You're Kidding, Right?
Episodes
Medical Consent In Children | when can kids consent to medical treatment
07 Apr 2021
Contributed by Lukas
The age at which a person becomes an 'adult' in Australia is 18 years. Consent for the medical treatment of patients less than 18 years of age is gene...
Osteomyelitis | a humerus episode on bone infections
04 Apr 2021
Contributed by Lukas
Osteomyelitis is more common in children than it is in adults. Although it can present quite subtly to begin with, it is an important differential to ...
Hydrocoeles in babies | not done looking for a loophole yet
31 Mar 2021
Contributed by Lukas
Hydrocoeles in babies are a common finding - up to 1 in 10 boys have one at birth! The pathogenesis is similar to that of inguinal hernias - the failu...
Idiopathic Intracranial Hypertension | when you lie on your CV about being good under pressure
29 Mar 2021
Contributed by Lukas
Idiopathic intracranial hypertension (IIH, occasionally called pseudotumour cerebri or benign intracranial hypertension) is a condition characterised ...
Midazolam | procedural sedation
24 Mar 2021
Contributed by Lukas
We use midazolam a lot for procedural sedation in kids. It is a benzodiazepine medication. It has sedative, anxiolytic and amnesic effects - i.e. if i...
Constipation | you're full of it
21 Mar 2021
Contributed by Lukas
Constipation is a very common presentation in children - 1 in 3 children will have constipation at some point. Most kids pass a soft bowel action at l...
Inguinal hernias in babies | looking for a loophole damn it
17 Mar 2021
Contributed by Lukas
Inguinal hernias are an important differential for hydrocoeles in baby boys - but don't be fooled, they do less commonly occur in girls too. They are ...
ALL | acute lymphoblastic leukaemia
14 Mar 2021
Contributed by Lukas
Acute lymphoblastic leukaemia is the most common childhood cancer. It is a blood cancer in which the cells that normally develop into lymphocytes muta...
GCS | glasgow coma scale
03 Mar 2021
Contributed by Lukas
The glasgow coma scale is used all the time to assess the level of consciousness of a patient (especially for those with acute head injury). We give a...
Whooping cough | pertussis - a whopping big cough
28 Feb 2021
Contributed by Lukas
Pertussis, also known as whooping cough and the 100 day cough, is caused by a bacterial infection. The usual pathogen is Bordetella pertussis, but can...
Physiological bradycardia in sleep | shawty get low low low low low low low
24 Feb 2021
Contributed by Lukas
Bradycardia during sleep is a physiological phenomenon related to increased vagal tone. In the absence of red flags, it does not require investigation...
PKU | phenylketonuria
21 Feb 2021
Contributed by Lukas
Phenylketonuria (PKU) is the most common inborn error of metabolism. It is an autosomal recessive condition caused by a disorder of metabolism of an a...
Intraosseous Access | I can feel it in my bones
17 Feb 2021
Contributed by Lukas
Intraosseous access is a type of vascular access that you get through inserting the needle directly into the bone, aiming for the medullary cavity. Yo...
Reflux in babies | here's a little something I saved for later
14 Feb 2021
Contributed by Lukas
Gastro-oesophageal reflux is a common, almost expected, phenomenon in babies, and usually resolves by 18 months of age. Although babies may posset (fa...
Growing Pains | we reveal the TRUTH about what those aches really were
10 Feb 2021
Contributed by Lukas
Growing pains are the most common cause of recurrent musculoskeletal pain in children. It affects 10–20% of children, with peak incidence between ag...
NF1 | neurofibromatosis type 1
07 Feb 2021
Contributed by Lukas
Neurofibromatosis type 1 is an autosomal dominant disorder associated with benign and occasionally malignant nerve tumours. NF1 is caused by a gene mu...
PURPLE crying/colic | the A to Z (or P to E) of unsettled babies
03 Feb 2021
Contributed by Lukas
Summary: Colic is an outdated term for a normal developmental stage in an infant's life. The acronym PURPLE crying describes the features Peak of cr...
DiGeorge syndrome | AKA 22q11.2 deletion syndrome
31 Jan 2021
Contributed by Lukas
Summary: DiGeorge syndrome is a genetic condition caused by the deletion of a chunk of genes on chromosome 22 (specifically the q11.2 region). The c...
