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Welcome to Fontanelle, a paediatric educational podcast for trainees. I'm Caroline Storey, a paediatric trainee in Wessex, and I'll be joined by wise friends, learned colleagues and leading lights from around the region and beyond to explore common presentations, sticky situations, what's fresh and new, and what's coming of age in paediatric medicine. So if you've got an open mind for learning and a soft spot for the world of paediatrics, you've come to the right place!
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Many of us see children with joint pain, some of whom are incredibly bendy. But have they "got hypermobility" or even EDS? Join Dr Alice Leahy and Marisa McMillan in their wide ranging discussion about EDS, hypermobility syndrome, arthritis, factors affecting how people perceive pain, and possible reasons why EDS has become more prominent on social…
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A look inside the world of adolescent medicine and the benefits of the HEEADSSS tool with Dr David James, who explains to Marisa McMillan how we can be opportunistic in reaching the 10-22 year olds presenting to our ED departments. Check out the must-have HEEADSSS app on Google Play/Apple or http://app.heeadsss.uk Review on itunes 🌟🌟🌟🌟🌟 if you like…
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Low appetite? Tired? Tummy ache? Perhaps your child is constipated. Let Dr Mark Tighe guide you through the essentials of constipation - what it is, what sets it off, and most importantly, what you can do about it. Go to eric.org.uk for excellent resources. Please review 🌟🌟🌟🌟🌟Meet us online @fontanellepod - we'd love to hear from you.…
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Dr Antoinette McAulay, General Paediatrician in Poole talks to Dr Marisa McMillan, Wessex Paediatric Trainee, guest hosting on Fontanelle - Thank you Marisa and Antoinette! Refer to www.bsped.org.uk (British Society for Paediatric Endocrinology and Diabetes) for up to date guidelines. Get in touch if you would like to get involved in any of the wor…
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Dr Phil Parslow, training programme director for ST4-8 in Wessex Deanery guides us through the whole appraisal process, with plenty of advice and wisdom to light your way! Amazing nuggets on how to write an effective reflection. ***************************************************🌟🌟🌟🌟🌟🌟🌟🌟🌟🌟🌟🌟🌟🌟🌟🌟🌟🌟 Fontanelle is growing and has now reached 50 countr…
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Dr Mich Lajeunesse consultant in paediatric allergy takes us through using the EATERS method to take an allergy focused clinical history and help diagnose food allergies. EATERS stands for Exposure, Allergen, Timing, Environment, Reproducibility, Symptoms. Based on a 15 Minute Consultation in E&P edition of ADC (http://dx.doi.org/10.1136/archdischi…
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Dr Amy Mitchell takes us through a real case looking at two oncological emergencies: hyperleucocytosis and tumour lysis syndrome. With reference to the PIER guidelines at piernetwork.org.uk Children's Cancer and Leukaemia Group cclg.org.uk stjude.org If you found it useful, leave a review on iTunes 🌟🌟🌟🌟🌟 and thank you for listening👏🏻👏🏻👏🏻 @fontanell…
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Inconsolable crying. Is it CMPA? Transient lactose intolerance? GORD? Infantile colic?The majority of babies cry for 2-3 hours a day, and that's completely normal. It's just how babies express themselves!Aude Cholet, dietician who designed the Hampshire Infant Feeding Guidelines, joins me on this episode of Fontanelle to discuss the treatable cause…
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Sepsis can be deadly, but difficult to spot. Sepsis is life threatening organ dysfunction characterised by altered physiology. Capilliary leak leads to tachycardia, tachypnoea, reduced oxygen saturations, poor peripheral perfusion, reduced urine output and altered level of consciousness. Sepsis evolves quickly, but is easily confused with common vi…
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I'm joined by Dr Charlie Powell to discuss abdominal migraine and associated syndromes - cyclical vomiting and benign paroxysmal vertigo. Debilitating, recurrent abdominal pain which is central, associated with pallor and being withdrawn in an otherwise well, thriving child. Associated with poor school attendance. Once red flags have been ruled out…
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Abdominal pain is common in children and concerning for parents with a wide range of differentials. In this episode Dr Mark Tighe, paediatrician in Poole, takes us through some common acute presentations, including appendicitis, torsion and intussusception, as well as the differentials to be considered. He takes us through history and examination, …
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Lymphadenopathy in children is common and usually benign. How can we distinguish between harmless reactive lymphadenopathy and more sinister causes which might require treatment or further evaluation? Dr Phil Wylie takes us through the history and examination, showing us what to look out for so we can reassure parents all is well, or pick up cases …
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Respiratory tract infections in under 5s represent two thirds of all presentations to primary care and ED. But why do we see so many of them? What are parents looking for when they bring their children to see a doctor? Dr Sanjay Patel, consultant in paediatric infectious diseases, says the data tells us that parents are not seeking antibiotics, but…
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I'm joined by Dr Sanjay Patel, consultant paediatrician and lead for Healthier Together, who describes the background and aims of this wonderful, innovative health education resource. Addressing the felt confusion and anxiety of parents, as well as the changing needs of our increasingly risk-averse society, this resource aims to deliver high qualit…
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D&V, or gastroenteritis, can usually be managed safely at home by parents with appropriate advice and safety netting. To help provide that information, Phil Wylie, consultant paediatrician in Dorset County Hospital joins me to talk about red flags, recognising and treating dehydration (think 2ml/kg every 10 mins), shock, and long term sequelae such…
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Dr Phil Parslow, Consultant Paediatrician with an interest in nephrology talks UTI - in primary and secondary care. Referencing Healthier Together www.what0-18.nhs.uk NICE Guidelines, InfoKid.org.uk and ERIC.org.uk. Thanks to Phil, please go to iTunes to rate ⭐⭐⭐⭐⭐ and review, and please send any feedback to me, Caroline Storey at fontanellepod@gma…
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Dr Sarah Williams, Consultant paediatrician with an interest in gastroenterology and nutrition, summarises her thoughts on important areas in nutrition such as managing patients in nutritional crisis, the importance of phosphate and tackling obesity. Reference is made to the very useful MARSIPAN Junior guidelines - See http://www.marsipan.org.uk Sa…
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In this episode, Dr Clare Hollingsworth, consultant general paediatrician, discusses our favourite topic for these winter months: bronciolitis. Reference is made to the Wessex Healthier Together material, an excellent resource for those in both primary and secondary care, which can be found here: https://www.what0-18.nhs.uk Other topics in WHT to b…
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Dr Dan Magnus, Paediatric Emergency Medicine Consultant at Bristol Children's Hospital came to the PIER Conference 2018 to talk about staff wellness and wellbeing. This was a tiny snapshot of some of the ideas he presented in his talk, but certainly gives you a taste of his motivation and ideas he's developing to help us all get involved in improvi…
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I caught up with Dr Mark Tighe, consultant paediatrician and associate editor of Archives of Disease in Childhood. He shared some golden nuggets from his recent talk at PIER 2018 about writing right for publication. There are some super useful tips and ideas here, on how to prepare material in a way which is likely to be accepted by journals, and h…
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In this episode I talk to Professor Mark Beattie at PIER 2018 about his keynote speech on Nutrition - Everyone's Business. He lays out the principles of nutritional requirements in various stages of illness and remission, using Crohn's as a model to illustrate these stages. He also shares his enthusiasm for PIER, innovation, social media and podcas…
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In this episode of Fontanelle, I'm super excited to be heading to the PIER Conference 2018 for two whole days of presentations, discussions and lively debate. We're recording as many of the talks as we can, and I'll be getting behind the scenes chat from organisers, speakers and delegates too. Let's share the information, knowledge and dynamic ener…
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