast in a slightly different direction by discussing a non-clinical topic! The news is out, Anne has changed specialty! But what has she changed to? Why did she do it? What is a day in the life of her new specialty like? What's next? Tune in now to hear the answers to all these questions and more! More importantly, we discuss what's important when choosing a specialty to pursue - so whether you're undecided on what specialty you'd like to pursue, or you are contemplating changing specialty/career pathway, t...2022-08-1434 minYou're Kidding, Right?Spina Bifida | a neural tube defectSpina bifida is a type of neural tube defect. It is caused by an incomplete closing of the embryonic neural tube. The vertebrae overlying the neural tube defect do not become fully formed and remain unfused and open. If the opening is large enough, this allows a portion of the spinal cord to herniate through the opening in the bones. Although the cause is not known, low folate levels during pregnancy increase risk. Some children are asymptomatic, and others have severe neurologic dysfunction below the lesion. It can be diagnosed prenatally by ultrasonography or suggested...2021-08-2220 minYou're Kidding, Right?Urine Collection Methods | clean catch, suprapubic aspirates, and in-out cathetersAnyone who works in paediatrics or alongside paediatric teams will know the importance of a urine sample in kids. Following on from our episodes on interpreting urine dipstick and MCS results, as well as urinary tract infections, this episode describes the different ways to collect urine in children and the methods for each. Links and resources: Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss out on any pearls of wisdom and RATE if you...2021-08-1211 minYou're Kidding, Right?Alpha-1 antitrypsin deficiency | the most common genetic cause for paediatric liver transplantsAlpha-1 antitrypsin (A1AT) deficiency is a genetic disorder affecting predominantly the lungs and liver. Although it is considered uncommon, there is some evidence to suggest it is under recognised and under diagnosed. A1AT itself is a protease inhibitor that helps protect the lung and other tissues. Liver disease is more likely to be the predominant presenting feature in kids, but many people with A1AT enter adulthood without a diagnosis. Links and resources: Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com...2021-08-0918 minYou're Kidding, Right?FPIES | food protein induced enterocolitis syndromeFood Protein Induced Enterocolitis (or FPIES) is a non-IgE mediated food hypersensitivity that presents with vomiting and looking very unwell, later often followed by diarrhoea. Most cases occur in under 12 month olds. Usually children present with profuse vomiting about 1-3 hours post ingestion of the trigger food. They often look very unwell and become lethargic, floppy and pale for a period of time! 5-10 hours after ingestion they often develop diarrhoea (which may be bloody). Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make s...2021-08-0406 minYou're Kidding, Right?Urinary tract infections | urine troubleUrinary tract infections (UTIs) are an important differential diagnosis in the febrile child. In younger children, they may present with nonspecific symptoms like fever and vomiting, lethargy and a range of other features. In this episode, we go through the presentation, when to investigate further with items such as an ultraound, usual causative pathogens, management and more. Links and resources: Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss out on any pea...2021-08-0117 minYou're Kidding, Right?Osteogenesis Imperfecta | brittle bone diseaseOsteogenesis Imperfecta is a congenital disorder characterised by brittle bones that are prone to fracture and other features like blue sclera , hearing impairment and discoloured teeth. It is caused by defective collagen synthesis (specifically type 1 collagen). There are many different subtypes of OI and the range of clinical features and severity is vast. There is no cure but treatment may involve medications like bisphosphonates and growth hormone, surgery to fix or prevent fractures or fix deformities, plus lots of physio and OT interventions. Follow us on: - Instagram @yourekiddingrightdoctors - Facebook: https://www.facebook.c...2021-07-2816 minYou're Kidding, Right?Interpretation of urine dipstick and MCS | tell us a wee little jokeUrinary tract infections are a major differential for any child presenting with a fever. Thus, urine specimen collection is an important part of the workup of the febrile child. In this episode, we discuss the two main tests performed on urine in this setting. Firstly, there is the "urine dipstick", also known as a full ward test. The two main important items on this are the nitrites and leucocytes. Secondly, there is the microscopy, culture and sensitivities, which confirms diagnosis but also gives you a specific organism if present. Listen in to learn more about i...2021-07-2509 minYou're Kidding, Right?Eosinophilic Oesophagitis | EoEEosinophilic oesophagitis (or EoE) is caused by an immune response to dietary antigens. It can cause symptoms like chest pain, vomiting and dysphagia. Untreated, chronic oesophageal inflammation can ultimately lead to oesophageal narrowing and strictures. Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss out on any pearls of wisdom and RATE if you can to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and...2021-07-2108 minYou're Kidding, Right?Tuberculosis | Mycobacterium tuberculosisMycobacterium tuberculosis has overtaken HIV/AIDS as the leading cause of death from infectious disease in the world, according to the WHO. One third of the global population is infected, including those with latent disease. In this episode, we discuss the presentation of tuberculosis, screening tests, definitive diagnosis, and management. Links and resources: Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss out on any pearls of wisdom and RATE if you can...2021-07-1822 minYou're Kidding, Right?Epiglottitis | yay for Hib vaccinesEpiglottitis is a life threatening inflammation of the epiglottis, classically caused by Haemophilus influenzae (Hib), but other pathogens can cause it too, and should especially be considered if an immunised individual presents with epiglottitis. The most important thing initially is to avoid distressing the child, as this could worsen airway obstruction. It is an emergency and requires early escalation in order to secure an airway. Listen in to find out more about the presentation, management and other causative pathogens! Links and resources: Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/you...2021-07-1407 minYou're Kidding, Right?Wilms Tumours | nephroblastomaWilms tumour (also known as nephroblastoma) is a type of kidney cancer than mostly affects children. It mostly occurs in kids under 5. Often the child seems well at diagnosis and it is only picked up because someone notices a lump in their tummy. Treatment usually involved surgery to remove the entire kidney that has the tumour, and then chemotherapy to make sure there are no remnants of the tumour left. Overall the survival rates are good. Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure...2021-07-1211 min
You're Kidding, Right?Beckwith-Wiedemann Syndrome | the most common overgrowth disorder in childhoodBeckwith-Wiedemann syndrome is the most common paediatric overgrowth and cancer predisposition disorder. It is a genetic condition presenting with a wide range of symptoms and signs. Sometimes it is referred to as exomphalos-macroglossia-gigantism syndrome. Individuals with BWS are at increased risk of developing embryonal cancers, with the most common one being Wilms tumour. In this episode, we go through through the presenting features, along with the various oncological associations and summarise the monitoring that is required for patients with this diagnosis. Links and resources: Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yo...2021-07-0821 minYou're Kidding, Right?NAS | neonatal abstinence syndromeNeonatal abstinence syndrome describes drug withdrawal signs in newborn babies after they have been exposed to certain medications in utero, typically opioids. Babies can go through withdrawal after birth when they are no longer being exposed to the substance in the maternal circulation via the placenta. Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss out on any pearls of wisdom and RATE if you can to help other people find us! (This isn’t in...2021-07-0707 min
You're Kidding, Right?CSF interpretation | champagne showers all aroundFollowing on from our episode on meningococcal, we bring you a guide to interpreting cerebrospinal fluid (CSF) results - once you've gotten some CSF from that hopefully champagne tap! (A champagne tap meaning a perfectly clear tap that isn't contaminated by red cells!) In this episode, we go through what's normal in CSF, and a guide as to what should prompt the practitioner to think of bacterial vs. viral causes. Links and resources: Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com ...2021-06-3007 minYou're Kidding, Right?Cystic Fibrosis | more than just the lungsCystic fibrosis is an autosomal recessive disorder that affects many organ systems, particularly the respiratory and digestive systems. It causes thick secretions which block ducts and airways. It is most common in people of northern european descent. It is a life limiting disorder but huge advances in treatment have been made and life expectancy is increasing to many times what it used to be. The biggest cause of mortality is respiratory failure. Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW s...2021-06-2720 minYou're Kidding, Right?Pulled Elbow | not to be confused with pull my fingerA “pulled elbow” (sometimes called a nursemaid’s elbow) is subluxation of the radial head at the elbow (or, if you are being very technical, subluxation of the annular ligament). It usually occurs in kids aged 1-4. The name pulled elbow literally describes the mechanism of injury in most cases - typically it’s a child who is about to run onto a road or fall or something and someone grabs their hand and pulls, or when you are lifting a child up by the hands - and POP you’ve got a subluxation that needs to be reduced...2021-06-2306 min
You're Kidding, Right?Meningococcal disease | Neisseria meningitidisMeningococcal disease is caused by Neisseria meningitidis, a gram negative diplococcus. The two most common presentations of meningococcal infection are meningococcal meningitis and meningococcaemia. An individual may present with one or both of these. Rapid recognition and treatment is vital, requiring IV antibiotics, but even with treatment, up to 15% of cases result in fatality. Listen in to find out more about meningococcal! Links and resources: Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you d...2021-06-2122 minYou're Kidding, Right?CostochrondritisCostochondritis is a common cause of chest pain in children and adolescents. It is inflammation of 2-4 consecutive costochondral or costosternal junctions. Follow us on Instagram @yourekiddingrightdoctors (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)2021-06-1609 min
You're Kidding, Right?Nitrous oxide| laughing gas for procedural sedationNitrous oxide is a common choice for procedural sedation, for its rapid onset and offset and combination of sedation, anxiolysis, amnesia and some level of analgesia. It's great for short procedures like cannulas or suturing. In this episode, we will go through the use of nitrous oxide, common side effects, contraindications to be aware of, and proposed mechanisms of action. Links and resources: Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don’t mi...2021-06-1312 min
You're Kidding, Right?Epistaxis | For my people in the front in the nosebleed sectionEpistaxis is the medical term for a nosebleed. This is a common occurrence in kids, and is usually due to a combination of nasal mucosa, plus trauma like picking and the effects of drying from the air around us. They usually don't need to be investigated, unless they occur often, are resistant to basic measures or there if there are other red flags - which we will discuss further in this episode! Links and resources: Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com 2021-06-0912 minYou're Kidding, Right?SMA | spinal muscular atrophySpinal Muscular Atrophy, or SMA, is a genetic disorder where nerve cells in the spinal cord die prematurely, and this causes the muscles that would normally be controlled by those nerves to atrophy. The most common subtype usually presents in the first 6 months of life with a hypotonic baby (and other lower motor neuron signs). Typically these children die before 2 years of age, mostly from respiratory failure. There are some new treatments being developed including one currently available on the PBS in Australia (nusinersen) that are dramatically altering disease course in some children. Links and resources:...2021-06-0621 minYou're Kidding, Right?SIDS/SUDI | sudden infant death syndrome/sudden unexpected death in infancySIDS is classified as a sudden and unexplained death of an infant in their first year of life. It is a diagnosis of exclusion - an autopsy must be done and all other causes ruled out. Before safe sleeping campaigns in the 1990s, the prevalence of SIDS was about 1.5 in 1000 babies. Now it is about 0.5 in 1000. From 1989 to 2018, the rate of SUDI deaths in Australia has decreased by 85% – equating to 10,857 babies saved since risk reduction campaigns were introduced2021-06-0208 min
You're Kidding, Right?ITP | AKA immune thrombocytopaenic purpura, idiopathic thrombocytopaenic purpura or immune thrombocytopaeniaITP is the most common cause of symptomatic thrombocytopaenia in children, with the most common paediatric age group being 1-4 years of age. ITP is an isolated low platelet count of < > Treatment varies from monitoring platelet count and for signs of bleeding, to steroids and IVIG. Tune into this episode to learn more! Links and resources: Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss out on any pearls of wisdom and...2021-05-3026 min
You're Kidding, Right?Ingested foreign body | mmm that's a tasty nail... block... button...Ingested foreign bodies are most common in kids between ages 6 months and 3 years, and in children with developmental or behaviour problems. In this episode, we will be discussing foreign bodies, which are limited to the gastrointestinal tract. We will also discuss high risk foreign bodies - such as button batteries - and what needs to be done about those. Links and resources: Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss...2021-05-2717 minYou're Kidding, Right?Sickle Cell Anaemia | abnormal haemoglobin leading to haemolysis and ischaemia, amongst other complicationsSickle cell disease is an inherited abnormality of haemoglobin (which is the oxygen-carrying protein found in red blood cells). It is characterised by red blood cells changing shape to become sickle (or crescent)-shaped which then causes them to block tiny blood vessels causing ischaemia and also makes them more prone to haemolysing, causing anaemia. Links and resources: Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss out on any pearls of wisdom and RA...2021-05-2327 minYou're Kidding, Right?Strep Throat | group A streptococcus/strep pyogenes pharyngitisGAS pharyngitis is associated with a few important complications. They are usually divided in suppurative and non-suppurative - i.e. purulent and non purulent complications. The main non-suppurative complications are post-strep glomerulonephritis and acute rheumatic fever (which we did an episode on recently). A couple of the serious suppurative complications to be aware of is a peritonsillar or retropharyngeal abscess. In general, antibiotics are over-prescribed for pharyngitis. Australian guidelines these days actually only advise antibiotics in patients who are at higher risk of the “non-suppurative” complications of GAS infection. Links and resources: Follo...2021-05-1908 min
