You're Kidding, Right?

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. Don't forget to like, subscribe, and leave a review!

Oligoarticular JIA is the most common subtype of juvenile arthritis. Children with oligo have 4 or fewer joints involved in the first 6 months of disease. The biggest complication that requires monitoring for is chronic uveitis which is asymptomatic but ultimately vision threatening if not controlled.  Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don't miss any episodes and RATE 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)  

Summary: Exomphalos, or omphalocoele, is a congenital condition where a baby's abdominal organs develop outside the body through the umbilical cord, affecting about 1 in 5000 births, with higher rates in multiple pregnancies (e.g. twins, triplets). It forms between the 6th-10th week of gestation and can be classified as minor or major based on the size of the defect. The condition is sometimes associated with genetic syndromes and other anomalies, necessitating thorough prenatal screening and multidisciplinary care. Tune in to hear more about this condition and an overview of how it is managed.   Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don't miss any episodes and RATE 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)

Genetic imprinting is a normal process that usually happens in a small number of genes where one copy of the gene is always “silenced” or not expressed. An imprinting “disorder” is where there's an issue with this process - either with how the gene is silenced or the right copy is silenced but there's a problem with the copy that gets “expressed”.   Today's episode is a doozy! This is one for all our friend's studying for their specialty exams (or keen medical students/students of other superhuman knowledge degrees!). Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don't miss any episodes and RATE 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)  

Summary:  Congenital diaphragmatic hernia (CDH) is a condition where abdominal contents herniate into the thoracic cavity via a defect in the diaphragm, causing underdevelopment of the lungs and altered pulmonary vascular development. Although uncommon, it can cause significant morbidity during the neonatal period, and may continue to do so in the long term. Mortality is significant across the globe – up to 40-50%. Definitive management is operative, once the baby is stabilised.   Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com  Make sure you hit SUBSCRIBE/FOLLOW so you don't miss any episodes and RATE 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)

There has been a recent move to prescribe an inhaled corticosteroid for ALL adolescents with asthma. In today's episode we will go through the new SMART guidelines for adolescent asthma.  Links and resources: Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/  Make sure you hit SUBSCRIBE/FOLLOW so you don't miss out on any pearls of wisdom and RATE/REVIEW to help us grow!

After a decent hiatus we're back with a new episode! Meckel diverticulum is the most common congenital abnormality of the gastrointestinal tract, found in the small intestine. The majority of patients are never diagnosed, as it is both often completely asymptomatic, and difficult to spot on the usual imaging modalities.  The symptoms of a Meckel's depend on the complication it presents with - and there are a range of these from bleeding to bowel obstruction.  Listen in to learn about the way these elusive diverticula present if they ever reveal themselves, how to manage it and more!   Links and resources: Follow us on Instagram @yourekiddingrightdoctors  Our email is yourekiddingrightpod@gmail.com   Make sure you hit SUBSCRIBE/FOLLOW so you don't miss any episodes and RATE 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)  

Dermoid cysts are a common occurrence and a common spot diagnosis that you'll be quizzed on in clinic! Always present at birth, but often picked up later, most cutaneous dermoid cysts are harmless, but occasionally, they may grow over time and develop complications. Tune in to learn how to tell them apart from other cutaneous lesions, their management and more!   Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don't miss any episodes and RATE 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)  

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.  

Juvenile dermatomyositis, or JDM is a rare autoimmune myopathy. In their first episode back after sitting specialty exams, Freya and Anne use a case to help explain what JDM is, as well as presentation, treatment and diagnosis (plus a couple of tangents about their day to day work as doctors!).  Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don't miss any episodes and RATE 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)  

MCAD deficiency is a fatty acid oxidation disorder. It is a hereditary disease that is caused by a missing enzyme needed to convert fat into energy. Children with MCAD deficiency therefore cannot fast for very long without developing hypoglycaemia, which can cause brain damage or even death. This is because they cannot use fat and hence ketones as an alternative energy source as the glucose available to them runs low. Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don't miss any episodes and RATE 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)

Von Willebrand disease (VWD) is a hereditary quantitative deficiency or functional abnormality of von Willebrand factor (VWF), which causes platelet dysfunction. Bleeding tendency is usually mild in the most common types, but it can be severe and present with factor VIII deficiency as well as platelet dysfunction in the rarer subtypes. It is diagnosed based on testing von willebrand factor antigen levels which is low in most subtypes, VWF activity which is low in most subtypes and VWF multimer distribution which is abnormal in a small number of the subtypes.  Treatment depends on the degree of bleeding. Mild mucosal bleeding can often be managed with tranexamic acid alone to help stabilise the clots that are present. Desmopressin might be used in more significant bleeding or perioperatively. Occasionally von willebrand factor concentrates might need to be given. Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don't miss any episodes and RATE 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)

