You're Kidding, Right?
You're Kidding, Right is a podcast by two junior doctors for everything you need to know about paediatrics (or "pediatrics" if you like more bang for your buck from letters). Each week we release an episode on key topics that will help you understand how our littlest patients work. Whether you're a junior doctor, medical student, nursing grad, general practice trainee or anyone who wants to learn the who, what, when, where and how of kids, we will do our very best to make your learning a little easier, and a little more fun! https://www.instagram.com/yourekiddingright.pod/
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Adolescent Asthma | work SMART not hard
05/06/2024
Adolescent Asthma | work SMART not hard
There has been a recent move to prescribe an inhaled corticosteroid for ALL adolescents with asthma. In today's episode we will go through the new SMART guidelines for adolescent asthma. Links and resources: Follow us on Instagram: Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss out on any pearls of wisdom and RATE/REVIEW to help us grow!
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Paediatric Fasting Guidelines | when your patients are also hangry
04/10/2024
Paediatric Fasting Guidelines | when your patients are also hangry
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Meckel diverticulum
02/27/2024
Meckel diverticulum
After a decent hiatus we're back with a new episode! Meckel diverticulum is the most common congenital abnormality of the gastrointestinal tract, found in the small intestine. The majority of patients are never diagnosed, as it is both often completely asymptomatic, and difficult to spot on the usual imaging modalities. The symptoms of a Meckel's depend on the complication it presents with - and there are a range of these from bleeding to bowel obstruction. Listen in to learn about the way these elusive diverticula present if they ever reveal themselves, how to manage it and more! Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss any episodes and RATE to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
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Dermoid cysts | spot the diagnosis
10/09/2023
Dermoid cysts | spot the diagnosis
Dermoid cysts are a common occurrence and a common spot diagnosis that you'll be quizzed on in clinic! Always present at birth, but often picked up later, most cutaneous dermoid cysts are harmless, but occasionally, they may grow over time and develop complications. Tune in to learn how to tell them apart from other cutaneous lesions, their management and more! Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss any episodes and RATE to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
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Noonan Syndrome | what you need to know in 20 minutes
09/14/2023
Noonan Syndrome | what you need to know in 20 minutes
Noonan syndrome is one of the most common genetic conditions we see in paeds. It is most typically characterised by certain facial features, short stature, congenital heart defects and developmental delay. Noonan syndrome is caused by a mutation in a single gene, however there are quite a few possible genes that can be responsible. Vision and hearing loss, developmental delay, development of hypertrophic cardiomyopathy and the increased risk of leukaemia are important complications to monitor for patients with Noonans.
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JDM | Juvenile Dermatomyositis
08/07/2023
JDM | Juvenile Dermatomyositis
Juvenile dermatomyositis, or JDM is a rare autoimmune myopathy. In their first episode back after sitting specialty exams, Freya and Anne use a case to help explain what JDM is, as well as presentation, treatment and diagnosis (plus a couple of tangents about their day to day work as doctors!). Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss any episodes and RATE to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
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MCADD | medium chain acyl CoA dehydrogenase deficiency
09/19/2022
MCADD | medium chain acyl CoA dehydrogenase deficiency
MCAD deficiency is a fatty acid oxidation disorder. It is a hereditary disease that is caused by a missing enzyme needed to convert fat into energy. Children with MCAD deficiency therefore cannot fast for very long without developing hypoglycaemia, which can cause brain damage or even death. This is because they cannot use fat and hence ketones as an alternative energy source as the glucose available to them runs low. Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss any episodes and RATE to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
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Von Willebrand Disease | the most common inherited bleeding disorder
08/28/2022
Von Willebrand Disease | the most common inherited bleeding disorder
Von Willebrand disease (VWD) is a hereditary quantitative deficiency or functional abnormality of von Willebrand factor (VWF), which causes platelet dysfunction. Bleeding tendency is usually mild in the most common types, but it can be severe and present with factor VIII deficiency as well as platelet dysfunction in the rarer subtypes. It is diagnosed based on testing von willebrand factor antigen levels which is low in most subtypes, VWF activity which is low in most subtypes and VWF multimer distribution which is abnormal in a small number of the subtypes. Treatment depends on the degree of bleeding. Mild mucosal bleeding can often be managed with tranexamic acid alone to help stabilise the clots that are present. Desmopressin might be used in more significant bleeding or perioperatively. Occasionally von willebrand factor concentrates might need to be given. Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss any episodes and RATE to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
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Anne's Big News | choosing a specialty
08/14/2022
Anne's Big News | choosing a specialty
In this episode, we take the podcast in a slightly different direction by discussing a non-clinical topic! The news is out, Anne has changed specialty! But what has she changed to? Why did she do it? What is a day in the life of her new specialty like? What's next? Tune in now to hear the answers to all these questions and more! More importantly, we discuss what's important when choosing a specialty to pursue - so whether you're undecided on what specialty you'd like to pursue, or you are contemplating changing specialty/career pathway, this is the episode for you! Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss any episodes and RATE to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
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Cleft lip and palate in neonates | an overview
07/04/2022
Cleft lip and palate in neonates | an overview