You're Kidding, Right?Galactosemia | we'd make a milk joke, but it's too cheesyGalactosemia is an autosomal recessive metabolic condition that alters the body's ability to metabolise galactose, which is a type of sugar. This leads to a build up of galactose and some other metabolites, which then build up in the tissues, causing issues with the liver, brain, kidneys, eyes and other organs. It is a fatal condition if not treated. The mainstay of treatment is eliminating galactose from the diet, and monitoring for complications with a multidisciplinary team. In this episode, we go through a case, the presenting features, how to describe the condition to a pa...2021-05-1617 min
You're Kidding, Right?Testicular torsion | don't go getting your knickers in a knotWith special guest - Dr. Emily Mogridge, surgical resident. Testicular torsion is a surgical emergency - a torted testicle is only viable for 4-6 hours, before the viability drops dramatically. The most common cause is the bellclapper deformity, where the testicle is not fixed properly within the scrotum. You don't want to miss: A case base discussion Explaining the condition to families Presenting features of testicular torsion Important examination findings Complications Management Links and resources: Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com...2021-04-2619 minYou're Kidding, Right?Classifying Bacteria | is the floor food rule 3 or 5 seconds???We want to do some episodes on antibiotics coming up but thought it would be useful to do an episode about the basics of bacteria first so we can understand exactly what we are dealing with! Today we will touch on: How we name bacteria Bacteria morphology Gram staining Growth requirements (aerobic vs anaerobic) Haemolytic properties Coagulase production Lactose fermenting vs non fermenting Serotyping Genetic testing Antibiotics resistance 2021-04-2118 min
You're Kidding, Right?Buckle (torus) fractures | buckling under pressureTorus fractures, often referred to as buckle fractures, are a common type of fracture found in kids under the age of 10. They usually occur in the distal metaphysis, where the bone is most porous, most often after a fall onto outstretched hand (FOOSH). The most common affected bone is the radius. An X-ray can confirm the diagnosis, although sometimes, the buckling of the cortex is quite subtle. You don't want to miss: A case based discussion about buckle fractures Differential diagnosis Pathophysiology How to explain buckle fractures to a patient and their family Management ...2021-04-1811 min
You're Kidding, Right?Urticaria | itching to learn about hivesUrticaria is a very common rash - it affects up to 25% of people in their lifetime. Although urticaria is most commonly associated amongst the population with allergies, in 50% of cases, a cause is not identified, and the most common cause of urticaria aside from being idiopathic is viral illnesses. Acute urticaria refers to urticaria that has lasted less than 6 weeks. Once the rash has been around for over 6 weeks, it's referred to as chronic urticaria. This episode focuses on acute urticaria. Links and resources: Follow us on Instagram @yourekiddingrightdoctors Facebook: http...2021-04-1417 minYou're Kidding, Right?Acute Rheumatic Fever & Rheumatic Heart Disease | ARF/RHDAcute rheumatic fever is a rare multisystem disease caused by a delayed autoimmune response to a recent untreated or inadequately treated Group A streptococcus infection (mainly from “strep throat” but can also be from group a strep skin infections). The signs of acute rheumatic fever include: Arthritis Fever Carditis Rash Sydenham’s chorea Subcutaneous nodules Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss out on any pearls of wisdom and RATE...2021-04-1129 minYou're Kidding, Right?Medical Consent In Children | when can kids consent to medical treatmentThe age at which a person becomes an ‘adult’ in Australia is 18 years. Consent for the medical treatment of patients less than 18 years of age is generally provided by parents. However, there are circumstances in which patients under the age of 18 can consent to their own medical treatment, which we will talk about in this episode! Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss out on any pearls of wisdom and RATE if you can to hel...2021-04-0813 min
You're Kidding, Right?Osteomyelitis | a humerus episode on bone infectionsOsteomyelitis is more common in children than it is in adults. Although it can present quite subtly to begin with, it is an important differential to keep in mind. The median age of affected children is 6 years, and cases are usually haematogenous in origin. Antibiotics are the mainstay of treatment, but in some cases, surgical debridement or even amputation may be required, usually in missed or chronic cases. Long bones are much more likely to be affected than are short bones - and as part of this episode, we'll get into why! Yo...2021-04-0421 min
You're Kidding, Right?Hydrocoeles in babies | not done looking for a loophole yetHydrocoeles in babies are a common finding - up to 1 in 10 boys have one at birth! The pathogenesis is similar to that of inguinal hernias - the failure of the processus vaginalis to close following the descent of the testes. However in hydrocoeles, only fluid descends through the processus vaginalis, no other abdominal content. Most of the time, hydrocoeles will resolve on their own, but the likelihood of resolution if still present at 15 months is low. You don't want to miss: Pathophysiology of hydrocoeles Statistics Presenting features Important points on exam...2021-03-3113 minYou're Kidding, Right?Idiopathic Intracranial Hypertension | when you lie on your CV about being good under pressureIdiopathic intracranial hypertension (IIH, occasionally called pseudotumour cerebri or benign intracranial hypertension) is a condition characterised by features of raised intracranial pressure without any other cause identified. The main complication is progressive vision loss. In this episode we discuss presentation, diagnosis and treatment. Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss out on any pearls of wisdom and RATE if you can to help other people find us! (This isn’t indiv...2021-03-2925 minYou're Kidding, Right?Midazolam | procedural sedationWe use midazolam a lot for procedural sedation in kids. It is a benzodiazepine medication. It has sedative, anxiolytic and amnesic effects - i.e. if it works well, it usually makes the patient a bit sleepy, less anxious, and they often don’t remember the procedure. It does NOT have analgesic effects, so you will often use some kind of analgesia for painful procedures. Tune in to learn more about this commonly used medication - how we use it, when we use it and what we like and don't like about it!2021-03-2414 min