In this episode, we take the podcast in a slightly different direction by discussing a non-clinical topic!  The news is out, Anne has changed specialty! But what has she changed to? Why did she do it? What is a day in the life of her new specialty like? What's next? Tune in now to hear the answers to all these questions and more! More importantly, we discuss what's important when choosing a specialty to pursue - so whether you're undecided on what specialty you'd like to pursue, or you are contemplating changing specialty/career pathway, this is the episode for you!   Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don't miss any episodes and RATE 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)  

Cleft lip and palate are congenital anomalies that can occur together or separately. In cleft lip, the affected lip is always the top lip, and these entities can occur together or just one or the other. Management involves surgery, but in this episode we cover an overview of the presentation and the roles of different multidisciplinary team members.    Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don't miss any episodes and RATE 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)

On this week's episode, we feature Dr. Laura Tate and Dr. Stormie De Groot in our first podcast takeover! Tune in for a truly enlightening discussion between Laura, Stormie and their special guest Dr. Karen Kiang, as they explore the contribution medicine makes to climate change, as well as the things we can do to help alter this course.    This podcast was produced as part of Green Week at The Royal Children's Hospital, Melbourne.   Links: If you'd like to learn more about this topic, email: Karen.Kiang@rch.org.au Doctors for the Environment Australia:  https://www.dea.org.au   Resources: UNICEF 2021 report - climate crisis is a child rights crisis Great statistics on the health impacts of climate change on children https://www.unicef.org/reports/climate-crisis-child-rights-crisis   Healthcare Without Harm Healthcare's climate footprint https://noharm-global.org/sites/default/files/documents-files/5961/HealthCaresClimateFootprint_092319.pdf  

Early onset sepsis has different definitions across regions, with the definition we use being sepsis occurring at

Febrile neutropaenia is an emergency situation that can occur in patients with cancer. It is when they have very low levels of the white blood cell neutrophils, plus a fever. The main concern when these two things go together is that the person can easily and quickly develop sepsis. Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don't miss any episodes and RATE 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)

Fever is a common feature in paediatric presentations to health services. Because it's so common, it's vital to have an approach that will ensure that you have your bases covered. This episode is one way in which you can assess the child with a fever, as well as investigations to consider.    Links and resources: Follow us on Instagram @yourekiddingrightdoctors   Our email is yourekiddingrightpod@gmail.com   Make sure you hit SUBSCRIBE/FOLLOW so you don't miss any episodes and RATE 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)

Medulloblastomas are the most common malignant brain tumour in children. They arise from embryonal neuroepithelial cells and are usually located in the cerebellum, which can cause cerebellar signs. Due to its location, the tumour can also compress the 4th ventricle, causing hydrocephalus. Definitive diagnosis is based on histology from surgical resection of the tumour, after which point children will also undergo radiotherapy and chemotherapy.  Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don't miss any episodes and RATE 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)

Congenital pulmonary airway malformations, also known as CPAM, are masses of abnormal lung tissue that form antenatally. They were until recently known as CCAMs, or congenital cystic adenomatoid malformation. Affected patients may present with respiratory distress in the newborn period or may remain asymptomatic until later in life. Many cases are now detected by routine prenatal ultrasound examination. Surgical resection is the definitive treatment.   Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don't miss any episodes and RATE 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)

Patent ductus arteriosus is when the ductus arteriosus fails to close after birth. This causes a left to right shunt in the heart, where oxygenated blood passes through the duct and into the lungs instead out into the systemic circulation. A large enough shunt typically presents one of two major ways: Early on in the first few weeks of life with pulmonary oedema and often congestive cardiac failure from the extra pulmonary blood flow and subsequent extra flow and straint on the left heart. After years of extra pulmonary blood flow which causes pulmonary hypertension which reverses the shunt, making it right to left. This causes deoxygenated blood to flow into the systemic circulation and can cause cyanosis, usually of the lower part of the body as the aortic branches to the upper body usually branch off proximal to the ductus.  Early management of a PDA involves watchful waiting, medications like indomethacin and ibuprofen, or surgical closure.  Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don't miss any episodes and RATE 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)

Paracetamol is the world's most widely used over the counter analgesic. It is also therefore a common medication in overdose, whether accidental or intentional.    In this episode, we go through the presentation and management of paracetamol.    Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don't miss any episodes and RATE 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)

Wolff-Parkinson-White syndrome occurs when someone has an accessory pathway through which electrical signals can travel in the heart and bypass the AV node or travel backwards from the ventricles to the atria. WPW can cause supraventricular and ventricular tachycardias. The definitive treatment is ablation of the accessory pathway.   Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don't miss any episodes and RATE 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)

The newborn hearing screen is a test conducted on all newborn babies with the aim of early detection of possible hearing problems. In this episode, we discuss how this screen works, the possible results, risk factors for hearing loss, and more.    Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don't miss any episodes and RATE 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)

Systemic juvenile idiopathic arthritis is a type of juvenile idiopathic arthritis than can occur in children. The classic features are polyarthritis, quotidien fever, evanescent rash, serositis like pericarditis or pleuritis, lymphadenopathy and hepatosplenomegaly.  Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don't miss any episodes and RATE 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)

Superior mesenteric artery (SMA) syndrome is a gastrointestinal condition that occurs when the duodenum is compressed between the aorta and the superior mesenteric artery. This causes an obstruction of the duodenum, and can be significantly debilitating. In this episode, we cover the pathophysiology, presentation, management and more.    Links and resources: Follow us on Instagram @yourekiddingrightdoctors 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)

Allergic bronchopulmonary aspergillosis (or ABPA) is a hypersensitivity reaction that some people get in response to having the mould aspergillus in their lungs. It is most often seen in people with asthma or cystic fibrosis. Follow us on Instagram @yourekiddingrightdoctors 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)

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.   Links and resources: Follow us on Instagram @yourekiddingrightdoctors 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)

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 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!)

