Dystonia is a common disorder of movement and tone, characterised by sustained or intermittent muscle contractions causing abnormal movements, postures or both. Children and young people with dystonia can experience episodes of acute worsening tone, which require prompt treatment. When most severe, dystonia may become life-threatening—a state …

5 days ago · Archives of Disease in Childhood is led by Dr Nick Brown, clinician, epidemiologist and international child health expert. His vision is to enhance child health through training, advocacy, and publishing high quality research that will influence policy, and to do all this “with passion, wit and flavour”.

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Objective To review common presentation of oral ulcers in children and discuss management of symptoms and subsequent investigation. Conclusion Although a common presentation in children, diagnosis can be challenging. Thorough history taking is critical towards diagnosis and supports signposting to relevant specialities. Clinicians should be able to support first-line symptomatic management of ...

Sep 16, 2024 · A version of Good Medical Practice was first published in 1995, with updates every 3–10 years thereafter. 2 The last major update was in 2013. The 2024 guidance was developed using (1) evidence from public inquiries, published reports and commissioned research, (2) advice from an external forum of 11 medical and non-medical experts, and (3) consultation with medical professionals, patients ...

Convulsive status epilepticus (CSE), with an incidence of 17–23 episodes per 100 000 children per year,1 is the most common medical neurological emergency in children. Since there is significant associated morbidity and mortality, which in part may be related to seizure length,2 it is essential that acute paediatric and paediatric emergency staff are comfortable and familiar with its ...

Embracing failure for the purpose of learning is a key trait in successful teams. Failure, however, is not the only source of learning. The majority of interventions in healthcare are successful, yet our prevailing efforts to extract learning intelligence tend to focus almost exclusively on failures, such as harm and errors. By considering the learning potential across the whole landscape of ...

Fifteen-minute consultation: Initial management of suspected acute ...

The hereditary sensory and autonomic neuropathies (HSANs) are a group of rare genetic disorders characterised by variable phenotypic expression affecting both sensory and autonomic dysfunction. Diagnosing these conditions can be a challenge as the presenting symptoms can be diverse and may overlap. This often leads to a delay in referral and diagnosis. Pain is often used by clinicians as a ...

Dec 5, 2022 · Fifteen-minute consultation: Investigation and management of hypoglycaemia in the term-born infant (8 November, 2022)