Aster MIMS Calicut’s Post

Meet our Medical Director, Dr. Peggy Marcon, paediatric gastroenterologist at Sick Kids Hospital and CdLS expert. We rely on Peggy to see all Ontario kids diagnosed with CdLS ages 0-18 and to provide consultations across Ontario and Canada for paediatrician, primary care providers and gastroenterologist on the often complex issues seen in CdLS. The most challenging issues in Ontario and across Canada for individuals with CdLS is around the diagnostics and management of GI issues. Over 90% of individuals with CdLS have some sort of GI issue yet often not diagnosed, followed or treated effectively. Most common issues that are left untreated as they often do not present the same as typical individuals include, silent reflux, eosinophilic esophagitis (EoE), volvulus and bowel obstruction. Often individuals with CdLS have high pain thresholds, present with no symptoms, lack the typical way of communicating and may present with responsive behaviours. Although behaviour can be challenging, ruling out underlying medical issues is essential. For many behaviour is their only way to communicate pain or discomfort even if they are verbal. Unfortunately, too often proper diagnostics and management have been dismissed and life threatening situations have occurred. We want to change this for Canadians with CdLS, the science exists that sets the standard for basic diagnostics and standards of care for this population.

👦👧 Explore our Paediatric Nephrology Services! From kidney infections to kidney failure, our specialists provide expert care for children's kidney health. Early intervention is key for a brighter, healthier future! Reach out to DoctorsBox for more info! #PediatricNephrology #HealthyKids #ExpertCare #AustraliaHealthcare #AustraliaWaitTime

The 10th Insights into MAnaging Growth for Endocrine nurses (IMAGE) 2024 meeting is underway in Nice! Chaired by Kate Davies, this meeting will focus on the needs of paediatric endocrine nurses involved in the care and management of children with adrenal or pituitary disorders and the use of long-acting growth hormone therapy. Today's sessions will feature presentations on: ✔ Adrenal disorders including tumours, cushing's syndrome, rare disorders, congenital adrenal hyperplasia, adrenal hypofunction and adrenal hyperfunction ✔ Growth and growth hormone disorders including short stature, challenges in growth hormone management, and innovations in care ✔ With more to come on Friday covering pituitary disorders On-demand meeting materials will be posted to the site in the coming weeks - sign up for alerts to view the content at https://lnkd.in/evYrdSJr --- This programme is made possible thanks to an educational grant received from Merck Healthcare KGaA, Darmstadt, Germany. #IMAGE #IMAGE24 #IMAGE2024 #paediatricendocrinology #paediatrics #endocrinology #adrenaldisorders #growthhormone #pituitarydisorders #medicaleducation #continuingmedicaleducation #cme #independentmedicaleducation #ime #SpringerIME

Frailty is prevalent in general medicine wards. Collaboration between Geriatric medicine teams and general medicine team can only benefit patients. https://lnkd.in/ghAvyyXV #frailty #integratedcare #ageing

I'm excited to share a recent narrative review on Paediatric Knee Injuries tailored for non-specialists, published in the British Journal of Hospital Medicine. I had the pleasure of co-authoring this piece with Chinmay Gupte. Our goal was to create a concise, easy-to-follow guide that addresses key aspects of managing knee injuries in children—featuring helpful diagrams and tables for quick reference. In the review, we answer some important questions: 🔍 How do paediatric knees differ from adult knees? 🏥 What types of injuries should I be vigilant about? 👩⚕️ How do patients typically present? 🩺 What should a thorough knee exam involve? 🧪 Which investigations are most helpful? 🛠 What are the core principles in management? 🧠 When should you refer to a specialist, and how can you prepare your patient for an efficient consultation? 💡 What role does injury prevention play? We hope this paper serves as a practical tool for clinicians to navigate these common, yet sometimes challenging cases. Take a look at the full article here: https://lnkd.in/ejNtYz4A #Paediatrics #KneeInjury #Orthopaedics #SportsMedicine #ClinicianEducation #Research #BritishJournalOfHospitalMedicine #InjuryPrevention #ChildrensHealth