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 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!)

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. Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com (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.  Follow us on Instagram @yourekiddingrightdoctors (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 Links and resources: Follow us on Instagram @yourekiddingrightdoctors 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)

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. Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com (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.   Links and resources: Follow us on Instagram @yourekiddingrightdoctors 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)

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.  Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com (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: Follow us on Instagram @yourekiddingrightdoctors 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)

The adrenal glands are part of your endocrine system and release some really important hormones! Broadly, the cortex produces steroid hormones (i.e. aldosterone, cortisol and androgens) and the medulla produces catecholamines (i.e. adrenaline and noradrenaline). In this episode we discuss the structure and function of the adrenals and the hormones they produce.   Follow us on Instagram @yourekiddingrightdoctors 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)

Helicobacter pylori is a bacteria that causes inflammation of the stomach and duodenum lining. It is most often acquired in early childhood and causes some sub-clinical gastritis but usually doesn't cause overt symptoms until later in life when it can present with peptic ulcers, iron deficiency anaemia and certain cancers. Treatment is with oral antibiotics and a proton pump inhibitor. Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com (This isn't individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)

Stevens-Johnson Syndrome (SJS) and toxic epidermal necrolysis (TEN) are severe skin and other body system manifestations of immune hypersensitivity, typically in response to medications and, more commonly in kids, infections. They used to be thought of as different conditions but now we think of them as occurring on a spectrum, according to how much of the body surface is affected. Toxic epidermal necrolysis is the most severe disorder in the spectrum, but both TEN and SJS can be fatal if not managed.   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)

Parenteral nutrition (PN) is the process of giving someone their nutrition intravenously. It is given when someone's digestive tract isn't working properly so they can't get their energy/nutrient/fluid needs enterally (via the GIT). Today we will discuss: What is in the PN bags? Why someone might need PN What are the complications Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com (This isn't individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)

Hypokalaemia is a low serum potassium levels. In paediatrics, see it most commonly in the setting of GI losses, but there are many other causes to be aware of too. The big thing that we worry about with hypokalaemia is the potential development of cardiac arrhythmias, which may be life threatening.  In this episode, we go through some of the important causes of hypokalaemia, presentation of symptomatic hypokalaemia, investigations to consider, management and more.    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)

Iron studies can be tricky to interpret – many people struggle with it. Today, we go through what each part of the iron studies mean, how these levels may be impacted, when to do iron studies and when the levels may be spurious.   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)

Bilious vomiting in any child or baby is an urgent matter requiring further workup and management as a matter of priority. This is because bilious vomiting is an initial sign of intestinal obstruction, and a missed obstruction could have catastrophic consequences.  In this episode, we focus on bilious vomiting in neonates, which is a presentation that comes up not infrequently in nurseries, postnatal wards and NICUs everywhere.    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)

In this episode we discuss: Developmental milestones Red flags Primitive reflexes Feeding Sleep Weight Growth Teething   Follow us on Instagram @yourekiddingrightdoctors 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)

Trisomy 21, or Down Syndrome, is the most common chromosomal abnormality in live births. Some of the most common issues associated with it are cardiac defects, intellectual disability and low muscle tone. Overall, prognosis has come a very long way in the past few decades.  Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com (This isn't individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)

Acute otitis media is an extremely common infection in kids - 75% of children have at least one episode by school age. In fact, 50% of kids have had at least 3 episodes of AOM by the time they are 3 years. Generally, it doesn't require antibiotic therapy, but there are some cases in which antibiotic therapy is recommended.  In this episode, we go through the presentation, pathophysiology, relevant anatomy, aetiology, complications, management and more!   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)

Tumour lysis syndrome is an oncologic emergency. It happens when cancer cells release their intracellular contents into the bloodstream which can cause a variety or serious complications.  Follow us on Instagram @yourekiddingrightdoctors 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)

IgA nephropathy is a cause of glomerulonephritis and is the most common chronic glomerular disease in children. Like the name suggests, it is characterised by kidney damage due to IgA (an immunoglobulin) which deposits in complexes in the kidney. The classic presentation is recurrent episodes of macroscopic haematuria a couple of days after the onset of an URTI. About 25% of children will eventually develop end stage renal failure.  In this episode, we discuss IgA nephropathy and its pathophysiology, presentation, management and more!   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)