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Fontanelle paediatric education

Fontanelle paediatric education

By Fontanelle

Welcome to Fontanelle, a paediatric educational podcast for trainees. I'm Caroline Storey, a paediatric trainee in Wessex, and I'll be joined by wise friends, learned colleagues and leading lights from around the region and beyond to explore common presentations, sticky situations, what's fresh and new, and what's coming of age in paediatric medicine. So if you've got an open mind for learning and a soft spot for the world of paediatrics, you've come to the right place!
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Puberty - what's normal? What's not? When to investigate? When reassure? Dr McAulay is here to help!

Fontanelle paediatric educationMay 15, 2020

Hypermobility and EDS with Dr Alice Leahy

Hypermobility and EDS with Dr Alice Leahy

Many of us see children with joint pain, some of whom are incredibly bendy. But have they "got hypermobility" or even EDS? Join Dr Alice Leahy and Marisa McMillan in their wide ranging discussion about EDS, hypermobility syndrome, arthritis, factors affecting how people perceive pain, and possible reasons why EDS has become more prominent on social media recently. ------------------------------------------------------------------------------------------------------------------------------------- Pearls include: The Beighton Score: not very useful in the local paediatric population and is not validated. ---- Ehlers Danlos Syndrome (EDS) is a collection of collagen disorders 13 subtyes of EDS, 12 of which have known genetic mutations and histopathological changes, the 13th - neither genetic nor histopathological changes, otherwise known as hypermobility EDS. ----The 3 types worth remembering are: ☆Vascular type EDS - very rare - usually present to genetics depts rather than to rheumatology department - FH vascular rupture, Distinctive facial characteristics. ☆☆Classical type EDS. Also rare. Extremely hypermobile. Excessively stretchy skin. Can pull skin out from forearm 6cm (upper range of normal 2cm) Autosomal dominant. Often very bruised with plentiful scarring on body. ☆☆☆Hypermobility type EDS: Beighton score of >6 pre-pubescent children; >4 in pubescent children ------ Joint pain is not a good indicator of inflammatory arthritis. ♡♡♡JIA usually presents with very little pain. Arthritis will present with joint swelling. If arthritis is suspected, request an ultrasound. A normal USS will exclude inflammatory disease. Blood tests are not helpful in diagnosing arthritis - neither are X-rays. ------------------------------------------------------------------------------------------------------------------------------------------------------------- Useful Resources: •••The 2017 international classification of the Ehlers–Danlos syndromes (Malfait et al) ••••The RCPCH position statement on establishing a correct diagnosis of Ehlers Danlos Syndrome hypermobility type (hEDS) in children and adolescents •••Head First by Alistair Santhouse Head First: A Psychiatrist's Stories of Mind and Body •••It's All in Your Head by Suzanne O'Sullivan It's All in Your Head: Stories from the Frontline of Psychosomatic Illness
Oct 18, 202136:51
Adolescent medicine and the HEEADSSS tool for psychosocial screening in ED and beyond.
Aug 15, 202037:43
Constipation in children - a podcast for parents by Dr Tighe
May 22, 202025:24
Puberty - what's normal? What's not? When to investigate? When reassure? Dr McAulay is here to help!

Puberty - what's normal? What's not? When to investigate? When reassure? Dr McAulay is here to help!

Dr Antoinette McAulay, General Paediatrician in Poole talks to Dr Marisa McMillan, Wessex Paediatric Trainee, guest hosting on Fontanelle - Thank you Marisa and Antoinette! Refer to (British Society for Paediatric Endocrinology and Diabetes) for up to date guidelines. Get in touch if you would like to get involved in any of the work of the Fontanelle team by writing to me, Caroline Storey at
May 15, 202030:48
The world of ARCP and eportfolio in UK paediatric training

The world of ARCP and eportfolio in UK paediatric training

Dr Phil Parslow, training programme director for ST4-8 in Wessex Deanery guides us through the whole appraisal process, with plenty of advice and wisdom to light your way! Amazing nuggets on how to write an effective reflection. ***************************************************🌟🌟🌟🌟🌟🌟🌟🌟🌟🌟🌟🌟🌟🌟🌟🌟🌟🌟 Fontanelle is growing and has now reached 50 countries with over 5000 listens. Many thanks for all your support. If you would like to help Fontanelle or get involved in any way, please get in touch! Thanks 🌟🌟🌟🌟🌟
Feb 27, 202032:56
Food Allergies in Children - making a diagnosis using the EATERS method

