Honey in button battery ingestion
A button battery impacted in the oesophagus can cause significant tissue injury in as little as two hours and thus requires urgent removal in theatre (ideally within 2hours of ingestion).
Whilst waiting to transfer the patient to theatre, honey is increasingly being used to reduce the risk of caustic injury in children >12months.
Abdominal pain in testicular torsion
You have just seen Leo, a 13year old boy who presents with an acute onset of RIF pain. You think that he has appendicitis and present the case to your consultant who asks “did you examine his scrotum?” You wonder, does every teenage boy presenting with abdominal pain really need a scrotal exam?
Rashes that affect the palms and soles
Whilst many rashes involve the dorsum of the hands and feet, very few involve the palms and soles.
Here are 6 conditions to think about in the patient presenting with a rash involving the palm and/or sole.
Rashes are really common in the Paediatric ED and the diagnosis is usually made through pattern recognition.
Unfortunately, the majority of educational resources in Paediatrics are filled with pictures of children with light skin tones. This means that children with darker skin tones may be misdiagnosed or experience a delayed diagnosis. Skin Deep is attempting to correct this.
Decision aid: antibiotics for sore throat
It is estimated that Group A Strep is responsible for 15-30% of cases of acute tonsillitis.
Over the past few years we have seen a practice shift, moving away from prescribing antibiotics for all children presenting with acute tonsillitis, instead targeting therapy at those in high risk groups.
Fractures of the bones of the hand account for 10% of all fractures. In children, the majority of these are phalangeal fractures.
It is important to recognise that even minor, minimally displaced phalangeal or metacarpal fractures can cause significant functional impairment if they lead to overlap of the fingers when attempting to grip. This is otherwise known as a rotational deformity.
Dr Danielle Scarfe