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privacy policy paediatric pearls by dr julia thomson, paediatrician menu skip to content about blog welcome to paediatric pearls! pdf digests: emergency departments pdf digests: for general practitioners safeguarding parenting resources primary care guidelines contact paediatric pearls search for: welcome to paediatric pearls! follow @paedspearls tweet this site is aimed at supporting the continuing professional development (cpd) of health professionals working with children. it is put together by a uk general paediatric consultant ably assisted and kept on her toes by bright-eyed, enthusiastic registrars (paediatricians in training) who ask questions the majority of which she can’t possibly answer without consulting the evidence-base. the paediatric pearls blog including monthly pdfs is here disclaimer : we work very hard to check the evidence for all the topics we write about but, like anyone else, we can make mistakes and medical evidence is continually updated. i take no responsibility for any decisions you may make by blindly following anything written here. we offer it all as food for thought only; feel free to add your comments. january 2019 newsletter uploaded! january 2019 edition january 2018 : genetics this month and an explanation of what the microarray test can and can’t tell us. also managing measles contacts, a smartphone app for measuring palpitations and the start of a new series on dermatological manifestation of systemic disease. please leave comments, questions or suggestions on the blog. this site complies with the honcode standard for trustworthy health information: verify here. page last updated: 22nd january 2019 a note on advertising : you will notice that there are no pop-up adverts on this site. i do not receive remuneration for running paediatric pearls or writing the newsletters and neither do any of the other authors. there are therefore no financial conflicts of interest. we all work for different health organisations including some in the private sector and our affiliations are clearly stated in the newsletters. the site receives no funding and there is no advertising other than google sponsored links which come up when you use the google search box in the top right corner of the site. we do not control google ads content and our editorial content is free of any commercial influence. there are references to trade names of drugs but i do not intend to direct your prescribing habits. please click here for the site's privacy policy and enjoy being pop-up free! 47 thoughts on “ welcome to paediatric pearls! ” jen kelly says: january 15, 2018 at 2:57 pm dear julia, thank you for posting our childhood cancer awareness card from the grace kelly ladybird trust. i can now confirm that 3 children have been diagnosed directly as a result of our cards in as many months. if any paediatricians , gps or a&e doctors would like card copies to give out (55% of cases present as an emergency) they can email the email below. thanks so much. the were done combining nice and sign guidance. reply dr andrea leigh says: march 30, 2017 at 11:55 pm hi, good to get the message out there about limp and all (march 2017 newsletter). i would talk about limp or ‘off legs’ due to limb pains as many kids just start using the buggy again or being reluctant to walk but may not limp. red flags include any pain waking a child at night or progressing. if 2 cell lines affected in fbc they should be discussed with the on call paediatric registrar and seen the same day as it’s malignant until proven otherwise. also you can still have leukaemia or lymphoma with normal looking blood counts until there is bone marrow failure so there should be safety netting if things are not improving. with best wishes dr andrea leigh consultant paediatrician with an interest in haematology and oncology whipps cross hospital barts health nhs trust reply ivor lewis says: october 18, 2015 at 1:00 pm is paediatric pearls recognised by the rcpch for paediatric cpd? reply julia says: october 18, 2015 at 4:50 pm i don’t know! i’ve never asked them. maybe i should. i think you can always get cpd points for reflection on your learning if you think that paediatric pearls falls into that sort of category. julia reply ivor lewis says: october 18, 2015 at 6:55 pm thanks. fair enough. reply sarah fellows says: april 8, 2016 at 8:26 am hi a colleague has pointed out your site to me and this query specifically. while i’m replying a while after the post was submitted, i hope this is helpful. rcpch recognises a range of learning activities as cpd. providing that the individual has learnt something from reading this site and has reflected on its usefulness for their practice, it counts as cpd. this type of learning tends to fall in the personal cpd category. more info is in our cpd guidelines on the website http://www.rcpch.ac.uk/cpd-resources hope this is helpful sarah (revalidation and cpd manager at rcpch) reply jenny brace says: august 5, 2015 at 10:31 am hello all, julia let me know about this helpful site so that i could update you on the new integrated drugs and alcohol service for the london borough of waltham forest, called lifeline waltham forest. it’s an over 18 service, but we use a whole family approach which means that as well as working with families and carers, we also involve the family in the recovery and change process. we also run parenting support groups and family outings. the service opened on 1st august 2015 and the borough’s other drugs and alcohol services closed down. however, the 722 young people’s substance misuse service is still running and can be contacted on 0300 555 1158. there’s a lot more information on our website – http://www.lifelinewalthamforest.org.uk – or do give the service a call if you would like to find out more on 020 3826 9600. thanks, jenny reply sharonrays says: june 29, 2015 at 9:32 am good blog.thanks reply paul watson says: june 12, 2014 at 3:44 pm hi julia, it has been many years since we met at an enuresis conference and you offered to post my enuresis program on your site. since then i have gone on to win the bjn nurse of the year for my enuresis work. i have continued to work on my asthma project (the pocketflow) https://sites.google.com/site/pocketflowspacer/ i am looking for opportunities to move this project forward. please let me know if you or anyone you know might be interested in having a chat. cheers paul reply kishor tewary says: february 17, 2018 at 9:59 pm hi paul, i am a paediatrician with sub specialist interest in uro- nephrology, and a vast majority of my work includes complex primary and secondary enuresis. i would like to know if i could liaise with you in any way. kind regards reply sabul says: november 1, 2013 at 12:24 pm hi julia, excellent october article- as usual. i wanted to ask you about the role of monteleukast in the management of recurrent viral induced wheeze in infants and young children. we are seeing this increasingly prescribed for the prevention of deterioration- very often patients are asked to take it at the onset on their symptoms. it seems to be very effective in controlling symptoms. is this something that could be prescribed more widely in children who are having recurrent viral wheeze, who are requiring prednisolone and having to attend a&e often?. many thanks sabul (gp) reply julia says: november 8, 2013 at 11:54 pm thanks sabul. i am going to ask one of my newly appointed colleagues at royal london to answer this for you as he is running a study into just this topic and will give you a better background and summary of the evidence than i can. watch this space… reply julia says: november 29, 2014 at 7:25 pm please see november 2014’s newsletter for comments on the recently published wait study which looks at the use of montelukast in viral induced wheezers. not really a magic pill (granules actually) but some of us still cling on to the hope that it might prove to be in certain children with

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