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<title>Archives of Disease in Childhood - Education and Practice Best practice</title>
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<title><![CDATA[Fifteen-minute consultation: Modern diagnostic approach to the child with recurrent fractures]]></title>
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<p>Children and young people presenting with recurrent fractures pose a diagnostic challenge for clinicians. Such patients require early referral to a tertiary paediatric centre with bone specialists and a multidisciplinary team taking a comprehensive, modern approach to unravel the underlying causes. Using a guiding diagnostic algorithm, incorporating a thorough medical history, informed clinical examinations, targeted laboratory tests, state-of-the-art imaging and molecular genetic analyses, specialists can expedite the identification of underlying causes of bone fragility in children.</p>
<p>The modern diagnostic approach integrates the latest evidence-based guidelines and technological advancements, thus enabling a swift and effective management strategy. This fifteen-minute consultation equips healthcare professionals with the necessary information to optimise history taking and basic case evaluation and provides insights into procedures at tertiary bone centres. Good collaboration among general paediatricians, orthopaedic surgeons and paediatric bone specialists ultimately enhances the care and outcomes for children with recurrent fractures.</p>
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<dc:creator><![CDATA[Blaschitz, A., Ho&#x0308;gler, W.]]></dc:creator>
<dc:date>2026-05-18T00:45:55-07:00</dc:date>
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<dc:publisher>Royal College of Paediatrics and Child Health</dc:publisher>
<dc:subject><![CDATA[Open access, Best practice and Fifteen Minute Consultations]]></dc:subject>
<dc:title><![CDATA[Fifteen-minute consultation: Modern diagnostic approach to the child with recurrent fractures]]></dc:title>
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<title><![CDATA[Fifteen-minute consultation: Acute pancreatitis in paediatrics]]></title>
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<p>Acute pancreatitis is a potentially life-threatening condition that can arise from various aetiologies, including medications, infections, obstructive processes, trauma, systemic diseases or remain idiopathic. Timely and accurate diagnosis, particularly identification of precipitating factors, is essential for effective management. The INSPPIRE (International Study Group of Paediatric Pancreatitis) criteria offer a comprehensive approach to diagnosing and evaluating potential causes. Core management strategies, encompassing fluid resuscitation, pain control, nutritional support and judicious use of antimicrobial agents, are fundamental in minimising unnecessary interventions and optimising patient outcomes, ultimately reducing hospital length of stay. In cases of recurrent acute pancreatitis, further investigation can help identify underlying medical conditions and guide appropriate treatment.</p>
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<dc:creator><![CDATA[Talbot, J., Chanchlani, N., Wiskin, A. E., Selvarajan, L.]]></dc:creator>
<dc:date>2026-05-18T00:45:55-07:00</dc:date>
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<dc:title><![CDATA[Fifteen-minute consultation: Acute pancreatitis in paediatrics]]></dc:title>
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