Master the MRCPCH

Welcome back to Master the MRCPCH. In this episode we talk to Dr Maria Zahoor, clinical fellow in dermatology at Great Ormond Street Hospital, about Henoch Schönlein Purpura, or HSP. We're going to cover the aetiology, presentation, examination, investigation, and management of this condition. HSP corresponds to the dermatology section of the exam curriculum. Peer reviewed by Dr Lea Solman. * Resources mentioned: Vasculitis UK https://www.vasculitis.org.uk/ Lauren Curry Twilight Foundation https://thelaurencurrietwilightfoundation.org/ * Did you know that GOSH runs exam prep courses for the MRCPCH? Find out more here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/education-and-training/postgraduate-medical-education/mrcpch-examinations/ * We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/ Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com

Join us as we talk to Dr Alexis Bouvier, consultant in General Paediatrics at Great Ormond Street Hospital, about how to approach the child who presents with a fever. We talk about definitions and epidemiology, what to look for in the history and examination, how to manage these children, and tips on communicating with parents. This episode corresponds to learning outcomes in the Infection, Immunology and Allergy section of the MRCPCH exam curriculum. Peer reviewed by Dr Keir Sheils. * Resources mentioned: NICE Guideline: Fever in under 5s - https://www.nice.org.uk/guidance/ng143 NICE Guideline: Suspected Sepsis - https://www.nice.org.uk/guidance/ng51 NICE Guideline: Urinary tract infection in under 16s - https://www.nice.org.uk/guidance/ng224 NICE Guideline: Neonatal infection - https://www.nice.org.uk/guidance/ng195 Podcast - Kawasaki Disease with Dr Alexis Bouvier https://episodes.castos.com/62162485066d05-64145298/38520/2524331c-f42a-4729-98f3-6f02db9f7ca6/MRCPCH-Kawasaki-AB-final.mp3 * Did you know that GOSH runs exam prep courses for the MRCPCH? Find out more here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/education-and-training/postgraduate-medical-education/mrcpch-examinations/ * We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/ Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com

Welcome back to Master the MRCPCH. In this episode we join Dr Maria Gogou, senior clinical fellow in Neurology at Great Ormond Street Hospital, to talk about intracranial hypertension. We cover the distinctions between primary and secondary intracranial hypertension, symptoms, examination, diagnosis and management. Peer reviewed by Dr Sanjay Bhate * Resources mentioned: Idiopathic Intracranial Hypertension: https://www.iih.org.uk/ British Paediatric Neurology Association: https://bpna.org.uk/ * Did you know that GOSH runs exam prep courses for the MRCPCH? Find out more here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/education-and-training/postgraduate-medical-education/mrcpch-examinations/ * We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/ Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com

This is the second of a two-part episode on cardiomyopathies. Join us as we talk to Prof Juan Kaski, consultant paediatric cardiologist and Director of the Inherited Cardiovascular Diseases Unit at Great Ormond Street Hospital. In the first episode we defined what a cardiomyopathy is and discussed epidemiology and causes. In this second part we're going to go into more detail about the types of cardiomyopathy - dilated, hypertrophic and restrictive. Prof Kaski has previously recorded an episode for us specifically on Hypertrophic Cardiomyopathy for our Practicing Paediatrics series on GOSHpods. You can find it here: https://open.spotify.com/episode/653b9wwxKVgGRSvebXidsT?si=pckd2XMzQH6r-1fSTJ3Atg or wherever you get your pods. Peer reviewed by Dr Gabrielle Norrish * Resources mentioned: British Heart Foundation: https://www.bhf.org.uk/for-professionals Cardiomyopathy UK: https://www.cardiomyopathy.org/healthcare-professionals 2023 European Society of Cardiology guidelines: https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Cardiomyopathy-Guidelines Rath A and Weintraub R (2021) Overview of Cardiomyopathies in Childhood. Front. Pediatr. 9:708732. doi: 10.3389/fped.2021.708732, https://www.frontiersin.org/articles/10.3389/fped.2021.708732/full * Did you know that GOSH runs mock exams for the MRCPCH? Find out more here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/education-and-training/postgraduate-medical-education/mrcpch-examinations/ * We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/ Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com

