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NICE Guideline Review: Meningitis and meningococcal disease: recognition, diagnosis and management (NG240)

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Fever, seizures and mydriasis in an 18-month-old girl

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Hearing every child’s voice: embedding augmentative and alternative communication teaching into undergraduate medical education

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Online First

Fifteen-minute consultation: Integrated child health: Part 2 – Clinical practice ...
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How to use abdominal X-rays in preterm infants suspected of developing necrotising enterocolitis

Necrotising enterocolitis (NEC) in preterm babies is a serious gastrointestinal emergency with potentially devastating consequences. Prompt and accurate diagnosis continues to be a challenge for ...
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Fifteen-minute consultation: Apparent vaginal bleeding in the pre-pubertal girl

A parent or carer’s observation of blood in a child’s nappy or underwear can be quite alarming for both parent and child and may indicate vaginal bleeding. At first glance, it may be difficult to ...
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Table 1

Pain scores at 1 h (ibuprofen vs paracetamol−codeine) † −2.3 (−3.0 to −1.6) vs −2.1 (−2.9 to −1.3) −0.2 (−1.2 to 0.8) ...
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Table 6

*The basis for maintaining ductal patency with prostaglandin in TGA, and not, as commonly misconceived, to permit shunting of oxygenated blood (from the PA in TGA) into the systemic circulation, which ...
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Table 5

Vascular ring, double aortic arch with patent right arch, and atretic proximal left arch. Left PDA, left common carotid artery, left subclavian artery, and left arterial duct supplied by a large ...
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Table 2

Outcomes Thumb-sucking or nail–biting, OR (95% CI) Thumb–sucking, OR (95% CI) Nail-biting, OR (95% CI) Atopic sensitisation/positive skin prick test at 13 years (n=724) 0.64 (0.45 to 0.90) 0.64 ( 0.42 ...
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Table 4

Infection Sepsis creates an increased metabolic demand. The infant may be unable to meet the increased oxygen requirements of the tissues leading to peripheral vasoconstriction and cyanosis. In ...
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Acute cervical lymphadenitis in a febrile child: when to think beyond infection?

A 4-year-old boy presented with fever and unilateral neck swelling, initially treated as bacterial lymphadenitis with intravenous antibiotics. Over the following days, he developed bilateral ...