You're Kidding, Right?Constipation | you're full of itConstipation is a very common presentation in children - 1 in 3 children will have constipation at some point. Most kids pass a soft bowel action at least once every 2-3 days. Most cases of constipation are functional constipation, but there are a number of important differentials to consider. Treatment takes at least as long as the child has been constipated and requires a multi step approach to get on top of! You don't want to miss: A case based discussion Important causes of constipation Pathophysiology How to describe constipation to parents Important history and...2021-03-2126 min
You're Kidding, Right?Inguinal hernias in babies | looking for a loophole damn itInguinal hernias are an important differential for hydrocoeles in baby boys - but don't be fooled, they do less commonly occur in girls too. They are caused by a persistent processus vaginalis, which usually closes in the 28th week of gestation once the testes have gone through in boys. Every patient with an inguinal hernia requires review by a paediatric surgeon as management is operative - either to correct a strangulated hernia if it's picked up late, or to prevent a strangulated hernia. You don't want to miss: How to explain this condition to a...2021-03-1710 minYou're Kidding, Right?ALL | acute lymphoblastic leukaemiaAcute lymphoblastic leukaemia is the most common childhood cancer. It is a blood cancer in which the cells that normally develop into lymphocytes mutate and become cancerous and rapidly replace normal cells in the bone marrow. People may have symptoms, such as fever, weakness, and paleness, because they have too few normal blood cells. Full blood count and film and a bone marrow evaluation are done for diagnosis. Chemotherapy is given and is often effective. Links and resources: Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com2021-03-1420 minYou're Kidding, Right?GCS | glasgow coma scaleThe glasgow coma scale is used all the time to assess the level of consciousness of a patient (especially for those with acute head injury). We give a patient a score out of 15 depending on their motor response, their verbal response and the eye response. There are 6 possible points for motor, 5 for voice and 4 for eyes. The higher the score, the better the level of consciousness in the patient. There is a version we can use for pre verbal kids under 2. Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail...2021-03-0307 min
You're Kidding, Right?Whooping cough | pertussis - a whopping big coughPertussis, also known as whooping cough and the 100 day cough, is caused by a bacterial infection. The usual pathogen is Bordetella pertussis, but can also be Bordetella parapertussis. Vaccinations worldwide have overall decreased mortality – prior to vaccination, pertussis was the leading cause of death from communicable disease among US children 2021-02-2818 min
You're Kidding, Right?Physiological bradycardia in sleep | shawty get low low low low low low lowBradycardia during sleep is a physiological phenomenon related to increased vagal tone. In the absence of red flags, it does not require investigation. You don’t want to miss: Why bradycardia in sleep happens Explaining the condition to families Red flags to watch for and when to investigate Links and resources: Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss out on any pearls of wisdom...2021-02-2407 minYou're Kidding, Right?PKU | phenylketonuriaPhenylketonuria (PKU) is the most common inborn error of metabolism. It is an autosomal recessive condition caused by a disorder of metabolism of an amino acid called phenylalanine. It leads to build up of phenylalanine in the body which can have serious effects on brain development. Children with PKU can grow and develop normally, if they are carefully monitored and given a diet low in phenylalanine. You don’t want to miss: A case Explaining the condition to families Statistics Aetiology Presentation Complications Investigations Management Links and resources: Follow us on Instagram @yourekiddingrightdoctors Facebook: htt...2021-02-2118 minYou're Kidding, Right?Intraosseous Access | I can feel it in my bonesIntraosseous access is a type of vascular access that you get through inserting the needle directly into the bone, aiming for the medullary cavity. You get IO access as an alternative to Intravenous access in situations where IV access is not practical or will take too long e.g. a shocked patient who is peripherally shut down. The bone is luckily a non collapsible option! Follow us on Instagram @yourekiddingright.pod Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don’t mis...2021-02-1714 min
You're Kidding, Right?Reflux in babies | here's a little something I saved for laterGastro-oesophageal reflux is a common, almost expected, phenomenon in babies, and usually resolves by 18 months of age. Although babies may posset (fancy word for a small vomit) frequently, they still gain weight and look like happy, healthy babies. Conversely, gastro-oesophageal reflux disease is where the reflux has gone a step further, and complications such as poor growth and oesophagitis have kicked in. So what can we do about it? Listen to this episode to find out! You don’t want to miss: A case Explaining the conditi...2021-02-1420 minYou're Kidding, Right?Growing Pains | we reveal the TRUTH about what those aches really wereGrowing pains are the most common cause of recurrent musculoskeletal pain in children. It affects 10–20% of children, with peak incidence between age 4 and 12 yr. It's important to be aware of red flags in presentation that should make you consider other differentials. Links and resources: Follow us on Instagram @yourekiddingright.pod Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss out on any pearls of wisdom and RATE if you can to help other people find us!2021-02-1004 minYou're Kidding, Right?NF1 | neurofibromatosis type 1Neurofibromatosis type 1 is an autosomal dominant disorder associated with benign and occasionally malignant nerve tumours. NF1 is caused by a gene mutation on chromosome 17 which encodes neurofibromin. NF1 is associated with optic nerve tumours, neurofibromas, freckling of the groin and axilla, cafe au lait spots, skeletal abnormalities and lisch nodules in the iris. You don’t want to miss: A case Explaining the condition to families Statistics Aetiology Presentation Complications Investigations Management Links and resources: Follow us on Instagram @yourekiddingright.pod Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com...2021-02-0723 min
You're Kidding, Right?PURPLE crying/colic | the A to Z (or P to E) of unsettled babiesSummary: Colic is an outdated term for a normal developmental stage in an infant's life. The acronym PURPLE crying describes the features Peak of crying – peak at 2 months, less in months 3-5, Unexpected, Resists soothing, Pain-like face, Long lasting, and Evening. Although a normal phenomenon for infants, PURPLE crying is highly distressing for parents and therefore it is vital to check in with parents and consider admission for those at extreme exhaustion. The mainstay for management is education and follow up for those who require it. You don’...2021-02-0326 min
