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Neonates born with congenital vertical talus (‘rocker-bottom foot’) are challenging to diagnose and manage. The immediate management is generally based on assessing for Edwards syndrome (trisomy 18) ...

Resistance from colleagues Stakeholder engagement is crucial, make this a trust priority. Use data and patient stories to win hearts and minds, use patient feedback and serious untoward incidents to ...

Topical oestradiol gel is now widely used in hormone replacement therapy (HRT), but the risk of inadvertent secondary transfer to children is under-recognised. While accidental exposure to ...

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A 4-year-old boy presented with fever and unilateral neck swelling, initially treated as bacterial lymphadenitis with intravenous antibiotics. Over the following days, he developed bilateral ...

Neurodevelopmental delay is a common clinical presentation to paediatricians. For some children, there may be an immediately recognisable likely cause such as a severe perinatal infection or hypoxia.

Referrals for children presenting with social, communication and behavioural differences have risen sharply in recent years, creating unprecedented demand for autism assessments. Waiting times now ...

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Cervical spine injury occurs in 1–2% of paediatric trauma cases. Differences in anatomy, size and injury patterns compared with adult patients can make the assessment of cervical spine injuries in ...

Delandistrogene moxeparvovec is the first gene-replacement therapy for Duchenne muscular dystrophy (DMD) and requires careful patient selection and structured monitoring. Ambulation, defined ...