Cleft lip and palate are congenital anomalies that can occur together or separately. In cleft lip, the affected lip is always the top lip, and these entities can occur together or just one or the other. Management involves surgery, but in this episode we cover an overview of the presentation and the roles of different multidisciplinary team members. Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss any episodes and RATE to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
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Impacts of medicine on climate change | Royal Children's Hospital Green Week
06/20/2022
Impacts of medicine on climate change | Royal Children's Hospital Green Week
On this week's episode, we feature Dr. Laura Tate and Dr. Stormie De Groot in our first podcast takeover! Tune in for a truly enlightening discussion between Laura, Stormie and their special guest Dr. Karen Kiang, as they explore the contribution medicine makes to climate change, as well as the things we can do to help alter this course. This podcast was produced as part of Green Week at The Royal Children's Hospital, Melbourne. Links: If you'd like to learn more about this topic, email: [email protected] Doctors for the Environment Australia: https://www.dea.org.au Resources: UNICEF 2021 report - climate crisis is a child rights crisis Great statistics on the health impacts of climate change on children Healthcare Without Harm Healthcare's climate footprint
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Ehlers Danlos Syndrome | we missed EDS awareness month but we tried
06/12/2022
Ehlers Danlos Syndrome | we missed EDS awareness month but we tried
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Early Onset Sepsis in Neonates| EOS
06/05/2022
Early Onset Sepsis in Neonates| EOS
Early onset sepsis has different definitions across regions, with the definition we use being sepsis occurring at <48 hours. It affects between 1-8 per 1000 live births. If not identified and treated early, EOS can cause significant poor outcomes. In this episode, we discuss the presentation of early onset sepsis, relevant investigations, treatment and more. Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss any episodes and RATE to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
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Febrile Neutropaenia | an oncological emergency
05/29/2022
Febrile Neutropaenia | an oncological emergency
Febrile neutropaenia is an emergency situation that can occur in patients with cancer. It is when they have very low levels of the white blood cell neutrophils, plus a fever. The main concern when these two things go together is that the person can easily and quickly develop sepsis. Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss any episodes and RATE to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
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Approach to the febrile child
05/24/2022
Approach to the febrile child
Fever is a common feature in paediatric presentations to health services. Because it's so common, it's vital to have an approach that will ensure that you have your bases covered. This episode is one way in which you can assess the child with a fever, as well as investigations to consider. Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss any episodes and RATE to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
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Medulloblastoma | the most common malignant brain tumour in children
05/15/2022
Medulloblastoma | the most common malignant brain tumour in children
Medulloblastomas are the most common malignant brain tumour in children. They arise from embryonal neuroepithelial cells and are usually located in the cerebellum, which can cause cerebellar signs. Due to its location, the tumour can also compress the 4th ventricle, causing hydrocephalus. Definitive diagnosis is based on histology from surgical resection of the tumour, after which point children will also undergo radiotherapy and chemotherapy. Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss any episodes and RATE to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
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CPAM | congenital pulmonary airway malformation
05/09/2022
CPAM | congenital pulmonary airway malformation
Congenital pulmonary airway malformations, also known as CPAM, are masses of abnormal lung tissue that form antenatally. They were until recently known as CCAMs, or congenital cystic adenomatoid malformation. Affected patients may present with respiratory distress in the newborn period or may remain asymptomatic until later in life. Many cases are now detected by routine prenatal ultrasound examination. Surgical resection is the definitive treatment. Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss any episodes and RATE to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
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PDA (Patent Ductus Arteriosus) | not the kissing kind of PDA
05/01/2022
PDA (Patent Ductus Arteriosus) | not the kissing kind of PDA
Patent ductus arteriosus is when the ductus arteriosus fails to close after birth. This causes a left to right shunt in the heart, where oxygenated blood passes through the duct and into the lungs instead out into the systemic circulation. A large enough shunt typically presents one of two major ways: Early on in the first few weeks of life with pulmonary oedema and often congestive cardiac failure from the extra pulmonary blood flow and subsequent extra flow and straint on the left heart. After years of extra pulmonary blood flow which causes pulmonary hypertension which reverses the shunt, making it right to left. This causes deoxygenated blood to flow into the systemic circulation and can cause cyanosis, usually of the lower part of the body as the aortic branches to the upper body usually branch off proximal to the ductus. Early management of a PDA involves watchful waiting, medications like indomethacin and ibuprofen, or surgical closure. Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss any episodes and RATE to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
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Paracetamol overdose | acetaminophen overdose
04/24/2022
Paracetamol overdose | acetaminophen overdose
Paracetamol is the world's most widely used over the counter analgesic. It is also therefore a common medication in overdose, whether accidental or intentional. In this episode, we go through the presentation and management of paracetamol. Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss any episodes and RATE to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
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Wolff-Parkinson-White syndrome | WPW
04/17/2022
Wolff-Parkinson-White syndrome | WPW