This is the first of a two-part episode on cardiomyopathies. Join us as we talk to Prof Juan Kaski, consultant paediatric cardiologist and Director of the Inherited Cardiovascular Diseases Unit at Great Ormond Street Hospital. In this first episode, we're going to define what a cardiomyopathy is and discuss epidemiology and causes. In part two we'll go into more detail about the types of cardiomyopathy - look out for this next week. Prof Kaski has previously recorded an episode for us specifically on Hypertrophic Cardiomyopathy for our Practicing Paediatrics series on GOSHpods. You can find it here: https://open.spotify.com/episode/653b9wwxKVgGRSvebXidsT?si=pckd2XMzQH6r-1fSTJ3Atg or wherever you get your pods. Peer reviewed by Dr Gabrielle Norrish * Did you know that GOSH runs mock exams for the MRCPCH? Find out more here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/education-and-training/postgraduate-medical-education/mrcpch-examinations/ * We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/ Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com

Join us today as we talk to Dr Maria Gogou, senior clinical fellow in neurology at GOSH, about non-epileptic attacks. This comes under the Neurology section of the MRCPCH curriculum. We cover what constitutes a non-epileptic attack, presentation, diagnosis and management. Peer reviewed by Dr Krishna Das * Resources mentioned: Paediatric Epilepsy Training 1 (British Paediatric Neurology Association): https://courses.bpna.org.uk/index.php?page=paediatric-epilepsy-training European Paediatric Neurology Society webinars: https://www.epns.info/epns-webinars/ Non-Epileptic Seizures (International League Against Epilepsy): https://www.ilae.org/patient-care/non-epileptic-seizures/non-epileptic-seizures Caring for someone with functional seizures: Shannon Guinard's story (ILAE Podcast): https://www.ilae.org/journals/epigraph/epigraph-vol-25-issue-3-summer-2023/caring-for-someone-with-functional-seizures-shannon-guinard-s-story Epilepsy Foundation: https://www.epilepsy.com/diagnosis/imitators-epilepsy/psychogenic-nonepileptic-seizures GOSHpods: Functional Neurological Disorder with Dr Prab Prabhakar: https://on.soundcloud.com/1xZ8v * We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/ You can find resources from the GLA at the GOSH DEN here https://den.gosh.nhs.uk/?new_loc=%2Fultra%2Finstitution-page Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com

This is the second of a two-part episode on shock. Join us as we talk to Dr Andrew Jones, a consultant in the CATS retrieval service and a PICU consultant at GOSH. In this second episode we're going to move on to talk about septic shock, neurogenic shock, and cardiogenic shock. You can find the first episode, where we spoke about definitions, haemorrhagic and hypovolaemic shock, wherever you get your podcasts. * Resources mentioned: Deranged Physiology: https://derangedphysiology.com/main/home Up to Date: https://www.uptodate.com/login Life in the Fast Lane: https://litfl.com/ Don't Forget the Bubbles: https://dontforgetthebubbles.com/ * Did you know that GOSH runs mock exams for the MRCPCH? Find out more here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/education-and-training/postgraduate-medical-education/mrcpch-examinations/ * We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/ . You can find resources from the GLA at the GOSH DEN here https://den.gosh.nhs.uk/?new_loc=%2Fultra%2Finstitution-page Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com

This is the first of a two-part episode on shock. Join us as we talk to Dr Andrew Jones, a consultant in the CATS retrieval service and a PICU consultant at GOSH. In this first episode, we're going to define what shock is and talk about haemorrhagic and hypovolemic shock. In the second episode, we're going to move on to talk about septic shock, neurogenic shock, and cardiogenic shock. I hope you join us for both. * Resources mentioned: Deranged Physiology: https://derangedphysiology.com/main/home * Did you know that GOSH runs mock exams for the MRCPCH? Find out more here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/education-and-training/postgraduate-medical-education/mrcpch-examinations/ * We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/ . You can find resources from the GLA at the GOSH DEN here https://den.gosh.nhs.uk/?new_loc=%2Fultra%2Finstitution-page Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com

