#17 Learning Disabilities

Speaker: Dr Neky Sargant: Consultant Paediatrician with an interest in Eating Disorders, UHBW Clinical Lead for Eating Disorders, BNSSG Clinical Lead for Paediatric Mental Health. Blurb IN THIS PODCAST FINALE Neky Sargant shares her 'top tips' for assessing and managing eating disorders in Children and Young People in Primary Care. She highlights key guideline changes with the 2023 MEED guidelines and guides us through an effective assessment of potential eating disorders, safe management plans and appropriate onward referral pathways. Episode resources MEED Happy Maps Bristol HEADSSS Eva Musby Resources Beat Eating Disorders MIND Feedback Send your feedback for this series by emailing [email protected] or send a brief voice note here.

Speakers: Dr Katy Pike: Senior Lecturer at the University of Bristol, Honorary Consultant in Paediatric Respiratory Medicine and BNSSG ICB asthma lead   Dr Deborah Marriage: Consultant nurse in Allergy and Asthma and BNSSG ICB asthma lead   Blurb: Hot of the press: NICE, BTS and SIGN all reached agreement for new, revolutionary asthma guidelines. In this episode Katy Pike and Deb Marriage demystify the guidelines, guiding us through the changes and impacts for the diagnosis and management of asthma in Primary Care.   Episode resources: New NICE/BTS/SIGN Asthma guideline  Primary Care Respiratory Society: How to calculate and interpret peak flow rate variability Bristol Children's Hospital: Child asthma plan  Bristol Children's Hospital: Teenage MART asthma plan  Bristol Children's Hospital: Teenage non-MART asthma plan  Asthma and Lung UK: Inhaler technique 

Speaker:  Mr Julian Gaskin -Paediatric ENT consultant at Bristol Royal Hospital for Children   Blurb: When are sleep studies warranted for children with suspected obstructive sleep apnoea? How do we avoid missing cholesteatomas? When should we refer infants with laryngomalacia? Is there a link between gastro-oesophageal reflux and laryngomalacia?  Paediatric ENT consultant Julian Gaskin answers these questions and more as GP Ruth Bowen interviews him  the common Primary Care ENT scenarios of obstructive sleep apnoea, laryngomalacia and acute, recurrent and chronic supporative otitis media.   Resources: -ENT UK -Bristol Royal Hospital for Children guideline: Obstructive sleep apnoea -NICE guideline: Acute otitis media -NICE guideline: Otitis media with effusion -NICE guideline: Chronic supporative otitis media  

Speaker: Dr Frances Hutchings -Consultant General Paediatrician at Bristol Royal Hospital for Children   Blurb How should we assess the child with recurrent infections? When can we reassure with a diagnosis of toddler diarrhoea? How do we manage Tics and when should we be concerned? What is benign transient hyperphoshatasemia of infancy? Dr Frances Hutchings answers these questions and more, addressing common themes in Paediatric Advice and Guidance letters.   Resources 10 warning signs of primary immunodeficiency BNSSG Remedy: Dietary management of toddler diarrhoea parent information leaflet BNSSG Remedy: Tic and tourettes in children Tourettes action Great Ormond Street Hospital: Tics Happy maps Off the record

Speaker:   Dr J-C Sconce: General Paediatric consultant at BRHC, co-author of the BRHC 'Gastro-oesophageal reflux in infants' guideline.   Blurb When should we prescribe for infants with reflux? How can we help parents practically giving medications? Do dummies have a role? Are pro-kinetic agents still an option? General Paediatric consultant Dr J-C Sconce guides us through these questions and more with this systematic approach to gastro-oesophageal reflux in infant as we discuss complications, management options and red flags for serious differential diagnoses.   Resources BRHC Gastro-Oesophageal Reflux in Infancy BRHC Gastro-Oesophageal Parent Information Leaflet BRHC Milk-Related Problems Guideline ICON

Speaker:  Dr Rachel Gaywood -GP clinical lead for Learning Disabilities and Autism in Devon   Blurb: How do we identify learning disabilities? Why is the learning disability register import? What are the common pitfalls around learning disabilities? How can we support families? Join us as Dr Rachel Gaywood explores these questions and more.   Resources: NHS England: Improving identification of people with a Learning Disability  NHS England: Finding out more about the Learning Disability Register  Get checked out  Mencap  Unique  Support group for parents of children with special educational needs Bristol  Somerset Gloucestershire  RCGP Learning Disability Special Interest Group  

Speaker Dr Clare Sheahan: consultant in Community Paediatrics Blurb When should we suspect Autism? What social factors can muddy the water? Who should we refer? How can we practically support families? What is the role of the education sector? Why are the rates of Autism increasing and what is BNSSG ICB doing to tackle the increased waiting times? Join us as Consultant Community Paediatrician Clare Sheahan tackles these questions and more. Resources The Autism Assessment Service for Bristol, North Somerset and South Gloucestershire  Local offer: Bristol, North Somerset, South Gloucestershire  Bristol Autism Support  https://www.wtt.org.uk/page/?title=NAS+Teen+Life+Programme&pid=86Teen life National Autistic Society  Neon Daisy  Parent Carer Organisation: Bristol, North Somerset, South Gloucestershire Paper 1: Study of England and Northern Ireland finds 8-fold increase in autism diagnosis over the last 20 years  Paper 2: Autism phenotype vs registered diagnosis in Swedish children: prevalence trends over 10 years in general population samples  Accurx template  BNSSG Neurodiversity Transformation Programme  

Speaker:   Pippa Bowen - General Paediatric consultant BRHC with an interest in endocrinology.   General Paediatric consultant Dr Pippa Bowen brings the child with precocious or delayed puberty to life. She guides us through a methodical Primary Care assessment with underpinning explanations. We explore cases of delayed puberty, precocious puberty and premature adrenarche.   Resources Archives of disease in childhood - Fifteen minute consultation: Clinical pubertal assessment  NHS: Early or delayed puberty  BSPED patient information leaflets  Bristol Royal Hospital for Children guidelines: Delayed puberty  Bristol Royal Hospital for Children guidelines: Premature or precocious puberty 

Speaker Dr Dan Magnus - consultant in Paediatric Emergency Medicine Blurb Want to brush up on your knowledge on your knowledge of measles and pertussis? Refresh your clinical knowledge, keep up to date and be prepared to answer any parental queries. Paediatric Emergency Medicine consultant Dan Magnus guides us through diagnosis and management of measles and whooping cough as well as taking us back to basics with a methodical approach assessing the sick child. Resources Adam Finn Ted talk: How Vaccines Really Work  Healthier together  Handi app   

Speaker Dr David Capehorn - GP partner and Honorary Associate Specialist in Paediatrics.  Blurb Should we always investigate lymphadenopathy in children and how worried should we be? Is fever a predictor of illness? When should we investigate intermittent abdominal pain? How do we interpret investigations in children?  GP and Honorary Associate Specialist in Paediatrics tackles these questions and more, challenging us with common myths and pitpalls in Primary Care Paediatrics. Resources Bristol Children's Hospital: chronic abdominal pain in children (https://uhbw.mystaffapp.org/diliboards/46/diliboard_contents/12401/document_view.pdf) Park: Evaluation of neck masses in children  (https://pubmed.ncbi.nlm.nih.gov/7762481/)