Paediatrics

Faltering growth in children

This is a recent guideline from NICE, which gives advice on managing faltering growth in children. A lot of this is common sense, but as it is a new guideline, I will summarise the bits relevant to us. I will not deal with weight loss in the first few days, as this is generally managed…
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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 child. I've outlined a few interesting points. Symptoms usually peak at 3 - 5d. 90% have recovered from the cough by…
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Nice | Depression in children and young people

This is an updated guideline from Nice on managing depression in children. Most of the advice is the same and the changes really just follow normal practice. I've highlighted the changes below. Assessment (no change here) Consider using the Mood and Feelings Questionnaire. A score of 12 or more supports a diagnosis of depression. Mild…
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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 the patient has new onset Type 2 Diabetes Mellitus (T2DM). Most of the rest of the guideline isn't significantly different, but I…
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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 leave them alone as they go naturally within a few months without normally scarring, which is probably what most of us are doing already.…
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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 is an interesting section on sleep problems, which are common in children with autism. If a child is having sleep problems, consider…
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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' that you can print out too. The sections on 'Caring for your child at home' and 'Seeking further advice' are useful for safety-netting.…
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