We are sorry that the audio in this episode is not as clear as it usually is. Join us as we talk to Dr Seilesh Kadambari, Infectious Disease consultant at GOSH and honorary associate professor at the UCL Great Ormond Street Institute of Child Health, about congenital CMV. We discuss aetiology and epidemiology, presentation, investigation, and management. Peer reviewed by Kajal Bhagwandas, CNS at GOSH. Resources mentioned: "Stop, think SCORTCH: rethinking the traditional 'TORCH' screen in an era of re-emerging syphilis" (Penner J, Hernstadt H, Burns JE, Randell P, Lyall H. Stop, think SCORTCH: rethinking the traditional 'TORCH' screen in an era of re-emerging syphilis. Arch Dis Child. 2021;106(2):117-124. doi:10.1136/archdischild-2020-318841) "Valganciclovir for symptomatic congenital cytomegalovirus disease" (Kimberlin DW, Jester PM, Sánchez PJ, et al. Valganciclovir for symptomatic congenital cytomegalovirus disease. N Engl J Med. 2015;372(10):933-943. doi:10.1056/NEJMoa1404599) CMV Action (https://cmvaction.org.uk/) "Fifteen-minute consultation: diagnosis and management of congenital CMV" (Shah T, Luck S, Sharland M, Kadambari S, Heath P, Lyall H. Fifteen-minute consultation: diagnosis and management of congenital CMV. Arch Dis Child Educ Pract Ed. 2016;101(5):232-235. doi:10.1136/archdischild-2015-309656) We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/ . You can find resources from the GLA at the GOSH DEN here https://den.gosh.nhs.uk/?new_loc=%2Fultra%2Finstitution-page Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com

In this episode we talk to Dr Maria Gogou about how to approach the floppy baby. We discuss differentials, examination, investigation and management. Resources mentioned: European Paediatric Neurology Society: https://www.epns.info/epns-free-monthly-webinars/ International Child Neurology Association: https://www.icnapedia.org/ British Paediatric Neurology Association: https://courses.bpna.org.uk/ Peer reviewed by Dr Adnan Manzur We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/ . You can find resources from the GLA at the GOSH DEN here https://den.gosh.nhs.uk/?new_loc=%2Fultra%2Finstitution-page Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com

In this episode we are joined by Dr Andrew Turnbull, consultant in respiratory medicine at GOSH, to talk about a mainstay of paediatrics - asthma. We discuss epidemiology, pathophysiology, diagnosis, and management. Resources mentioned: National Review of Asthma Deaths 2014: https://www.hqip.org.uk/resource/asthma-deaths-nrad-report-2014/ Global Initiative for Asthma (GINA) 2023 Guidance: https://ginasthma.org/2023-gina-main-report/ BTS/Sign guideline on the management of asthma: https://www.sign.ac.uk/our-guidelines/british-guideline-on-the-management-of-asthma/ European Respiratory Society guidelines: https://erj.ersjournals.com/content/58/5/2004173.long Asthma and Lung UK: https://www.asthmaandlung.org.uk/?cmp_id=1486843414&adg_id=132331283725&kwd=asthma%20and%20lung%20uk&device=c&gad_source=1&gclid=EAIaIQobChMIxtGP2d-OgwMV2p1oCR3GZQhHEAAYASAAEgJY5vD_BwE National Asthma Bundle: https://www.england.nhs.uk/publication/national-bundle-of-care-for-children-and-young-people-with-asthma/ We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/ . You can find resources from the GLA at the GOSH DEN here https://den.gosh.nhs.uk/?new_loc=%2Fultra%2Finstitution-page Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com

Did you know that GOSH runs mock exams for the MRCPCH? Find out more here: MRCPCH Examinations | Great Ormond Street Hospital (gosh.nhs.uk)

Welcome to Practicing Paediatrics. Search GOSHpods on your favourite podcast site to find us. Sounds effects from zapslat.com.

