Erb's palsy affects the upper limb when the brachial plexus is damaged, with the most common reason being traumatic delivery. 

Although it generally resolves over time, some more serious injuries of the brachial plexus can occur.

In this episode, we discuss Erb's palsy and its management.

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(This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)

Mesenteric adenitis is a common condition affecting children and teenagers. It is caused by the enlargement of lymph nodes in response to an infection, generally a viral one. It is quite painful and can be mistaken for appendicitis - however it is also a diagnosis of exclusion!  

In this episode we discuss how mesenteric adenitis presents, the aetiology, management and more!

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(This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients!)

Mesenteric adenitis is a common condition affecting children and teenagers. It is caused by the enlargement of lymph nodes in response to an infection, generally a viral one. It is quite painful and can be mistaken for appendicitis - however it is also a diagnosis of exclusion!  

In this episode we discuss how mesenteric adenitis presents, the aetiology, management and more!

Links and resources:

Follow us on Instagram @yourekiddingrightdoctors

Our email is [email protected]

Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss out on any pearls of wisdom and RATE if you can to help other people find us!

(This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients!)

Williams syndrome is a genetic disorder caused by a microdeletion in chromosome 7. This can cause things like cardiac anomalies, hypercalcaemia and intellectual disability, and it is associated with distinctive facial features and personality.

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(This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)

Hypertrophic cardiomyopathy is a genetic conditions where you get hypertrophy of the heart muscles, particularly the left ventricle and often the interventricular septum. This causes diastolic dysfunction as the thickened, stiff ventricles can’t fill with blood properly. In some cases, people also get outflow tracts obstruction in the left ventricle, so not only does it not fill properly, but also the blood flow out of the heart and to the rest of the body is obstructed during systole. 

HCM can present with syncope, chest pain, palpitations, dyspnoea and, importantly, sudden cardiac death or heart failure. 

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(This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)

Following on from our recent episode on assessing head injuries, we discuss concussion. A concussion is a mild traumatic brain injury which temporarily alters brain function. It's really common - about 20% of children will have one by the age of 10. 

In this episode, we discuss why kids are more likely to have a concussion, how to assess a child with a possible concussion, and management.

We refer to a video on visio-vestibular assessment during the episode, which was produced by the Children's Hospital of Philadelphia, which you can find here: https://youtu.be/lGUDZnZOieM

You can also find a copy of the Sport Concussion Assessment Tool, or SCAT, here: https://bjsm.bmj.com/content/bjsports/early/2017/04/26/bjsports-2017-097492childscat5.full.pdf

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(This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)

Alagille syndrome is a genetic disorder that can affect a variety of organs. In the liver it causes a lack of bile ducts to drain bile out of the liver and hence the bile builds up and causes liver damage. It can also affect other parts of the body like the heart, eyes, bones and kidneys.

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(This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)

Head injuries are a common presenting complaint in kids. They can be a source of major concern for parents and clinicians alike. 1-2% of presentations to paediatric emergency services are head injuries of varying severity, although most are minor.

In this episode, we cover the assessment of head injuries and how to decide whether imaging or other investigations are required or not.

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(This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)

Zollinger-Ellison Syndrome is a rare cause of peptic ulcer disease. It is when gastrin-producing tumours called gastrinomas cause excess production of stomach acid. The excess acid damages the lining of the stomach and duodenum, leading to ulcers. 

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(This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)

A tongue tie is where the piece of tissue under the tongue, called a frenulum, is tighter than usual. They are found in about 3% of babies, and are more common in boys. 

Although it was previously common practice to release tongue ties, further research has demonstrated that not all babies with a tongue tie require release, and indeed many babies with one can feed well without a release. There are a small number of babies who do require a release overall.

In this episode, we cover what a tongue tie is, the assessment of a tongue tie, when to release a tongue tie, and some of the evidence in the literature about them.

Links and resources:

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(This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)