Food Allergies in Children - making a diagnosis using the EATERS method

Dr Mich Lajeunesse consultant in paediatric allergy takes us through using the EATERS method to take an allergy focused clinical history and help diagnose food allergies. EATERS stands for Exposure, Allergen, Timing, Environment, Reproducibility, Symptoms. Based on a 15 Minute Consultation in E&P edition of ADC ( If your interest is piqued Mich also directs us to the RCPCH Paediatric Allergy Training study days.~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other news: Fontanelle is nearly 1!🎂🎈To celebrate our first birthday we're giving away a pair of Sony headphones so the winner can listen to educational podcasts on their way to work. For a chance to win, go to Twitter, find me @fontanellepod and retweet the pinned tweet. The winner will be announced at the PIER conference 2019. Tickets still available. Come and find me there and say hello! Thanks so much for listening! 🌟🎂❤🍭🍬
Oct 04, 201927:35
Oncology Emergencies in Paediatrics

Oncology Emergencies in Paediatrics

Dr Amy Mitchell takes us through a real case looking at two oncological emergencies: hyperleucocytosis and tumour lysis syndrome. With reference to the PIER guidelines at Children's Cancer and Leukaemia Group If you found it useful, leave a review on iTunes 🌟🌟🌟🌟🌟 and thank you for listening👏🏻👏🏻👏🏻 @fontanellepod
Sep 20, 201930:02
The Unsettled Baby and Infantile Colic with Aude Cholet
May 24, 201933:58
Sepsis in Children. Topic 7 of Healthier Together with Dr Sanjay Patel

Sepsis in Children. Topic 7 of Healthier Together with Dr Sanjay Patel

Sepsis can be deadly, but difficult to spot. Sepsis is life threatening organ dysfunction characterised by altered physiology. Capilliary leak leads to tachycardia, tachypnoea, reduced oxygen saturations, poor peripheral perfusion, reduced urine output and altered level of consciousness. Sepsis evolves quickly, but is easily confused with common viral infections, which is why we have sepsis screening tools, alerting clinicians to the possibility that this child could be septic. See for the PIER tool developed and used by Thames Valley and Wessex, as well as SORT sepsis management pathway. For Paediatric Sepsis 6 see For parent safetynetting sheets on fever, refer to . Also worth looking at the NICE Guidelines on both Sepsis and Fever in Under 5s. This podcast explores the recognition and management of sepsis, as well as the difficult job of balancing the need to treat sepsis aggressively with trying to combat the rising use of broad spectrum antibiotics. How can we get better at managing sepsis whilst not overtreating simple viral infections? Please share and leave a review on iTunes 🌟🌟🌟🌟🌟 Find me on Twitter @Fontanellepod . Enjoy the podcast!
Apr 12, 201933:15
Abdominal Migraine. Part 2 of Abdo Pain in Children mini series. Topic 6b of Heathier Together - with Dr Charlie Powell\u000A
Mar 28, 201932:19
Abdo Pain in Children. Topic 6 of Healthier Together with Dr Mark Tighe
Mar 14, 201944:55
Lymphadenopathy in Children Topic 5 of Healthier Together with Dr Phil Wylie
Mar 04, 201926:08
Respiratory Tract Infections in Children with Dr Sanjay Patel. Topic 4 of Healthier Together

Respiratory Tract Infections in Children with Dr Sanjay Patel. Topic 4 of Healthier Together