6 Week Milestones | plus extra things about babies because they don't actually do enough to fill an ep
27 Jan 2021
Contributed by Lukas
Developmental milestones are a huuuuge part of general paediatrics. Briefly, developmental milestones are a set of skills that most infants will attai...
Coeliac Disease | we have a gut feeling that the immune system is being a bit dramatic
24 Jan 2021
Contributed by Lukas
With special guest - Alice Bleathman, dietitian Coeliac disease is an immune-mediated disorder where gluten in food triggers an immune response that r...
HEEADSSS assessment | we put our heads together to discuss the adolescent psychosocial interview
20 Jan 2021
Contributed by Lukas
HEEADSSS (with a varying number of Es and Ss according to locality) is a framework to help clinicians take a psychosocial interview, usually from an a...
Hirschsprung's Disease | we lost our nerve for this one!
17 Jan 2021
Contributed by Lukas
Hirschprung's Disease, sometimes called congenital aganglionic megacolon, is the most common cause of neonatal bowel obstruction. It is due to an abse...
Newborn Screening Test | study hard little babies!
13 Jan 2021
Contributed by Lukas
The Newborn Screening Test is a quick, safe and effective way to identify babies at risk of certain serious conditions. Screening is the only way to i...
G6PD | we've BEAN thinking about glucose-6-phosphate-dehydrogenase deficiency
10 Jan 2021
Contributed by Lukas
G6PD deficiency is a genetic disorder where the body doesn't have enough G6PD (aka glucose-6-phosphate dehydrogenase) which usually functions to prote...
Impetigo | can you spot the difference between rashes
06 Jan 2021
Contributed by Lukas
Impetigo is a common bacterial skin infection, characterised by blisters or vesicles which then rupture and develop a crusted lesion. It is also known...
Intussusception | we scope out some bowel problems
03 Jan 2021
Contributed by Lukas
Intussusception is the telescoping of a proximal segment of bowel into the more distal bowel lumen. It is the most common cause of intestinal obstruct...
Precocious puberty | don't peak too soon
16 Dec 2020
Contributed by Lukas
Precocious puberty is the early onset of puberty - which is prior to the age of 8 years in girls, and 9 years in boys. It is more common in girls than...
Retinopathy of prematurity | look at moi, look at moi
13 Dec 2020
Contributed by Lukas
Retinopathy of prematurity (ROP) is a potential complication of prematurity, caused by development of abnormal vascularisation of the retina. The lowe...
Hypospadias | a different kind of hole-in-one
09 Dec 2020
Contributed by Lukas
Summary: Hypospadias is a not uncommon finding on a the baby check of a baby boy - there will be one in every 150-350 boys who have it. It is the fi...
Genetic Testing | on the right track baby I was born this way
06 Dec 2020
Contributed by Lukas
In clinical medicine we mostly use genetic testing to find genetic causes of a person's symptoms (such as developmental delay), prenatal carrier testi...
Erythema toxicum (newborn rash) | I'm toxic, I'm slipping under
02 Dec 2020
Contributed by Lukas
This mini episode covers erythema toxicum, AKA erythema toxicum neonatorum, toxic erythema of the newborn, and newborn rash. Erythema toxicum is a ver...
ADHD | have you been paying attention?
29 Nov 2020
Contributed by Lukas
Attention-deficit/hyperactivity disorder (ADHD) is the most common neurobehavioral disorder of childhood, and amongst the most prevalent chronic healt...
Breath-Holding Spells | you take my breath away
25 Nov 2020
Contributed by Lukas
Breath holding spells (sometimes called breath holding attacks) are reflexive events that usually occur in a crying child from about 6 months to 6 yea...
Poor Growth | all about dem gainz
22 Nov 2020
Contributed by Lukas
Poor growth is a really common issue in paediatrics. It used to mostly be called "failure to thrive" but we are generally moving away from this becaus...
Vulvovaginitis | I got ants in my pants
18 Nov 2020
Contributed by Lukas
Vulvovaginitis is a very common gynaecological condition affecting girls aged 2-8 years. Although this usually resolves by the time of puberty, there ...
