Erb's palsy affects the upper limb when the brachial plexus is damaged, with the most common reason being traumatic delivery. Although it generally resolves over time, some more serious injuries of the brachial plexus can occur. In this episode, we discuss Erb's palsy and its management. Links and resources: Follow us on Instagram @yourekiddingrightdoctors 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 ...
Mar 18, 2022•12 min•Ep. 141
Mesenteric adenitis is a common condition affecting children and teenagers. It is caused by the enlargement of lymph nodes in response to an infection, generally a viral one. It is quite painful and can be mistaken for appendicitis - however it is also a diagnosis of exclusion! In this episode we discuss how mesenteric adenitis presents, the aetiology, management and more! Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure ...
Mar 14, 2022•7 min•Ep. 139
Mesenteric adenitis is a common condition affecting children and teenagers. It is caused by the enlargement of lymph nodes in response to an infection, generally a viral one. It is quite painful and can be mistaken for appendicitis - however it is also a diagnosis of exclusion! In this episode we discuss how mesenteric adenitis presents, the aetiology, management and more! Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure ...
Mar 14, 20220•Ep. 139
Williams syndrome is a genetic disorder caused by a microdeletion in chromosome 7. This can cause things like cardiac anomalies, hypercalcaemia and intellectual disability, and it is associated with distinctive facial features and personality. Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
Feb 27, 2022•18 min•Ep. 140
Hypertrophic cardiomyopathy is a genetic conditions where you get hypertrophy of the heart muscles, particularly the left ventricle and often the interventricular septum. This causes diastolic dysfunction as the thickened, stiff ventricles can’t fill with blood properly. In some cases, people also get outflow tracts obstruction in the left ventricle, so not only does it not fill properly, but also the blood flow out of the heart and to the rest of the body is obstructed during systole. HCM can p...
Feb 13, 2022•24 min•Ep. 138
Following on from our recent episode on assessing head injuries, we discuss concussion. A concussion is a mild traumatic brain injury which temporarily alters brain function. It's really common - about 20% of children will have one by the age of 10. In this episode, we discuss why kids are more likely to have a concussion, how to assess a child with a possible concussion, and management. We refer to a video on visio-vestibular assessment during the episode, which was produced by the Children's H...
Feb 06, 2022•21 min•Ep. 137
Alagille syndrome is a genetic disorder that can affect a variety of organs. In the liver it causes a lack of bile ducts to drain bile out of the liver and hence the bile builds up and causes liver damage. It can also affect other parts of the body like the heart, eyes, bones and kidneys. Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for yo...
Jan 30, 2022•18 min•Ep. 136
Head injuries are a common presenting complaint in kids. They can be a source of major concern for parents and clinicians alike. 1-2% of presentations to paediatric emergency services are head injuries of varying severity, although most are minor. In this episode, we cover the assessment of head injuries and how to decide whether imaging or other investigations are required or not. Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com M...
Jan 16, 2022•25 min•Ep. 135
Zollinger-Ellison Syndrome is a rare cause of peptic ulcer disease. It is when gastrin-producing tumours called gastrinomas cause excess production of stomach acid. The excess acid damages the lining of the stomach and duodenum, leading to ulcers. Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
Jan 09, 2022•6 min•Ep. 134
A tongue tie is where the piece of tissue under the tongue, called a frenulum, is tighter than usual. They are found in about 3% of babies, and are more common in boys. Although it was previously common practice to release tongue ties, further research has demonstrated that not all babies with a tongue tie require release, and indeed many babies with one can feed well without a release. There are a small number of babies who do require a release overall. In this episode, we cover what a tongue t...
Dec 19, 2021•11 min•Ep. 133
The adrenal glands are part of your endocrine system and release some really important hormones! Broadly, the cortex produces steroid hormones (i.e. aldosterone, cortisol and androgens) and the medulla produces catecholamines (i.e. adrenaline and noradrenaline). In this episode we discuss the structure and function of the adrenals and the hormones they produce. Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you d...
Dec 12, 2021•7 min•Ep. 132
Helicobacter pylori is a bacteria that causes inflammation of the stomach and duodenum lining. It is most often acquired in early childhood and causes some sub-clinical gastritis but usually doesn’t cause overt symptoms until later in life when it can present with peptic ulcers, iron deficiency anaemia and certain cancers. Treatment is with oral antibiotics and a proton pump inhibitor. Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com (This isn’t indivi...
Dec 05, 2021•20 min•Ep. 130
Stevens-Johnson Syndrome (SJS) and toxic epidermal necrolysis (TEN) are severe skin and other body system manifestations of immune hypersensitivity, typically in response to medications and, more commonly in kids, infections. They used to be thought of as different conditions but now we think of them as occurring on a spectrum, according to how much of the body surface is affected. Toxic epidermal necrolysis is the most severe disorder in the spectrum, but both TEN and SJS can be fatal if not ma...
Nov 28, 2021•18 min•Ep. 130
Parenteral nutrition (PN) is the process of giving someone their nutrition intravenously. It is given when someone’s digestive tract isn’t working properly so they can’t get their energy/nutrient/fluid needs enterally (via the GIT). Today we will discuss: What is in the PN bags? Why someone might need PN What are the complications Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com (This isn’t individual medical advice, please use your own clinical judgem...
Nov 17, 2021•14 min•Ep. 129
Hypokalaemia is a low serum potassium levels. In paediatrics, see it most commonly in the setting of GI losses, but there are many other causes to be aware of too. The big thing that we worry about with hypokalaemia is the potential development of cardiac arrhythmias, which may be life threatening. In this episode, we go through some of the important causes of hypokalaemia, presentation of symptomatic hypokalaemia, investigations to consider, management and more. Links and resources: Follow us o...