You're Kidding, Right?DiGeorge syndrome | AKA 22q11.2 deletion syndromeSummary: DiGeorge syndrome is a genetic condition caused by the deletion of a chunk of genes on chromosome 22 (specifically the q11.2 region). The classic triad of DiGeorge syndrome is cardiac anomalies, underdeveloped thymus gland and hypocalcaemia (secondary to underdevelopment of the parathyroid glands). The phenotype of DiGeorge syndrome is related to abnormal development of the embryonic pharyngeal pouch system, which is responsible for the development of the thymus, parathyroid gland, some facial development including ear development, and some cardiac development. DiGeorge syndrome is classified as either partial or complete, with the distinction being t...2021-01-3122 minYou're Kidding, Right?6 Week Milestones | plus extra things about babies because they don't actually do enough to fill an epDevelopmental milestones are a huuuuge part of general paediatrics. Briefly, developmental milestones are a set of skills that most infants will attain by a certain age. They can be broadly categorised into gross motor, fine motor, language and social. Today we will discuss what milestones 6 week olds should be attaining, plus we will also touch on typical feeding, sleep, wet and dirty nappies, growth and other some common issues that you might be asked about by families. Follow us on Instagram @yourekiddingright.pod Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com2021-01-2717 minYou're Kidding, Right?Coeliac Disease | we have a gut feeling that the immune system is being a bit dramaticWith special guest - Alice Bleathman, dietitian Coeliac disease is an immune-mediated disorder where gluten in food triggers an immune response that results in damage to the small intestine. The presentations varies but often includes poor growth, gastrointestinal symptoms and micronutrient deficiencies from malabsorption. You don’t want to miss: A case Differentials for chronic diarrhoea Explaining the condition to families An overview of the pathophysiology Aetiology Presentation Complications Treatment Check out Alice on instagram at @alicebleathman_dietitian Follow us on Instagram @yourekiddingright.pod Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our ema...2021-01-2440 min
You're Kidding, Right?HEEADSSS assessment | we put our heads together to discuss the adolescent psychosocial interviewHEEADSSS (with a varying number of Es and Ss according to locality) is a framework to help clinicians take a psychosocial interview, usually from an adolescent. It assists us in treating an adolescent patient within their wider context, screening for a range of items from mental health to risks to the individual, both from self and externally. You don't want to miss: Tips to help you hone your general approach to the adolescent psychosocial interview - rapport is key! A detailed breakdown of each aspect of the HEEADSSS interview How to close a psychosocial interview ...2021-01-2032 minYou're Kidding, Right?Hirschsprung's Disease | we lost our nerve for this one!Hirschprung’s Disease, sometimes called congenital aganglionic megacolon, is the most common cause of neonatal bowel obstruction. It is due to an absence of ganglion nerve cells in the lower bowel. The absence of these cells leads to abnormal peristalsis so the aganglionic portion doesn’t relax properly, effectively causing an obstruction. You don’t want to miss: A case Differentials for neonatal bowel obstruction Explaining the condition to families An overview of the pathophysiology Aetiology Presentation, including the complication of enterocolitis Treatment Prognosis Links and resources: Follow us on Instagram: https://www.instagram.com/your...2021-01-1725 minYou're Kidding, Right?Newborn Screening Test | study hard little babies!The Newborn Screening Test is a quick, safe and effective way to identify babies at risk of certain serious conditions. Screening is the only way to identify affected babies early as there may be no signs or symptoms of illness at birth. By the time affected babies show symptoms, their development or health may already be impaired. Early diagnosis allows early treatment or management to prevent or reduce complications. Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ and Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you h...2021-01-1308 minYou're Kidding, Right?G6PD | we've BEAN thinking about glucose-6-phosphate-dehydrogenase deficiencyG6PD deficiency is a genetic disorder where the body doesn’t have enough G6PD (aka glucose-6-phosphate dehydrogenase) which usually functions to protect the red blood cells from normal oxidative stress. Without enough protective G6PD, the red cells haemolyse, mostly in response to certain triggers like viral illness and certain foods and medications. There is no cure for G6PD but most people with the condition can live normal lives as long as they avoid triggers, although they can often be quite unwell when they first present with symptoms of G6PD deficiency. ...2021-01-1032 min
You're Kidding, Right?Impetigo | can you spot the difference between rashesImpetigo is a common bacterial skin infection, characterised by blisters or vesicles which then rupture and develop a crusted lesion. It is also known as school sores, as it is so common in kids and spreads like wildfire amongst classes if not treated and general measures taken to prevent spread. It is caused by staphylococcus and group A streptococcus. Although impetigo is usually very responsive to topical or oral treatment, a number possible complications do occasionally occur, with the most serious being rheumatic fever from group A streptococcus. You don't want to m...2021-01-0610 min
You're Kidding, Right?Intussusception | we scope out some bowel problemsIntussusception is the telescoping of a proximal segment of bowel into the more distal bowel lumen. It is the most common cause of intestinal obstruction in kids aged 5 months to 3 years, and is the most common abdominal emergency in children under 2 years of age. Intussusception can present in a nonspecific manner, so it is vital for clinicians to consider it as a possibility for many types of presentations. In this episode, we discuss the various ways in which intussusception can present, and the approach to management. You don’t want to miss:2021-01-0324 min
You're Kidding, Right?Precocious puberty | don't peak too soonPrecocious puberty is the early onset of puberty - which is prior to the age of 8 years in girls, and 9 years in boys. It is more common in girls than in boys, and it is important to remember that girls are much more likely to have idiopathic precocious puberty than boys are (boys experiencing precocious puberty are much more likely to have a pathological cause). Precocious puberty can be split into central and peripheral. Central precocious puberty is gonadotropin dependent, meaning it is triggered by premature activation of the hypothalamic-pituitary-gonadal axis and release of gonadotropins f...2020-12-1620 min
You're Kidding, Right?Retinopathy of prematurity | look at moi, look at moiRetinopathy of prematurity (ROP) is a potential complication of prematurity, caused by development of abnormal vascularisation of the retina. The lower the birthweight and gestational age, the higher the risk of ROP. Many cases of ROP require monitoring only, but some require further management by a specialist team. You don’t want to miss: An overview of ROP and its complications How to describe ROP to a parent A quick overview of normal retinal development and the pathophysiology of ROP Risk factors for ROP Treatment of ROP Links a...2020-12-1311 min