Haemorrhagic disease of the newborn | because babies annoyingly can't eat green leafy vegetables
15 Nov 2020
Contributed by Lukas
Haemorrhagic disease of the newborn (HDN) is a term that encompasses all haemorrhagic diseases found in newborn babies. In this episode, we focus on v...
Balanitis | "just the tip" of penile problems
11 Nov 2020
Contributed by Lukas
Balanitis (occasionally called Balanoposthitis) is an inflammation of the head of the penis (the 'glans'), that causes red, painful and often itchy sk...
Biliary atresia | not all roads lead to bile flow
08 Nov 2020
Contributed by Lukas
Biliary atresia is a surgically treatable cause of conjugated hyperbilirubinaemia encountered during the newborn period. It accounts for 50% of paedia...
Puberty | re-living our pimply nightmares
04 Nov 2020
Contributed by Lukas
With a few planned episodes on puberty-related disorders in the works, we take you through the normal puberty process as a baseline prior to the relea...
BRUE | tea? coffee? unresponsive episode?
01 Nov 2020
Contributed by Lukas
A BRUE (Brief Resolved Unexplained Event) is an event in an infant that is characterised by a marked change in either: Breathing Tone Colour Level o...
Cradle cap | that one flaky friend
28 Oct 2020
Contributed by Lukas
Seborrhoeic dermatitis (cradle cap) is a very common but benign skin condition in younger babies under the age of 3 months. It affects 70% of babies i...
Epilepsy | shake it off woah-oh-oh
25 Oct 2020
Contributed by Lukas
1 in 20 children will have a seizure at some point in their life. Epilepsy is a diagnosis given when someone has recurrent seizures that are unprovoke...
Neonatal reflexes | weird flex, but OK
21 Oct 2020
Contributed by Lukas
The reflexes we cover today are the primitive neonatal reflexes that are replaced by meaningful movements usually by around 6 months of age, depending...
Eating disorders | anorexia nervosa, bulimia nervosa, binge eating disorder
18 Oct 2020
Contributed by Lukas
The number of people in Australia with an eating disorder at any given time is estimated to be 913,986, or approximately 4% of the population. Of th...
Undescended testes | the one time we want to drop the ball
14 Oct 2020
Contributed by Lukas
Undescended testes are a common finding in neonates, affecting 1 in 20 term baby boys and up to a third of preterm baby boys. Thus, it is a high yield...
Necrotising Enterocolitis | I have a gut feeling
11 Oct 2020
Contributed by Lukas
Summary: Necrotising enterocolitis is the most common gastrointestinal emergency in neonates. It affects predominantly premature and very low birthw...
Head Swellings in Neonates | don't let your head get too big
07 Oct 2020
Contributed by Lukas
Head swellings are extremely common in the newborn period. Some are pretty harmless, and some require immediate admission to the neonatal ward. Let's ...
IV Fluids | here's a thirst trap for you
04 Oct 2020
Contributed by Lukas
Intravenous fluids can be daunting, and for good reason - more adverse events are reported from IV fluids than any other drug. Today we give you an ov...
Group B streptococcus | we're so cultured
28 Sep 2020
Contributed by Lukas
Welcome to our first mini episode! Group B streptococcus (GBS) is a common transient organism found in the GI tract, vagina and urethra. It is present...
Gastroenteritis | just for sh*ts and giggles
27 Sep 2020
Contributed by Lukas
Gastroenteritis is one of the most common infective causes for paediatric presentations. Although most cases are self limiting, there are particular m...
Pyloric stenosis | It's a bird, it's a plane... oh no it's a projectile vomit
20 Sep 2020
Contributed by Lukas
Pyloric stenosis is one of the most common surgical problems in infants under 3 months of age. Although overall mortality is generally low, the main c...
Henoch-Schonlein Purpura | HSP more than just a delicious snack
13 Sep 2020
Contributed by Lukas
HSP is the most common vasculitis of childhood, usually seen in children aged 2-8 years. Although it is usually self-limiting, there can be significan...
Neonatal hypoglycaemia | not your usual sugar baby
06 Sep 2020
Contributed by Lukas
Hypoglycaemia is a common postnatal ward call. Undiagnosed and untreated, it can have catastrophic complications. Luckily, we've summarised it into un...