Respiratory tract infections in under 5s represent two thirds of all presentations to primary care and ED. But why do we see so many of them? What are parents looking for when they bring their children to see a doctor? Dr Sanjay Patel, consultant in paediatric infectious diseases, says the data tells us that parents are not seeking antibiotics, but rather reassurance that their child is well enough to be managed at home without antibiotics. With the emphasis in popular media on serious illness, health-seeking behaviour is going up year on year, with a 25% increase in activity for under 5s with RTIs annually. In our increasingly risk-averse society, there needs to be a seismic change in health seeking behaviour, if we are to avoid the dangers associated with inappropriate antibiotic use. Severity, not aetiology of respiratory tract infections should guide decision making around antibiotic use. Reference is made to the SCAN Guidelines, which can be found at the PIER Guidelines at and the MicroGuide app. Changes to antibiotic policy aim to improve compliance and include use of Amoxicillin for all respiratory tract infections, with a BD dosing regime of 40mg/kg, as well as shortening the course from 10 to 7 days in tonsillitis. Scoring systems discussed include FeverPAIN for suspected Group A Strep tonsillitis. Pneumonia can be diagnosed based on fever, and respiratory distress, with auscultation providing little to support a diagnosis.

Please subscribe and leave a review at iTunes ⭐⭐⭐⭐⭐ and send me any feedback or ideas to Thank you and enjoy.
Jan 26, 201933:13
Healthier Together - A child health educational resource with Dr Sanjay Patel
Jan 01, 201922:45
D&V in kids with Dr Phil Wylie. Topic 3 of Healthier Together

D&V in kids with Dr Phil Wylie. Topic 3 of Healthier Together

D&V, or gastroenteritis, can usually be managed safely at home by parents with appropriate advice and safety netting. To help provide that information, Phil Wylie, consultant paediatrician in Dorset County Hospital joins me to talk about red flags, recognising and treating dehydration (think 2ml/kg every 10 mins), shock, and long term sequelae such as transient lactose intolerance. With reference to Healthier Together pathways and parent information leaflets Thanks Phil. Please go to iTunes to rate ⭐⭐⭐⭐⭐ and review. Any feedback, please email me at
Dec 18, 201825:60
UTI in children with Dr Phil Parslow. Topic 2 of Healthier Together
Dec 13, 201828:36
Nutrition with Dr Sarah Williams. Highlights from PIER2018
Dec 11, 201811:28
6. Bronchiolitis with Dr Clare Hollingsworth. Topic 1 of Healthier Together
Dec 02, 201837:11
5. Staff Wellness - You Got This! with Dr Dan Magnus as heard at PIER 2018
Dec 01, 201811:23
4. Writing right for publication with Dr Mark Tighe. Highlights from PIER 2018.

4. Writing right for publication with Dr Mark Tighe. Highlights from PIER 2018.

I caught up with Dr Mark Tighe, consultant paediatrician and associate editor of Archives of Disease in Childhood. He shared some golden nuggets from his recent talk at PIER 2018 about writing right for publication. There are some super useful tips and ideas here, on how to prepare material in a way which is likely to be accepted by journals, and hence read by colleagues, which is, of course the aim. Particularly as we're all so busy and suffer from the rather wonderful sounding affliction - Tsundoku - the art of buying books and journals, and never reading them!
Nov 21, 201834:31
3. Nutrition with Prof Mark Beattie at PIER 2018

3. Nutrition with Prof Mark Beattie at PIER 2018

In this episode I talk to Professor Mark Beattie at PIER 2018 about his keynote speech on Nutrition - Everyone's Business. He lays out the principles of nutritional requirements in various stages of illness and remission, using Crohn's as a model to illustrate these stages. He also shares his enthusiasm for PIER, innovation, social media and podcasting. Thanks Prof Beattie!
Nov 16, 201816:18
2. Professor Gary Connett on The PIER Conference 2018
Oct 19, 201811:35
1. PIER Conference 2018 - Sneak Preview

1. PIER Conference 2018 - Sneak Preview

In this episode of Fontanelle, I'm super excited to be heading to the PIER Conference 2018 for two whole days of presentations, discussions and lively debate. We're recording as many of the talks as we can, and I'll be getting behind the scenes chat from organisers, speakers and delegates too. Let's share the information, knowledge and dynamic energy fuelling paediatrics in Wessex! #PIER2018
Oct 14, 201803:36
Fontanelle - Introduction

Fontanelle - Introduction

Fontanelle Paediatric Podcast - Introduction.
Oct 13, 201800:41
October 12, 2018

October 12, 2018

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Oct 12, 201800:41