In this episode of Master the MRCPCH we are joined by Dr James Davison, consultant in metabolic medicine at GOSH, to talk about how to approach the child with the high ammonia. We talk about aetiology, presentation, diagnosis and management. Resources mentioned: www.bimdg.org.uk We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/ . You can find resources from the GLA at the GOSH DEN here https://den.gosh.nhs.uk/?new_loc=%2Fultra%2Finstitution-page Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com

In this episode we are joined by Dr Rossa Brugha, consultant respiratory physician at GOSH, to talk about health promotion in respiratory conditions. We talk about the effect that smoking, vaping and air pollution can have on children with respiratory conditions, and what we as paediatricians can do about it. Resources mentioned: Richard Doll and A. Bradford Hill, Smoking and Carcinoma of the Lung, Br Med J 1950; 2 doi: https://doi.org/10.1136/bmj.2.4682.739 (Published 30 September 1950) Action on Smoking and Health, "Use of e-cigarettes among young people in Great Britain", June 2023 https://ash.org.uk/resources/view/use-of-e-cigarettes-among-young-people-in-great-britain Action on Smoking and Health, "Young people and smoking", Sept 2019, https://ash.org.uk/resources/view/young-people-and-smoking RCPCH, "Smoking in young people", https://stateofchildhealth.rcpch.ac.uk/evidence/health-behaviours/smoking-young-people/ Hopskinson et al, "Children's Charter for lung health", Thorax 2022;77:11-12., https://thorax.bmj.com/content/77/1/11.citation-tools PODCAST: History taking from adolescent patients with Dr Keir Shiels (GOSHpods, Master the MRCPCH) https://episodes.castos.com/62162485066d05-64145298/38520/509c387d-119f-4723-81c5-b5e6f744f882/MRCPCH-adolescenthx-edit1.mp3 NHS e-learning for health - Alcohol and Tobacco Brief Interventions NHS e-learning for health - Supporting a smokefree pregnancy and smokefree families NHS e-learning for health - Tobacco dependence We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/ . You can find resources from the GLA at the GOSH DEN here https://den.gosh.nhs.uk/?new_loc=%2Fultra%2Finstitution-page Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com

Welcome to the second part of a two part series on neonatal surgical conditions. Today we are joined by Ms Dhanya Mullassery, a consultant paediatric surgeon at GOSH, to discuss abdominal wall hernias and congenital diaphragmatic hernias. We cover the pathology, incidence, management and the outcomes of these conditions. We would love to get your feedback on our podcasts, or your suggestions for future topics you would like us to cover! Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/ Twitter: @GOSHLearnAcad Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com

Welcome to the first part of a two part series on neonatal surgical conditions. Today we are joined by Ms Dhanya Mullassery, a consultant paediatric surgeon at GOSH, to discuss oesophageal, pyloric and intestinal atresias. We cover the pathology, incidence, management and the outcomes of these conditions. We would love to get your feedback on our podcasts, or your suggestions for future topics you would like us to cover! Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/ Twitter: @GOSHLearnAcad Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com

In this episode we are joined by Dr Tom Bainton, an obstetrics and gynaecology registrar from Chelsea and Westminster Hospital, to discuss dysmenorrhoea and endometriosis. We have a conversation covering epidemiology, aetiology, presentation, differentials and investigations, and management. Resources mentioned: Endometriosis UK https://www.endometriosis-uk.org/ Endometriosis Foundation https://www.theendometriosisfoundation.org/ European Society of Human Reproduction and Embryology endometriosis guidelines https://www.eshre.eu/Guidelines-and-Legal/Guidelines/Endometriosis-guideline.aspx American College of Obstetrics and Gynaecology guidelines https://www.acog.org/womens-health/faqs/endometriosis We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/ . You can find resources from the GLA at the GOSH DEN here https://den.gosh.nhs.uk/?new_loc=%2Fultra%2Finstitution-page Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com

In today's episode we are joined by Ms Jennifer Billington, a consultant paediatric surgeon at GOSH. We discuss intussusception, covering aetiology, diagnosis, referral and both initial and further management. We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/ Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com

In this episode we are joined by regular guest Dr Maria Gogou, for an overview of child sleep problems. We discuss the definition, presentation and causes of both acute and chronic sleepiness, as well as a clinical approach to investigation and management. This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/ We would love to get your feedback on our podcasts, or your suggestions for future topics you would like to hear! Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/ Twitter: @GOSHLearnAcad Instagram: @GOSHLearnAcad Sound effects obtained from https://www.zapsplat.com