Type 1 Diabetes - our sweetest patients
30 Aug 2020
Contributed by Lukas
Type 1 Diabetes is the most common form of diabetes in children and adolescents. It is an autoimmune condition affect the insulin-secreting beta cells...
Diabetic ketoacidosis | sugar sugar how you get so fl(high)
23 Aug 2020
Contributed by Lukas
Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of type 1 diabetes (in most instances). It may also constitute the first pr...
Cerebral Palsy | can we get allied health on the line??
16 Aug 2020
Contributed by Lukas
Cerebral palsy is a non-progressive disorder of movement and posture. It results from insult to fetal/infant brain. The type and degree of movement ...
Transgender and Gender Diversity | what we need to know and why we need to do better
09 Aug 2020
Contributed by Lukas
Being gender diverse or transgender is not a medical condition, but it can result in illnesses such as gender dysphoria, and often requires medical in...
Approach to abdominal pain |who do I need to call??
02 Aug 2020
Contributed by Lukas
Abdominal pain is a common presenting complaint in children. Confusingly, there are many different causes. In this episode, we aim to equip you with t...
Perthes |what is hip-ening to their femoral head??
26 Jul 2020
Contributed by Lukas
Legg-Calve-Perthes (or just Perthes) disease causes idiopathic avascular necrosis of the femoral head in a child. It presents with a limp which is oft...
Kawasaki Disease | the zebra to look out for
19 Jul 2020
Contributed by Lukas
It's often said in medicine, "look for horses, not zebras". Well, Kawasaki disease is one zebra that you don't want to miss. The second most common va...
Croup | when children start to bark
12 Jul 2020
Contributed by Lukas
Croup is one of the most common conditions resulting in hospitalisation in children. Tune in to find out how to assess and manage a child with croup...
Slipped Upper Femoral Epiphysis | twist and shout
05 Jul 2020
Contributed by Lukas
Slipped Upper Femoral Epiphysis (SUFE) is a disorder of the hip joint most common in early adolescents. During adolescence, the growth plate (physi...
Appendicitis |no guts no glory
28 Jun 2020
Contributed by Lukas
We will go as far as to say you will all see at least a few cases of appendicitis in your careers - even if you only treat adult patients! The highest...
Developmental Dysplasia of the Hip | hip hip hooray for early detection
21 Jun 2020
Contributed by Lukas
DDH is abnormal morphology and development of the acetabulum. It occurs on a spectrum - from mild acetabular dysplasia (i.e. abnormal morphology of th...
Febrile Seizures | shake it like it's hot
07 Jun 2020
Contributed by Lukas
Summary: Most children with a fever will feel miserable and unwell, however 1 in 30 will have a febrile seizure (or febrile convulsion). Many will hav...
Viral Wheeze | they'll huff & puff & blow your ward down
02 Jun 2020
Contributed by Lukas
40% of children have at least one episode of wheeze before the age of 6. Some of these children go on to develop asthma, others grow out of it. Tune...
Bronchiolitis | a wheezy peasy approach
31 May 2020
Contributed by Lukas
Bronchiolitis accounts for more admissions for infants under one year of age than any other condition. Tune in to find out how to assess and manage ...
Paediatric History Taking | we get all the goss
24 May 2020
Contributed by Lukas
Summary: Taking a paediatric history involves some very different components to an adult one. We go through an approach to taking a history from sta...
Anaphylaxis | don't get shocked!
17 May 2020
Contributed by Lukas
Anaphylaxis admissions in Australia more than doubled between 1995 and 2005. While it is a very serious condition, further reactions can be prevented ...
Eczema | scratching the itch to understand everything you need to know about atopic dermatitis
11 May 2020
Contributed by Lukas
Summary: Kids with eczema (or atopic dermatitis) are a dime a dozen but it can really impact quality of life and lead to long-term consequences. H...
Neonatal Jaundice | why babies go yellow and what to do about it
11 May 2020
Contributed by Lukas
Summary: A straightforward approach to neonatal jaundice - a topic that twisted our brains into knots when we first learnt about it. Unfortunately, ...
Trailer | introducing a new paediatric medical education podcast
29 Apr 2020
Contributed by Lukas
Introducing You're Kidding, Right - a new podcast to help you learn everything you need to know about paediatrics. The first 3 full episodes will drop...