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Q: Can a quick ultrasound save an UGI contrast series?

29 May, 10 | by Bob Phillips

A bit of greenish vomiting, not feeding so well and some concern that the newborn in front of you has volvulus. So do you really need to go through the hassle and pain of organising a contrast upper GI series, especially as the parents are already worried about getting feeding established, or could normally placed vessels on an abdominal USS help you out? more…

Should we give tamixofen for pubertal gynaecomastia?

6 Sep, 09 | by Bob Phillips

MoobsWell, the media has occasional frenzies over the rising tide of male ‘boob jobs’, but to the average paediatrician it’s the rare adolescent that can’t take his T-shirt off because of pubertal breast enlargement that causes real concern. How should such a potentially disabling and yet ultimately short-lived problem be addressed?


Q: Tongue tie division for breastfeeding?

2 Apr, 09 | by Bob Phillips

Cute baby with tongue tieHave you (yet) had a parent ask for a referral for tongue tie division to assist with a poorly feeding baby? What is the right answer to this question; more…

Leave appendiceal masses alone.

27 Feb, 08 | by Bob Phillips

Acute appendicitisA 5 year old boy was admitted to a rural New Zealand hospital with 10 day history of abdominal pain. The pain was localised to the RIF with guarding and examination revealed a palpable mass in the RIF. He had previously presented with a 1 day history of severe abdominal pain and fever and had been discharged the following day with a diagnosis of gastroenteritis. He was transferred to the tertiary hospital and a diagnosis was made on ultrasound scan of appendiceal mass with abscess. His condition was stable. He was commenced on conservative management and supportive care with intravenous (iv) antibiotics followed by a 2 week course of oral antibiotics. He responded well to conservative management and was scheduled for appendectomy after an interval of 6-8 weeks. You wonder whether it is necessary, now he is well, for him to have an appendectomy.


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