You're Kidding, Right?Hypospadias | a different kind of hole-in-oneSummary: Hypospadias is a not uncommon finding on a the baby check of a baby boy - there will be one in every 150-350 boys who have it. It is the finding of the urethral opening situated on the ventral side of the penile shaft, with varying levels of severity. Most boys with hypospadias will require surgery to correct it. You don’t want to miss: Definition of hypospadias When to refer What other features make the finding of hypospadias more concerning than others Advice to give parents The path...2020-12-0910 minYou're Kidding, Right?Genetic Testing | on the right track baby I was born this wayIn clinical medicine we mostly use genetic testing to find genetic causes of a person’s symptoms (such as developmental delay), prenatal carrier testing to determine the risk of two people having a child who will have certain recessive conditions and predictive testing looking for gene mutations that increase one’s risk of developing a disease e.g. checking for BRCA mutations for breast and ovarian cancer risk. We also use it for treatment targeting e.g. looking for certain mutations in the genes of cancer cells that we can target with chemotherapy. The practical applications of genetic testing in m...2020-12-0627 min
You're Kidding, Right?Erythema toxicum (newborn rash) | I'm toxic, I'm slipping underThis mini episode covers erythema toxicum, AKA erythema toxicum neonatorum, toxic erythema of the newborn, and newborn rash. Erythema toxicum is a very common rash in newborns, especially term babies, and is benign and self resolving. In this episode, we discuss: Typical features of the newborn rash Differential diagnoses to consider How to describe newborn rash to parents Histological features of newborn rash Investigations that clinicians may consider if diagnosis if unclear Links and resources: Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ and Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ ...2020-12-0207 minYou're Kidding, Right?ADHD | have you been paying attention?Attention-deficit/hyperactivity disorder (ADHD) is the most common neurobehavioral disorder of childhood, and amongst the most prevalent chronic health conditions affecting school-aged children. It is considered to be a developmental disorder of self regulation, and is characterised by inattention and hyperactivity/impulsivity. Hyperactive and inattentive behaviours are common in children. In ADHD, these behaviours are on the end of the spectrum where they are considered developmentally inappropriate and impair daily activities at home, school and other normal settings. You don’t want to miss: A case Differentials and associated conditions Epidemiology Aetiology Pathophysiology Diagnostic cri...2020-11-2919 minYou're Kidding, Right?Breath-Holding Spells | you take my breath awayBreath holding spells (sometimes called breath holding attacks) are reflexive events that usually occur in a crying child from about 6 months to 6 years. They present with apnoea and bradycardia and sometimes loss of consciousness. Occasionally they can also lead to a seizure. They are quite common but can be really frightening to onlookers. They affect about 1 in 20 children. You don’t want to miss: An overview on breath-holding spells, including the difference between cyanotic and pallid spells Describing the condition to a patient Investigation and management considerations Prognosis Links and resources: Follow us...2020-11-2505 minYou're Kidding, Right?Poor Growth | all about dem gainzPoor growth is a really common issue in paediatrics. It used to mostly be called “failure to thrive” but we are generally moving away from this because it can be quite a distressing name for families. We say “poor growth” or “faltering growth”. Essentially “poor growth” is used to describe children who are not growing as expected. You don’t want to miss: A case Differentials for the causes of poor growth An overview of assessing poor growth, including growth charts What weight gains we can expect infants to have When to do further investigations and...2020-11-2224 min
You're Kidding, Right?Vulvovaginitis | I got ants in my pantsVulvovaginitis is a very common gynaecological condition affecting girls aged 2-8 years. Although this usually resolves by the time of puberty, there may be several itchy episodes before it gets better. You don’t want to miss: How to describe vulvovaginitis to a patient The pathophysiology of vulvovaginitis How to diagnose and treat Links and resources: Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ and Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE...2020-11-1809 min
You're Kidding, Right?Haemorrhagic disease of the newborn | because babies annoyingly can't eat green leafy vegetablesHaemorrhagic disease of the newborn (HDN) is a term that encompasses all haemorrhagic diseases found in newborn babies. In this episode, we focus on vitamin K deficiency bleeding, a significant cause of haemorrhagic disease of the newborn. You don’t want to miss: A case How to describe HDN to a patient The pathophysiology of HDN How to diagnose and treat HDN The complications of HDN Links and resources: Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ and Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email i...2020-11-1527 minYou're Kidding, Right?Balanitis | "just the tip" of penile problemsBalanitis (occasionally called Balanoposthitis) is an inflammation of the head of the penis (the ‘glans’), that causes red, painful and often itchy skin. It is really common. Management ranges from trigger avoidance to oral antibiotics. In this episode we discuss: An overview of what balanitis is How it presents What causes it What investigations we do How we treat it Links and resources: Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ and Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit S...2020-11-1110 min
You're Kidding, Right?Biliary atresia | not all roads lead to bile flowBiliary atresia is a surgically treatable cause of conjugated hyperbilirubinaemia encountered during the newborn period. It accounts for 50% of paediatric liver transplants. You don’t want to miss: A case How to describe biliary atresia to a parent The pathophysiology of biliary atresia - or what we know of it How to diagnose and treat The short and long term complications Links and resources: Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ and Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com 2020-11-0813 min
You're Kidding, Right?Puberty | re-living our pimply nightmaresWith a few planned episodes on puberty-related disorders in the works, we take you through the normal puberty process as a baseline prior to the release of these episodes! You don’t want to miss: Some important definitions A breakdown of the physiology related to puberty The sequence of puberty Links and resources: Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ and Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so...2020-11-0408 minYou're Kidding, Right?BRUE | tea? coffee? unresponsive episode? A BRUE (Brief Resolved Unexplained Event) is an event in an infant that is characterised by a marked change in either: Breathing Tone Colour Level of responsiveness Followed by a complete return to a baseline state, and that cannot be explained by a medical cause. A BRUE is a diagnosis of exclusion. In this episode we discuss: A case Diagnostic criteria Describing the condition to a patient Differentials for BRUE The history of BRUE and "apparent life threatening events" When to investigate further A discussion about the use of apnoea monitors ...2020-11-0122 min