Wolff-Parkinson-White syndrome occurs when someone has an accessory pathway through which electrical signals can travel in the heart and bypass the AV node or travel backwards from the ventricles to the atria. WPW can cause supraventricular and ventricular tachycardias. The definitive treatment is ablation of the accessory pathway. Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss any episodes and RATE to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
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Newborn Hearing Screen
04/11/2022
Newborn Hearing Screen
The newborn hearing screen is a test conducted on all newborn babies with the aim of early detection of possible hearing problems. In this episode, we discuss how this screen works, the possible results, risk factors for hearing loss, and more. Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss any episodes and RATE to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
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Systemic Juvenile Idiopathic Arthritis | sJIA
04/03/2022
Systemic Juvenile Idiopathic Arthritis | sJIA
Systemic juvenile idiopathic arthritis is a type of juvenile idiopathic arthritis than can occur in children. The classic features are polyarthritis, quotidien fever, evanescent rash, serositis like pericarditis or pleuritis, lymphadenopathy and hepatosplenomegaly. Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss any episodes and RATE to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
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SMA syndrome | superior mesenteric artery syndrome
03/27/2022
SMA syndrome | superior mesenteric artery syndrome
Superior mesenteric artery (SMA) syndrome is a gastrointestinal condition that occurs when the duodenum is compressed between the aorta and the superior mesenteric artery. This causes an obstruction of the duodenum, and can be significantly debilitating. In this episode, we cover the pathophysiology, presentation, management and more. Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss out on any pearls of wisdom and RATE if you can to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
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ABPA | allergic bronchopulmonary aspergillosis
03/20/2022
ABPA | allergic bronchopulmonary aspergillosis
Allergic bronchopulmonary aspergillosis (or ABPA) is a hypersensitivity reaction that some people get in response to having the mould aspergillus in their lungs. It is most often seen in people with asthma or cystic fibrosis. Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss out on any pearls of wisdom and RATE if you can to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
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Erb's Palsy | brachial plexus injury in newborns
03/18/2022
Erb's Palsy | brachial plexus injury in newborns
Erb's palsy affects the upper limb when the brachial plexus is damaged, with the most common reason being traumatic delivery. Although it generally resolves over time, some more serious injuries of the brachial plexus can occur. In this episode, we discuss Erb's palsy and its management. Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss out on any pearls of wisdom and RATE if you can to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
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Mesenteric Adenitis | the grand mimic of appendicitis
03/14/2022
Mesenteric Adenitis | the grand mimic of appendicitis
Mesenteric adenitis is a common condition affecting children and teenagers. It is caused by the enlargement of lymph nodes in response to an infection, generally a viral one. It is quite painful and can be mistaken for appendicitis - however it is also a diagnosis of exclusion! In this episode we discuss how mesenteric adenitis presents, the aetiology, management and more! Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss out on any pearls of wisdom and RATE if you can to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients!)
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Mesenteric adenitis | the grand mimic of appendicitis
03/14/2022
Mesenteric adenitis | the grand mimic of appendicitis
Mesenteric adenitis is a common condition affecting children and teenagers. It is caused by the enlargement of lymph nodes in response to an infection, generally a viral one. It is quite painful and can be mistaken for appendicitis - however it is also a diagnosis of exclusion! In this episode we discuss how mesenteric adenitis presents, the aetiology, management and more! Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss out on any pearls of wisdom and RATE if you can to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients!)
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Williams Syndrome | get ready to (cocktail) party
02/27/2022
Williams Syndrome | get ready to (cocktail) party
Williams syndrome is a genetic disorder caused by a microdeletion in chromosome 7. This can cause things like cardiac anomalies, hypercalcaemia and intellectual disability, and it is associated with distinctive facial features and personality. Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
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Hypertrophic Cardiomyopathy | when having a big heart isn't a good thing
02/13/2022
Hypertrophic Cardiomyopathy | when having a big heart isn't a good thing
Hypertrophic cardiomyopathy is a genetic conditions where you get hypertrophy of the heart muscles, particularly the left ventricle and often the interventricular septum. This causes diastolic dysfunction as the thickened, stiff ventricles can’t fill with blood properly. In some cases, people also get outflow tracts obstruction in the left ventricle, so not only does it not fill properly, but also the blood flow out of the heart and to the rest of the body is obstructed during systole. HCM can present with syncope, chest pain, palpitations, dyspnoea and, importantly, sudden cardiac death or heart failure. Follow us on Instagram @yourekiddingrightdoctors (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
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Concussion | a mild traumatic brain injury
02/06/2022
Concussion | a mild traumatic brain injury
Following on from our recent episode on assessing head injuries, we discuss concussion. A concussion is a mild traumatic brain injury which temporarily alters brain function. It's really common - about 20% of children will have one by the age of 10. In this episode, we discuss why kids are more likely to have a concussion, how to assess a child with a possible concussion, and management. We refer to a video on visio-vestibular assessment during the episode, which was produced by the Children's Hospital of Philadelphia, which you can find here: You can also find a copy of the Sport Concussion Assessment Tool, or SCAT, here: https://bjsm.bmj.com/content/bjsports/early/2017/04/26/bjsports-2017-097492childscat5.full.pdf Links and resources: Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss out on any pearls of wisdom and RATE if you can to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
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