You're Kidding, Right? – Details, episodes & analysis

Neonatal Jaundice - take 2!

We are revisiting one of our very first episodes covering an important topic for your paediatric rotation - neonatal jaundice! 

Freya is joined today by special guest - paediatric advanced trainee Dr Myles Loughnan. 

Welcome back to Your Kidding, Right? In this episode, Dr. Freya Bleathman is joined by the wonderful Dr. Myles Loughnan, a fellow pediatric registrar, as they tackle the fascinating yet challenging topic of systemic lupus erythematosus (SLE).

Together, they unpack a pediatric lupus case, highlighting key clinical features, the immunological underpinnings of lupus, the differences between pediatric and adult lupus, the significance of serological markers, and the importance of early recognition and management.

This episode is packed with humor, insights, and high-yield pearls for medical professionals and students alike.

Tune in for a deep dive into the "quintessential autoimmune disease" and walk away with practical knowledge about one of rheumatology's most complex conditions.

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🎙️ Hosted by Dr. Freya Bleathman
🩺 Special Guest: Dr. Myles Loughnan

Noonan syndrome is one of the most common genetic conditions we see in paeds. It is most typically characterised by certain facial features, short stature, congenital heart defects and developmental delay. Noonan syndrome is caused by a mutation in a single gene, however there are quite a few possible genes that can be responsible. Vision and hearing loss, developmental delay, development of hypertrophic cardiomyopathy and the increased risk of leukaemia are important complications to monitor for patients with Noonans.

The age at which a person becomes an 'adult' in Australia is 18 years. Consent for the medical treatment of patients less than 18 years of age is generally provided by parents. However, there are circumstances in which patients under the age of 18 can consent to their own medical treatment, which we will talk about in this episode!

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

Osteomyelitis is more common in children than it is in adults. Although it can present quite subtly to begin with, it is an important differential to keep in mind. The median age of affected children is 6 years, and cases are usually haematogenous in origin. 

Antibiotics are the mainstay of treatment, but in some cases, surgical debridement or even amputation may be required, usually in missed or chronic cases. 

Long bones are much more likely to be affected than are short bones - and as part of this episode, we'll get into why! 

You don't want to miss:

• A case based discussion
• Differential diagnosis 
• How to explain osteomyelitis to a parent
• The pathophysiology behind osteomyelitis 
• Important pathogens to be aware of
• How osteomyelitis presents
• Investigations to consider
• Treatment
• Complications

Links and resources:

• Follow us on Instagram @yourekiddingrightdoctors
• Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/

Our email is yourekiddingrightpod@gmail.com

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)

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 content. 

Most of the time, hydrocoeles will resolve on their own, but the likelihood of resolution if still present at 15 months is low. 

You don't want to miss:

• Pathophysiology of hydrocoeles
• Statistics
• Presenting features
• Important points on examination
• Management
• Complications

Links and resources:

• Follow us on Instagram @yourekiddingrightdoctors
• Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/

Our email is yourekiddingrightpod@gmail.com

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)

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, diagnosis and treatment.

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

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 use some kind of analgesia for painful procedures. 

Tune in to learn more about this commonly used medication - how we use it, when we use it and what we like and don't like about it!

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 as long as the child has been constipated and requires a multi step approach to get on top of! 

You don't want to miss:

• A case based discussion
• Important causes of constipation
• Pathophysiology
• How to describe constipation to parents 
• Important history and examination items 
• Treatment
• Complications

Links and resources:

• Follow us on Instagram @yourekiddingrightdoctors
• Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/

Our email is yourekiddingrightpod@gmail.com

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)

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 hernia requires review by a paediatric surgeon as management is operative - either to correct a strangulated hernia if it's picked up late, or to prevent a strangulated hernia. 

You don't want to miss:

• How to explain this condition to a family
• Pathophysiology of inguinal hernias
• Important examination findings
• Management 
• Complications

Links and resources:

• Follow us on Instagram @yourekiddingrightdoctors
• Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/

Our email is yourekiddingrightpod@gmail.com

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)