You're Kidding, Right?Cradle cap | that one flaky friendSeborrhoeic dermatitis (cradle cap) is a very common but benign skin condition in younger babies under the age of 3 months. It affects 70% of babies in some way by the age of 3 months. You don’t want to miss: What cradle cap is How to explain cradle cap to a parent The pathophysiology of cradle cap How to diagnose and treat cradle cap when required Links and resources: Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ and Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is youreki...2020-10-2808 minYou're Kidding, Right?Epilepsy | shake it off woah-oh-oh1 in 20 children will have a seizure at some point in their life. Epilepsy is a diagnosis given when someone has recurrent seizures that are unprovoked. It affects 1 in 200 children. You don’t want to miss: A case How to describe epilepsy to a patient Seizure differentials Causes of seizures that you need to rule out The main types of seizures How to diagnose and treat (including seizure first aid) Complications to be aware of Links and resources: Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ and Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Ou...2020-10-2523 min
You're Kidding, Right?Neonatal reflexes | weird flex, but OKThe reflexes we cover today are the primitive neonatal reflexes that are replaced by meaningful movements usually by around 6 months of age, depending on the reflex. Listen in to find out what the neonatal reflexes are, which gestational age at which each one starts to develop, how to test for them, and when they should disappear by! Links and resources: Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ and Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBS...2020-10-2108 minYou're Kidding, Right?Eating disorders | anorexia nervosa, bulimia nervosa, binge eating disorder The number of people in Australia with an eating disorder at any given time is estimated to be 913,986, or approximately 4% of the population. Of these people, 47% have binge eating disorder, 12% have bulimia nervosa, 3% have anorexia nervosa and 38% have other eating disorders. You don’t want to miss: A case An overview of the most common eating disorders: anorexia nervosa, bulimia nervosa and binge eating disorder Presenting symptoms and signs Investigations Complications Management Links and resources: Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ and Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Ou...2020-10-1826 min
You're Kidding, Right?Undescended testes | the one time we want to drop the ballUndescended testes are a common finding in neonates, affecting 1 in 20 term baby boys and up to a third of preterm baby boys. Thus, it is a high yield topic for anyone working with babies to know well. You don’t want to miss: Some statistics How to describe undescended testes to a patient How to examine a baby with possible undescended testes When to refer and when it is appropriate to wait The potential complications Links and resources: Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ and Fa...2020-10-1409 min
You're Kidding, Right?Necrotising Enterocolitis | I have a gut feelingSummary: Necrotising enterocolitis is the most common gastrointestinal emergency in neonates. It affects predominantly premature and very low birthweight babies, and smaller babies present later than do bigger babies. You don’t want to miss: A case How to describe necrotising enterocolitis to a parent The pathophysiology of necrotising enterocolitis How to diagnose and treat necrotising enterocolitis The short and long term complications Links and resources: Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ and Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is youre...2020-10-1123 minYou're Kidding, Right?Head Swellings in Neonates | don't let your head get too bigHead swellings are extremely common in the newborn period. Some are pretty harmless, and some require immediate admission to the neonatal ward. Let's go through the ones you need to know: caput succedaneum, cephalhaematoma, and subgaleal haemorrhage. Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ and Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss out on any pearls of wisdom and RATE if you can to help other people find us! (This isn’t individual medical advic...2020-10-0708 minYou're Kidding, Right?IV Fluids | here's a thirst trap for youIntravenous fluids can be daunting, and for good reason - more adverse events are reported from IV fluids than any other drug. Today we give you an overview of "how much", "how fast" and "what kind" of fluid to give in a variety of circumstances: Resuscitation Maintenance Replacement Rehydration Links and resources: Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ and Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss out on any pearls of wis...2020-10-0419 min
You're Kidding, Right?Group B streptococcus | we're so culturedWelcome to our first mini episode! Group B streptococcus (GBS) is a common transient organism found in the GI tract, vagina and urethra. It is present in about 20% of pregnant people. Whilst not harmful to adults as it is a commensal organism, it can be very harmful to neonates. You don’t want to miss: Epidemiology How to explain GBS to a parent Investigations to consider Prevention considerations Treating the infected and unwell neonate Links and resources: Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ and Facebook: https://www.facebook.com/you...2020-09-2809 min
You're Kidding, Right?Gastroenteritis | just for sh*ts and gigglesGastroenteritis is one of the most common infective causes for paediatric presentations. Although most cases are self limiting, there are particular management considerations and red flags to consider. You don’t want to miss: A case based discussion How to describe gastroenteritis to a patient An overview of parasitic, bacterial and viral gastroenteritis Some differentiating factors between the different types of gastroenteritis How to manage a child with gastroenteritis Links and resources: Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ and Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is you...2020-09-2726 min
You're Kidding, Right?Pyloric stenosis | It's a bird, it's a plane... oh no it's a projectile vomitPyloric stenosis is one of the most common surgical problems in infants under 3 months of age. Although overall mortality is generally low, the main complications are severe dehydration and hypochloraemic hypokalaemic metabolic alkalosis. You don’t want to miss: Important differentials How to describe pyloric stenosis to a parent Risk factors for pyloric stenosis Management of pyloric stenosis Links and resources: Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ and Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SU...2020-09-2020 minYou're Kidding, Right?Henoch-Schonlein Purpura | HSP more than just a delicious snackHSP is the most common vasculitis of childhood, usually seen in children aged 2-8 years. Although it is usually self-limiting, there can be significant complications. You don’t want to miss: A case How to describe HSP to a patient The pathophysiology of HSP How to diagnose and treat The short and long term complications Links and resources: Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ and Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss o...2020-09-1321 min
You're Kidding, Right?22. Neonatal hypoglycaemia | not your usual sugar babyHypoglycaemia is a common postnatal ward call. Undiagnosed and untreated, it can have catastrophic complications. Luckily, we've summarised it into under 30 minutes for you! In this episode, we discuss: Differentials that can cause or contribute to hypoglycaemia How to explain this condition to a parent Treatment of hypoglycaemia Preventative measures Complications of hypoglycaemia Links and resources: Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ and Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss...2020-09-0627 minYou're Kidding, Right?Type 1 Diabetes - our sweetest patientsType 1 Diabetes is the most common form of diabetes in children and adolescents. It is an autoimmune condition affect the insulin-secreting beta cells of pancreas, resulting in insulin deficiency. You don’t want to miss: A case How to describe type 1 diabetes to a patient A quick overview of glucose metabolism The pathophysiology of type 1 diabetes How to diagnose and treat The short and long term complications Links and resources: Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ and Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com 2020-08-3022 min