Nov 14, 2021•14 min•Ep. 128
Iron studies can be tricky to interpret – many people struggle with it. Today, we go through what each part of the iron studies mean, how these levels may be impacted, when to do iron studies and when the levels may be spurious. 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...
Nov 10, 2021•8 min•Ep. 127
Bilious vomiting in any child or baby is an urgent matter requiring further workup and management as a matter of priority. This is because bilious vomiting is an initial sign of intestinal obstruction, and a missed obstruction could have catastrophic consequences. In this episode, we focus on bilious vomiting in neonates, which is a presentation that comes up not infrequently in nurseries, postnatal wards and NICUs everywhere. Links and resources: Follow us on Instagram @yourekiddingrightdoctors...
Nov 07, 2021•18 min•Ep. 126
In this episode we discuss: Developmental milestones Red flags Primitive reflexes Feeding Sleep Weight Growth Teething Follow us on Instagram @yourekiddingrightdoctors 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 local guidelines when caring for your patients)...
Nov 03, 2021•12 min•Ep. 125
Trisomy 21, or Down Syndrome, is the most common chromosomal abnormality in live births. Some of the most common issues associated with it are cardiac defects, intellectual disability and low muscle tone. Overall, prognosis has come a very long way in the past few decades. Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)...
Oct 31, 2021•21 min•Ep. 124
Acute otitis media is an extremely common infection in kids - 75% of children have at least one episode by school age. In fact, 50% of kids have had at least 3 episodes of AOM by the time they are 3 years. Generally, it doesn't require antibiotic therapy, but there are some cases in which antibiotic therapy is recommended. In this episode, we go through the presentation, pathophysiology, relevant anatomy, aetiology, complications, management and more! Links and resources: Follow us on Instagram ...
Oct 27, 2021•23 min•Ep. 123
Tumour lysis syndrome is an oncologic emergency. It happens when cancer cells release their intracellular contents into the bloodstream which can cause a variety or serious complications. Follow us on Instagram @yourekiddingrightdoctors 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 local ...
Oct 24, 2021•11 min•Ep. 122
IgA nephropathy is a cause of glomerulonephritis and is the most common chronic glomerular disease in children. Like the name suggests, it is characterised by kidney damage due to IgA (an immunoglobulin) which deposits in complexes in the kidney. The classic presentation is recurrent episodes of macroscopic haematuria a couple of days after the onset of an URTI. About 25% of children will eventually develop end stage renal failure. In this episode, we discuss IgA nephropathy and its pathophysiol...
Oct 20, 2021•16 min•Ep. 121
Charcot-Marie-Tooth disease is a peripheral neuropathy i.e. it affects the nerves of the peripheral nervous system. This results in motor and sensory deficits. It’s inherited although there are many potential causative mutations. The disease is progressive, but very slowly. Most patients have a normal life expectancy. Follow us on Instagram @yourekiddingrightdoctors 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...
Oct 17, 2021•17 min•Ep. 120
In a lumbar puncture (LP), a needle is inserted into the lumbar subarachnoid space to collect cerebrospinal fluid (CSF) for laboratory testing, to measure CSF pressure, and sometimes to give intrathecal medications. 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 peo...
Oct 13, 2021•17 min•Ep. 119
Haemolytic uraemic syndrome is one of the most common causes of acute renal failure in children. The classic triad of HUS includes haemolytic anaemia, low platelet count and acute kidney injury. It is most often triggered by recent gastroenteritis from Shiga-like toxin producing E. coli. Management is largely supportive, focusing on managing hypertension, transfusion of blood products as required, and dialysis if needed. In this episode, we run through the pathophysiology, presentation, pertinen...
Oct 10, 2021•20 min•Ep. 118
Congenital dermal melanocytosis (also known as blue spots, or by the outdated term "Mongolian blue spots") are common birth marks in infants of Asian and Polynesian descent, but can be found in other ethnic groups too. They are less common in Caucasian infants. They can be mistaken for bruises, raising concerns around non accidental injury, which makes them vital to be recognised and documented clearly, so they are not mistaken for NAI. These birthmarks generally fade with time. In this episode,...
Oct 07, 2021•10 min•Ep. 117
Hepatitis C is an RNA virus that causes acute and chronic viral hepatitis by being directly toxic to hepatocytes. Most people with acute hepatitis C will go on to develop chronic hepatitis C. The main complications of chronic Hep C are cirrhosis and hepatocellular carcinoma. In Australia, most people acquire hep C through IVDU but in the paediatric population, most acquire it through childbirth. There is no immunisation against hepatitis C but there are treatment options that can cure it! Follow...
Oct 03, 2021•16 min•Ep. 116
Respiratory illnesses, especially viral illnesses and asthma, are common in children, and assessing work of breathing is a vital part of providing care to these children. In this episode, we go through what to look for when assessing work of breathing. 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 ...
Sep 29, 2021•8 min•Ep. 115
Content warning: non-accidental injury of children is a highly distressing concept and occurrence. We encourage listener discretion prior to listening. In this episode, we discuss the assessment of injuries in children, and determining which injuries are more likely to be as a result of an accident, vs intentional harm. We go through characteristics of burns, fractures and bruises that may be suspicious, as well as a general overview of the investigations that may need to be considered, and who ...
Sep 26, 2021•33 min•Ep. 114
Okay so we had a recent episode about the enzymes ALT, AST, GGT and ALP that we get when we order liver function tests and how we interpret them. While that is useful to help us narrow down what is going on with the patient, there are some other results that give us important information about how the liver is functioning. Today we will talk about bilirubin, albumin and coags. Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323...
Sep 22, 2021•8 min•Ep. 113
