Sarah Rodrigues, Dayna Rosenthal, Felicity Katz, Urshla Devalia, Mariana Fonseca ...

Historically, vascular rings, formed by a right or double aortic arch, have been diagnosed in childhood following symptoms or signs of tracheo-oesophageal compression. Many of these features might be ...

In 1901, building on the earlier work of Matteuci and Waller, Einthoven created the first string galvanometer and assigned letters to each specific deflection.1 This was the birth of the ECG as we ...

A fit, well, asymptomatic 6-year-old girl was referred to clinic for a murmur. Her ECG is shown in figure 1. Figure 1 Patient’s ECG. ### Rate, rhythm and PR interval The median heart rate for a 6-year ...

One-fifth of children in hospitals are undernourished. Ignorance of undernourishment results in poorer outcomes for those children: longer hospital stays, complications and readmission.1 Nutritional ...

### The scale of the problem In 2022, a national oral health survey found that 23.7% of 5-year-old children in England had visible tooth decay.1 How many other health problems can you think of that ...

Guidelines are integral to reducing variation in paediatric care by ensuring that children receive the right care, every time. However, for reasons discussed in this paper, clinicians do not always ...

Group A streptococcus (GAS) is the cause of a wide range of acute suppurative and, following a latent period, non-suppurative diseases such as rheumatic fever and poststreptococcal glomerulonephritis.

The use of data to challenge and improve healthcare has a long and distinguished history but has often failed to bring about expected improvements. It has never become fully embedded in clinical ...

In August 2013 the National Institute for Health and Care Excellence (NICE) collaborated with the Social Care Institute for Excellence (SCIE) to publish a guideline entitled ‘Autism: the management ...

Paediatric gynaecological problems, especially those involving the vulvar area, are common in childhood. The conditions frequently seen include recurrent bacterial vulvovaginitis, vulvar irritation, ...

A low platelet count (thrombocytopenia) is a common finding especially in neonates who are admitted to the neonatal intensive care unit. Due to the varied causes that can lead to neonatal ...