You're Kidding, Right?Diabetic ketoacidosis | sugar sugar how you get so fl(high)Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of type 1 diabetes (in most instances). It may also constitute the first presentation of T1DM in a patient. In this episode, we discuss: The diagnosis of DKA How it presents How to explain this condition to parents Management of DKA Potential complications to watch out for Links and resources: Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ Follow us on Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss out on any pearls of wisdo...2020-08-2328 minYou're Kidding, Right?Cerebral Palsy | can we get allied health on the line?? Cerebral palsy is a non-progressive disorder of movement and posture. It results from insult to fetal/infant brain. The type and degree of movement difficulty that children with CP experience can vary greatly. Currently there is no cure but there are options for managing it with the aim to improve function and quality of life. In this episode we discuss: Differentials How to describe it to a patient What we know about aetiology The main subtypes of CP and how they present Diagnosis and screening tools Management and the multi-disciplinary approach Links and...2020-08-1632 minYou're Kidding, Right?Transgender and Gender Diversity | what we need to know and why we need to do betterBeing gender diverse or transgender is not a medical condition, but it can result in illnesses such as gender dysphoria, and often requires medical intervention for gender affirmation. Statistically, healthcare professionals are not well-versed in looking after gender diverse patients. We are hoping to contribute to educating ourselves and our peers so we can do a better job of caring for this group of people. You don’t want to miss: Important definitions Statistics Medical and non-medical implications Principles of medical management (puberty blockers, hormones, surgery) Links and resources: Follow us on Inst...2020-08-0936 min
You're Kidding, Right?Approach to abdominal pain |who do I need to call??Abdominal pain is a common presenting complaint in children. Confusingly, there are many different causes. In this episode, we aim to equip you with the knowledge to help differentiate between urgent and less urgent causes. You don't want to miss: A general approach to abdominal pain Important differentials How to take a good pain history How to examine a child with abdominal pan Investigations to be considered Discharge considerations Links and resources: Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ and Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Make sure you hit S...2020-08-0239 minYou're Kidding, Right?Perthes |what is hip-ening to their femoral head??Legg-Calve-Perthes (or just Perthes) disease causes idiopathic avascular necrosis of the femoral head in a child. It presents with a limp which is often painless but not always. No one is 100% sure what causes it but the end result is disruption of the blood supply to the proximal femoral epiphysis which leads to osteonecrosis and femoral head deformity (which can go on to cause problems such as limited range of motion and osteoarthritis). You don’t want to miss: A case example How to describe the condition to a patient and their family Differentials fo...2020-07-2629 min
You're Kidding, Right?Kawasaki Disease | the zebra to look out forIt's often said in medicine, "look for horses, not zebras". Well, Kawasaki disease is one zebra that you don't want to miss. The second most common vasculitis behind Henoch Schonlein Purpura, Kawasaki disease can result in severe outcomes if not treated early. Tune in to find out how to diagnose and manage a child with Kawasaki disease. You don't want to miss: How to explain Kawasaki disease to a parent in a clear manner The pathophysiology of cardiac complications of Kawasaki disease The diagnostic criteria of Kawasaki disease How to manage a child presenting...2020-07-1930 min
You're Kidding, Right?Croup | when children start to barkCroup is one of the most common conditions resulting in hospitalisation in children. Tune in to find out how to assess and manage a child with croup, as well as a discussion about epiglottis as a little extra! You don’t want to miss: How to explain croup to parents in a clear manner How to assess the severity of a child’s presentation with croup Indications for hospital admission Pathophysiology Risk factors for severe disease Discharge considerations Links and resources: Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ and Faceboo...2020-07-1236 minYou're Kidding, Right?Slipped Upper Femoral Epiphysis | twist and shout Slipped Upper Femoral Epiphysis (SUFE) is a disorder of the hip joint most common in early adolescents. During adolescence, the growth plate (physis) is very active with dividing cells and is responsible for the growth spurt. It is quite weak and vulnerable to shearing forces during this time. In SUFE, the growth plate suffers a form of fracture, and the femoral neck slips away from the epiphysis. You don’t want to miss: A case of a child with SUFE Differentials for a painful limp in adolescents Presentation Classificaiton Investigation Management Links and reso...2020-07-0526 minYou're Kidding, Right?Appendicitis |no guts no gloryWe will go as far as to say you will all see at least a few cases of appendicitis in your careers - even if you only treat adult patients! The highest incidence occurs in people aged 15-29. Join Dr Freya and Dr Anne as they go through everything you need to know about appendicitis, particularly in children. You don’t want to miss: How to differentiate causes of acute abdominal pain and and common differentials for appendicitis What causes appendicitis? How do we diagnose it? How do we treat it? What complications do yo...2020-06-2832 minYou're Kidding, Right?Developmental Dysplasia of the Hip | hip hip hooray for early detectionDDH is abnormal morphology and development of the acetabulum. It occurs on a spectrum - from mild acetabular dysplasia (i.e. abnormal morphology of the “ball” of the ball and socket) to hip subluxation (partial contact between femoral head and acetabulum) to dislocation (no contact between the articulating surfaces of the hip). If caught early enough, it can usually be treated with simple bracing. If diagnosed late, it may lead to major surgery and significant disability. You don’t want to miss: What are the risk factors and how do these contribute to DDH How to...2020-06-2133 minYou're Kidding, Right?TORCH - part 2 |illuminating perinatal infectionsPerinatal infections account for 2-3% of all congenital abnormalities. The TORCH infections are some of the most common infections associated with congenital anomalies, some with devastating consequences if left untreated or go undetected. Tune in to learn more about rubella, CMV and HSV, the potential complications they cause and what to do about them. You don’t want to miss: How these infections are transmitted The ways in which they present The foetal and neonatal complications associated with each infection Management considerations Links and resources: Follow us on Instagram: https://www.instagram.com/y...2020-06-1730 min