𝗛𝗼𝘄 𝗴𝗼𝗼𝗱 𝗺𝗲𝗱𝗶𝗰𝗮𝗹 𝗵𝗶𝘀𝘁𝗼𝗿𝘆 𝗰𝗮𝗻 𝗵𝗲𝗹𝗽 𝗶𝗺𝗽𝗿𝗼𝘃𝗲 𝘆𝗼𝘂𝗿 𝗰𝗼𝘂𝗻𝘀𝗲𝗹𝗹𝗶𝗻𝗴 𝘄𝗶𝘁𝗵 𝗼𝗽𝘁𝗶𝗺𝗮𝗹 𝗽𝗮𝘁𝗶𝗲𝗻𝘁 𝗼𝘂𝘁𝗰𝗼𝗺𝗲𝘀? History taking is key to patient satisfaction. Here is how: 𝘈 𝘱𝘢𝘵𝘪𝘦𝘯𝘵 𝘤𝘰𝘮𝘦𝘴 𝘵𝘰 𝘺𝘰𝘶 𝘸𝘪𝘵𝘩 𝘶𝘵𝘪 𝘴𝘺𝘮𝘱𝘵𝘰𝘮𝘴. 𝘞𝘰𝘶𝘭𝘥 𝘺𝘰𝘶 𝘫𝘶𝘴𝘵 𝘭𝘪𝘴𝘵𝘦𝘯 𝘢𝘯𝘥 𝘸𝘳𝘪𝘵𝘦 𝘢𝘱𝘱𝘳𝘰𝘱𝘳𝘪𝘢𝘵𝘦 𝘢𝘯𝘵𝘪𝘣𝘪𝘰𝘵𝘪𝘤𝘴 𝘰𝘳 𝘢𝘤𝘵𝘶𝘢𝘭𝘭𝘺 𝘣𝘦 𝘬𝘦𝘦𝘯 𝘵𝘰 𝘴𝘵𝘶𝘥𝘺 𝘺𝘰𝘶𝘳 𝘱𝘢𝘵𝘪𝘦𝘯𝘵 𝘢𝘯𝘥 𝘬𝘯𝘰𝘸 𝘵𝘩𝘦 𝘳𝘪𝘴𝘬 𝘧𝘢𝘤𝘵𝘰𝘳𝘴? 𝗣𝗿𝗲𝘀𝗲𝗻𝘁𝗶𝗻𝗴 𝗰𝗼𝗺𝗽𝗹𝗮𝗶𝗻: Burning micturition Dysuria (Cystitis) Increased frequency of micturition lumbar pain high grade fever (possibly upper urinary tract infection) Suprapubic pain (Cystitis) Nausea, vomiting, body ache (Upper Urinary Tract infection) 𝗣𝗮𝘀𝘁 𝗠𝗲𝗱𝗶𝗰𝗮𝗹 𝗛𝗶𝘀𝘁𝗼𝗿𝘆: History of past uti Diabetic? History of catheterization? 𝗚𝘆𝗻𝗮𝗲𝗰𝗼𝗹𝗼𝗴𝗶𝗰𝗮𝗹 𝗛𝗶𝘀𝘁𝗼𝗿𝘆: Newly married? Frequency of sexual intercourse? Type of pads usage? Use of condom or diaphragms? Pregnancy? 𝗣𝗲𝗿𝘀𝗼𝗻𝗮𝗹 𝗛𝗶𝘀𝘁𝗼𝗿𝘆: Profession? Is there history of frequent public washroom visits? Hydration status? 𝗞𝗲𝘆 𝗜𝗻𝘀𝗶𝗴𝗵𝘁𝘀: • History can help differentiate possiblity either it's upper UTI or lower UTI and complicated or uncomplicated UTI. • History of recurrent UTI indicates hygiene issues, stones or decreased host defences. {In this case, one can counsel regarding perineal wash direction, suggest ultrasound KUB or evaluate further for ongoing or recent infections} • Is the patient diabetic? Are they compliant to drugs and following diabetic diet? If not, go deeper into it. • Catheterization is a clear risk factor. In this case inform your patient and reassure along with treatment. • Spermicide is also a risk factor. Counsel your patient for perineal wash and bladder emptying after every intercourse and at night. • Heavy menstrual bleeding and prolong pad use can initiate UTI. Suggest cotton sanitary pads and a cotton underwear. Address menstrual issues. • Is your patient pregnant? Well, you need to go for safe antibiotics then. • Does your patient use public washroom often? If yes, you need to inform them and counsel regarding hygiene. • How many glasses of water are they drinking in a day? Advice good water intake. 𝘎𝘰𝘰𝘥 𝘩𝘪𝘴𝘵𝘰𝘳𝘺 𝘴𝘩𝘢𝘱𝘦𝘴 𝘺𝘰𝘶𝘳 𝘤𝘰𝘶𝘯𝘴𝘦𝘭𝘭𝘪𝘯𝘨, 𝘱𝘢𝘵𝘪𝘦𝘯𝘵 𝘦𝘹𝘱𝘦𝘳𝘪𝘦𝘯𝘤𝘦 𝘢𝘯𝘥 𝘩𝘦𝘢𝘭𝘵𝘩 𝘰𝘶𝘵𝘤𝘰𝘮𝘦𝘴. P.S. What would you like to add in this history? - #generalpractitioner #medicine #uti #medicalcounselling #historytakingbydrayesha #medical #doctor #clinic #pregnancy #medicalhistory #clinicaljudgement #clinicaldiagnosis #medicalwriting

Pediatric Nephrology: The Importance of Specialized Kidney Care for Children Pediatric Nephrology is a critical field of medicine focused on the health and function of children’s kidneys. These organs play an essential role in removing waste, maintaining the right balance of fluids and electrolytes, and regulating blood pressure. In children, any disorder affecting the kidneys can have significant consequences on their growth and overall health, which is why early diagnosis and treatment are crucial. Web: https://lnkd.in/gfqhSiB2

Makalemiz Q2 grubu Journal of Paediatrics and Child Health'te yayında 💙

Privileged to have attended the online CE session on "Pediatric Pharmacotherapy", organized by the Department of Pharmacy, Shifa International Hospital. Thank you to the erudite speaker #MuhammadGulzaib, for sharing his vast knowledge and expertise. This session has empowered me to provide more effective and informed care for my young patients. Pediatric pharmacotherapy is a critical aspect of healthcare, and I'm committed to staying up-to-date on the latest developments and best practices to ensure the best possible outcomes for our youngest patients. By optimizing medication use and minimizing adverse effects, we can make a meaningful difference in their lives. #PediatricPharmacotherapy #ContinuingEducation #PharmacyCommunity #ShifaInternationalAwards #PharmacyLife #Healthcare #PatientCare #MedicationManagement #PediatricHealth #ChildHealth #HealthcareExcellence #PharmacyExcellence #HealthAndWellness #MedicalEducation

Peripheral intravenous catheter care in paediatrics... "To determine whether the I-DECIDED assessment and decision tool enhances peripheral intravenous catheter assessment, care and decision-making in paediatrics" Silva et al (2024).