Paeds Spot Diagnosis Quiz: part 1
April 7, 2013
It is Paeds month at Broome Docs.
A series of 3 image-based quizzes are coming your way. These are rapid-fire cases, have your mouse hovering over the PAUSE button.
Here is part 1: PAEDS SPOT DIAGNOSIS QUIZ PART 1
Or download it from your favourite vodcasting app / iTunes
Let me know – any questions, corrections or suggestions.
Do you like the format?
Parts 2 and 3 coming up soon! Casey
4 Comments
*** Spoiler alert ***
Ok…
There’s been a recent shift towards propranolol as first line for infantile haemangiomata (when required due to position or ulceration), on the basis of mainly observational & retrospective studies. Primary (only?) RCT is here: http://pediatrics.aappublications.org/content/128/2/e259.full.pdf+html
Explanation and waiting still the primary management, unless endangering critical function (e.g. vision in the pictured case) or likely to disfigure.
Thanks Mel
I was quickly corrected to this by the twittersphere not long after posting!
Thanks for the link – always nice to see some evidence.
So if you have just watched the episode and seen the “strawberry” lesion – give them propranolol, not prednisolone?
Casey
Of course twitter would have been streets ahead – too many things to catch up on!
To your question – yes, I would expect to give them propranolol, in consultation with our friendly paeds dermatologist, plus ophthalmology assessment & opinion re imaging for deep extension.
Back to twitter I go…
Hello.
First of all, thank you for a great podcast.
Hearing the history and seeing the image at the same time leaves a much deeper impression than just reading it in a book.
I was just wondering about the part on parvovirus infections in pregnancy. I’ve read about fetal transfusions and fetal blood sampling to look at reticulocytes as management options for these patients.
Would that be an option in your community?