Appendicitis tests in children

It seems that this one slipped under the radar, when we originally published it… Because I followed it with a tongue-in-cheek summary post about the (lack of) utility of tests for appendicitis, and did not leave enough of a gap between the two posts, iTunes only picked up the abbreviated jokey version, leaving the original PEMcast undiscovered by many… So here it is again, for the benefit...

March 22nd, 2013 by colinparker 

UTI in children

Urinary Tract Infections in kids are a recurring clinical question that bugs us as clinicians… Why is Urinary Tract Infection in children different from cystitis or pyelonephritis in adults? How hard should we be looking for UTI, and what’s the best way to confirm or exclude the diagnosis? In this podcast we discuss the diagnosis, important differentials, and treatment of pediatric Urinary...

December 13th, 2012 by colinparker 

Sick Baby: undifferentiated infant under 3 months

Young infants under 3 months can be pretty scary when they get properly sick. It seems quite ‘veterinary’, and in many ways we just have to screen and treat for sepsis – and ask questions later… But there are a number of other differentials to consider. Signs of illness may be obvious, such as when we are presented with a pale, floppy baby, or they may be more subtle –...

December 29th, 2011 by colinparker 

Meningitis Diagnosis and Management

The word strikes fear into the heart of parents. You dare not mention the ‘M’ word unless you back it up with action, or a whole heap of calming reassurance… The clinical features of meningitis are less straightforward in younger children, and CSF findings can be tricky to interpret. In this episode, our local Paediatric Infectious Diseases expert guides us through the topic with...

November 3rd, 2011 by colinparker 

Appendicitis: Improving Diagnostic Accuracy

Appendicitis is the most common surgical condition in children, and an important condition not to miss.  Can we use clinical features, scoring systems, blood tests or radiological investigations to improve our diagnostic accuracy? In this episode we put the diagnostic process under the microscope and try to figure out the most helpful symptoms, signs and tests to confirm or exclude appendicitis. ...

February 10th, 2011 by colinparker 

Appendicitis: Utility of Tests

For those of you with short attention spans… here is the synopsis of our Appendicitis PEMcast. Standard Podcast [ 0:40 ]
February 10th, 2011 by colinparker