Trevor Duke
Trevor Duke
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2024 21 Head CT interpretation in children
Computerised tomography (CT) scans are increasingly available in provincial hospitals, and it is important that paediatric trainees understand the basics of CT scanning and how to interpret them. This teaching session covers the principles of interpreting brain and head CT scans, many of these principles are common to scans of other organs (chest, abdomen, etc). We will discuss normal CT head scans, the implications of different densities, what Hounsfield units are, brain oedema, blood of different ages, masses, contrast enhancement and what it means, and cerebral inflammation (meningitis, encephalitis, tuberculosis). This year we also had a lecture on paediatric x-ray interpretation, and this builds on that.
มุมมอง: 84

วีดีโอ

2024 20 Poisoning in children
มุมมอง 8728 วันที่ผ่านมา
Poisoning is a common problem in children, from ingestion of medications prescribed for other family members, household cleaning products or garden or industrial chemicals which are inappropriately stored, or deliberate ingestions in adolescents seeking to self-harm. There are hundreds of potential poisons, and we cannot possibly know everything about all, but we can understand the principles o...
2024 19 Management of empyema in children
มุมมอง 103หลายเดือนก่อน
Pneumonia complicated by empyema (pus or infected fluid in the pleural space) is common in children. It is usually due to Streptococcus pneumonia, Streptococcus pyogenes, or Staphylococcus aureus (including MRSA), or tuberculosis. Bacterial empyema usually follows an upper respiratory tract virus infection, such as RSV or influenza. Paediatricians need to be able to manage empyema, as a child w...
2024 18 Acute head injury in children
มุมมอง 1542 หลายเดือนก่อน
Head injuries are common in children, from pedestrian vs motor vehicle accidents, falls or even non-accidental trauma. Knowing how to assess a child with a head injury is an important skill for paediatricians and trainees. Following a trauma system, taking a history, assessing the Glascow Coma Score, and doing a through neurological examination enables the assessment of head trauma as being mil...
2024 17 Splenomegaly in children
มุมมอง 982 หลายเดือนก่อน
Splenomegaly is common in children in PNG and other tropical settings. There are many causes, the most common being chronic malaria infection, often associated with hypersplenism (thrombocytopenia, leukopenia). We discuss the anatomy, physiology and immunology of the spleen, the mechanisms of hypersplenism, and the many other causes of splenomegaly (infections including viruses, tuberculosis, a...
2024 16 Chronic diseases in children and adolescents
มุมมอง 802 หลายเดือนก่อน
While individually these diseases are much less common than acute infections, chronic non-communicable diseases in children are increasing. Asthma, chronic lung disease, congenital and acquired heart disease, epilepsy and cerebral palsy, neurodevelopmental problems like autism, cancer, chronic kidney disease, thalassemia, and the chronic illness and vulnerability that can be the consequences of...
2024 15 Arthritis in children
มุมมอง 2053 หลายเดือนก่อน
There are many causes of arthritis in children, some acute (septic arthritis, acute rheumatic fever, reactive arthritis), some chronic (juvenile chronic arthritis, systemic lupus erythematosus), some due to nutritional problems (vitamin C and D deficiency) and some due to atypical infections (yaws, syphilis, tuberculosis). It is possible to distinguish the types of arthritis and their causes ba...
2024 14 Diarrhea pathogenesis, causes, assessment and treatment
มุมมอง 2554 หลายเดือนก่อน
Diarrhoea accounts for 8% of paediatric admissions, and 5% of deaths. Most acute diarrhea is due to viral gastroenteritis. However, there are many causes, including serious systemic conditions (such as sepsis) that can present with diarrhea. This teaching session will explore the different microbial and other causes and how to differentiate them clinically, how to assess children with diarrhea,...
2024 12 Developmental conditions in children Autism spectrum
มุมมอง 1474 หลายเดือนก่อน
There are many developmental problems in children, including epilepsy, vision and hearing deficits, intellectual disability, and autism. Children with autism have delay in language, socialisation, and communication, and other behavioural problems. Autism spectrum disorder (ASD) is more common than we often think. Although the true prevalence in most lower income countries is not known, studies ...
2024 11 Common critical illnesses in children
มุมมอง 3754 หลายเดือนก่อน
In this session we discuss 4 critical illnesses, and how to recognise and manage them. The cases are severe asthma, severe pulmonary air leak, ventricular arrhythmia, and snake bite. Using the ABC and the WHO stages of management, an intensive care approach and the concept of the Golden Hour, and using careful clinical reasoning, we can learn how to care for children with different types of sev...
2024 10 Bleeding disorders in children
มุมมอง 3054 หลายเดือนก่อน
There are many causes of excessive bleeding in children, inherited, acquired, nutritional, infections, although individually uncommon, collectively they are quite common. Bleeding disorders are best understood by knowing what components of the blood coagulation system are abnormal, the pathophysiology, and the characteristic clinical features of each type of bleeding. Bleeding disorders can aff...
2024 9 Paediatric x-ray interpretation
มุมมอง 4345 หลายเดือนก่อน
In this teaching session we review common paediatric conditions that can be diagnosed on plain x-ray, particularly the way to read a chest x-ray, assessment of quality, differential diagnosis of a white-out of a hemithorax, different types of pneumonia (bronchopneumonia, lobar pneumonia, interstitial pneumonia, diseases where the lung volumes are large (asthma, bronchiolitis) and those where th...
2024 8 Fluid resuscitation in children with shock
มุมมอง 2375 หลายเดือนก่อน
In this second teaching session on fluids in paediatrics we cover fluid resuscitation in shock. Shock is complex, and can be hypovolaemic, septic, haemorrhagic, cardiogenic, or distributive shock. There has been much controversy about fluid resuscitation since a large trial in Africa published in 2011 showed large fluid boluses increased mortality in children with common febrile illnesses. The ...
2024 7 Fluid and electrolyte pathophysiology in children
มุมมอง 4595 หลายเดือนก่อน
This paediatric teaching session is on a topic we encounter every day, of fluid and electrolyte management in children in hospitals. To do that we will begin with reviewing the physiology and pathophysiology in common febrile illnesses, including pneumonia, bronchiolitis, meningitis, and malaria. We will discuss body water and electrolytes; the many mechanisms of dehydration in common febrile i...
2024 6 Genetics in paediatrics II
มุมมอง 1986 หลายเดือนก่อน
The second teaching session on Genetics in Paediatrics. In this session we describe the basic way that genetic information is encoded and translated into proteins, mutations and when they occur, mendelian inheritance patterns and diseases, mitochondrial inheritance, gene regulation, epigenetics, and common polygenetic congenital disorders in children.
2024 5 Genetics in paediatrics I
มุมมอง 2326 หลายเดือนก่อน
2024 5 Genetics in paediatrics I
2024 4 Procedural sedation in children
มุมมอง 1786 หลายเดือนก่อน
2024 4 Procedural sedation in children
Epidemiology and research methods III
มุมมอง 636 หลายเดือนก่อน
Epidemiology and research methods III
Epidemiology and research methods II
มุมมอง 696 หลายเดือนก่อน
Epidemiology and research methods II
Epidemiology and research methods I
มุมมอง 676 หลายเดือนก่อน
Epidemiology and research methods I
2024 3 Paediatric pain management
มุมมอง 1996 หลายเดือนก่อน
2024 3 Paediatric pain management
2024 2 The deteriorating paediatric patient
มุมมอง 2437 หลายเดือนก่อน
2024 2 The deteriorating paediatric patient
2024 1 Overview of paediatric training
มุมมอง 3627 หลายเดือนก่อน
2024 1 Overview of paediatric training
2023 30 Common paediatric problems in critically ill children
มุมมอง 28311 หลายเดือนก่อน
2023 30 Common paediatric problems in critically ill children
2023 29 Dengue in children
มุมมอง 13011 หลายเดือนก่อน
2023 29 Dengue in children
2023 28 Paediatric cancer
มุมมอง 23711 หลายเดือนก่อน
2023 28 Paediatric cancer
2023 27 Paediatric liver disease
มุมมอง 15711 หลายเดือนก่อน
2023 27 Paediatric liver disease
2023 26 How to write a thesis
มุมมอง 334ปีที่แล้ว
2023 26 How to write a thesis
2023 24 Neonatal infections II - congenital infections
มุมมอง 788ปีที่แล้ว
2023 24 Neonatal infections II - congenital infections
2023 23 Neonatal infections part I - Serious bacterial infections
มุมมอง 274ปีที่แล้ว
2023 23 Neonatal infections part I - Serious bacterial infections