The Child with a Rash: Part Two

March 15, 2019 by James Thomas in Paediatrics

Just before she went away on holiday Dr Rachel Tricks rejoined us to for the Child with a Rash sequel!

Part One can be found here

In this episode we discuss:

- common bacterial rashes (see below)

- the ‘CRASH & Burn’ mnemonic of Kawasaki Disease (Conjunctivitis, Rash, Adenopathy, Strawberry tongue, Hand and 5 days of fever)

- Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis

You can find the full list of Notifiable Diseases and Causative Organisms here

Here are the rashes mentioned in this episode (images from DermNet NZ)

Scarlet Fever

Staphylococcal Scalded Skin Syndrome

Erythema multiforme

Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis

Kawasaki Disease

Here is in the infographic Rachel mentioned from South Cheshire CCG explaining how long children need off school with various common conditions:

Here is our #TakeVisually for this episode:

The Child with a Rash: Part One

February 21, 2019 by James Thomas in Paediatrics, Sepsis

Dr Rachel Tricks rejoins us to go through the management of a child with a non-blanching rash

- we go through the steps of assessing and managing a child with a non-blanching rash

- the red flags of a petechial rash

- common viral rashes (including a rant by Jamie against Andrew Wakefield and his ‘research’

Here’s a copy of the petechial rash algorithm used at the NUH NHS Trust:

Images from DermNetNz

Meningococcal Purpura

Non-specific viral rash

Urticarial rash

Chickenpox

Roseola

Parvovirus

Measles

Rubella

Hand, Foot and Mouth Disease

Epstein Barr Virus Plus Amoxicillin

Eczema Herpeticum

Here is the #TakeVisually for this episode:

The Child with a Fever

February 15, 2019 by James Thomas in Paediatrics, Sepsis

Dr Rachel Tricks takes us through the approach to ‘The Child with a Fever’ including:

- the NICE traffic light system

- the management of the child under 3 months versus the child over 3 months old

- identifying a source

This episode follows the NICE Guidelines CG160 which can be found here

Remember to check out our previous episodes on The Collapsed Neonate and Paediatric Sepsis

Here is the #TakeVisually for this episode:

Paediatric Sepsis

February 01, 2019 by James Thomas in Sepsis, Paediatrics

Dr Rachel Tricks makes her pod debut for this episode on Paediatric Sepsis. Among many other things we cover:

when to suspect sepsis in children
the red flags
the immediate management and when to refer to PICU

Rachel mentions a Delphi study which was published in the BMJ which can be found here

The RCEM Learning page on Paediatric Sepsis can be found here

The UK Sepsis Trust Sepsis Booklet is here (Paediatrics is page 89)

Here is the Sepsis 6 Tool from Great Ormond Street (for illustration purposes only - make sure you follow your Trust Guidelines)

Here is the #TakeVisually for this episode: