Nice | Bronchiolitis in children

This is a new guideline from Nice on diagnosing and managing bronchiolitis. It really doesn't add much new as it mainly lays out criteria for referral and this is just around recognition of a sick chi...

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Nice | Obesity in adults and children

  The big changes from the 2006 guideline have been well publicised in the news and mainly advise that referral for bariatric surgery be considered at a lower BMI to previously, especially where ...

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Wheeze in preschool children

A very common condition, affecting 25% of infants before the age of 18 months, and one which we will see a lot of over the forthcoming months. This helpful BMJ Review summarises the evidence on the ma...

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BASHH | Molluscum contagiosum

This is a new guideline from BASHH. It really looks mainly at genital molluscum contagiosum, but some of the evidence is useful for all forms. Basically most patients should be encouraged to just leav...

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Autism in young people

Most of this guideline in autism in young people is aimed at specialist teams. There is an emphasis on psychological treatments as a first line, with medication only used if these are failing. There i...

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Nice | Feverish illness in children

This guideline is an update of the 2007 version. There is nothing mind-boggling here, but it's worth printing out a new version of the 'traffic-light' sheet. They have handy 'parent information sheets...

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Conduct Disorders in Children

This guideline is about conduct and other antisocial disorders affecting young people. It outlines the kinds of things to cover in the history as well as management strategies. There's not really anyt...

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Whooping Cough – HPA Guidance

Bordetella Pertussis from Sanofi Pasteur (flikr website) This is a summary of guidance from the HPA on how to manage Whooping Cough. A member forwarded this on to me and requested I pass on the inform...

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Headaches in Young People and adults

This is a monster of a guideline from NICE, which is only aimed at people over the age of 12. This email contains the summary, but if you want to read more, then use the link at the bottom.   My main ...

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Spasticity in children

This guideline is really aimed at the ‘Network Teams’ (ie multidisciplinary) involved in caring for these children. There were a few things that I was not aware of. Though they won’t alter our practic...

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Autism in Children and Young People

This is really not a very helpful guideline. Really the message for us is that if parents / school or you have a real concern that a child may have an Autism Spectrum Disorder, refer on for assessment...

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BASHH | Adolescents living with HIV

This guideline is aimed at paediatric doctors, rather than us. However, it is a really good reminder of how to approach taking a sexual history from adolescents. I’m not going to summarise it as there...

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Food Allergy in Children

This guideline is really quite complex. Unfortunately it basically says that if you or the parents suspect food allergy, test for that food. It gives IgE (immediate) and non IgE mediated (delayed) ass...

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