Mar 31, 2021
Hydrocoeles in babies are a common finding - up to 1 in 10 boys have one at birth! The pathogenesis is similar to that of inguinal hernias - the failure of the processus vaginalis to close following the descent of the testes. However in hydrocoeles, only fluid descends through the processus vaginalis, no other abdominal...
Mar 29, 2021
Idiopathic intracranial hypertension (IIH, occasionally called pseudotumour cerebri or benign intracranial hypertension) is a condition characterised by features of raised intracranial pressure without any other cause identified. The main complication is progressive vision loss.
In this episode we discuss presentation,...
Mar 24, 2021
We use midazolam a lot for procedural sedation in kids. It is a benzodiazepine medication. It has sedative, anxiolytic and amnesic effects - i.e. if it works well, it usually makes the patient a bit sleepy, less anxious, and they often don’t remember the procedure. It does NOT have analgesic effects, so you will often...
Mar 21, 2021
Constipation is a very common presentation in children - 1 in 3 children will have constipation at some point. Most kids pass a soft bowel action at least once every 2-3 days.
Most cases of constipation are functional constipation, but there are a number of important differentials to consider. Treatment takes at least...
Mar 17, 2021
Inguinal hernias are an important differential for hydrocoeles in baby boys - but don't be fooled, they do less commonly occur in girls too. They are caused by a persistent processus vaginalis, which usually closes in the 28th week of gestation once the testes have gone through in boys. Every patient with an inguinal...