PODCAST · health
You're Kidding, Right?
by Dr Freya Bleathman & Dr Anne Atkins
You're Kidding, Right is a podcast by two doctors for everything you need to know about paediatrics). Each week we release 2 episodes 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/yourekiddingrightdoctors/This podcast is for educational purposes only. Please see your own doctor or local guidelines for information specific to your situation.
Episodes
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Neonatal Jaundice | SPECIAL GUEST Dr Myles
Neonatal Jaundice - take 2! We are revisiting one of our very first episodes covering an important topic for your paediatric rotation - neonatal jaundice! Freya is joined today by special guest - paediatric advanced trainee Dr Myles Loughnan.
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Lupus | Systemic Lupus Erythematosis (SLE)
Welcome back to Your Kidding, Right? In this episode, Dr. Freya Bleathman is joined by the wonderful Dr. Myles Loughnan, a fellow pediatric registrar, as they tackle the fascinating yet challenging topic of systemic lupus erythematosus (SLE). Together, they unpack a pediatric lupus case,...
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Oligoarticular Juvenile Idiopathic Arthritis | the most common JIA subtype
Oligoarticular JIA is the most common subtype of juvenile arthritis. Children with oligo have 4 or fewer joints involved in the first 6 months of disease. The biggest complication that requires monitoring for is chronic uveitis which is asymptomatic but ultimately vision threatening if not...
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Exomphalos | Omphalocoele
Summary: Exomphalos, or omphalocoele, is a congenital condition where a baby's abdominal organs develop outside the body through the umbilical cord, affecting about 1 in 5000 births, with higher rates in multiple pregnancies (e.g. twins, triplets). It forms between the 6th-10th week of gestation...
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Genetic Imprinting | what usually happens, and how it can go wrong
Genetic imprinting is a normal process that usually happens in a small number of genes where one copy of the gene is always "silenced" or not expressed. An imprinting "disorder" is where there's an issue with this process - either with how the gene is silenced or the right copy is silenced but...
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Congenital Diaphragmatic Hernia | an overview
Summary: Congenital diaphragmatic hernia (CDH) is a condition where abdominal contents herniate into the thoracic cavity via a defect in the diaphragm, causing underdevelopment of the lungs and altered pulmonary vascular development. Although uncommon, it can cause significant morbidity during…
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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: https://www.instagram.com/yourekiddingright.pod/ Make sure you…
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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...
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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...
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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...
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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!)....
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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...
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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...
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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...
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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...
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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...
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Early Onset Sepsis in Neonates| EOS
Early onset sepsis has different definitions across regions, with the definition we use being sepsis occurring at 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...
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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...
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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...
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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....
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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...
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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...
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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...
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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…
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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...
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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...
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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...
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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...
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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…
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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...
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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...
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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…
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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...
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Alagille Syndrome | paucity of bile ducts and other associations
Alagille syndrome is a genetic disorder that can affect a variety of organs. In the liver it causes a lack of bile ducts to drain bile out of the liver and hence the bile builds up and causes liver damage. It can also affect other parts of the body like the heart, eyes, bones and kidneys. Follow…
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Assessing head injuries | what to look out for and when to worry
Head injuries are a common presenting complaint in kids. They can be a source of major concern for parents and clinicians alike. 1-2% of presentations to paediatric emergency services are head injuries of varying severity, although most are minor. In this episode, we cover the assessment of head...
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Zollinger-Ellison Syndrome | the zebra of peptic ulcer disease
Zollinger-Ellison Syndrome is a rare cause of peptic ulcer disease. It is when gastrin-producing tumours called gastrinomas cause excess production of stomach acid. The excess acid damages the lining of the stomach and duodenum, leading to ulcers. Follow us on Instagram @yourekiddingrightdoctors...
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Tongue Ties | Ankyloglossia
A tongue tie is where the piece of tissue under the tongue, called a frenulum, is tighter than usual. They are found in about 3% of babies, and are more common in boys. Although it was previously common practice to release tongue ties, further research has demonstrated that not all babies with a...
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Adrenal Glands | salt, sugar, sex
The adrenal glands are part of your endocrine system and release some really important hormones! Broadly, the cortex produces steroid hormones (i.e. aldosterone, cortisol and androgens) and the medulla produces catecholamines (i.e. adrenaline and noradrenaline). In this episode we discuss the...
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Helicobacter Pylori | the most common bacterial pathogen in humans
Helicobacter pylori is a bacteria that causes inflammation of the stomach and duodenum lining. It is most often acquired in early childhood and causes some sub-clinical gastritis but usually doesn't cause overt symptoms until later in life when it can present with peptic ulcers, iron deficiency...
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Stevens-Johnson Syndrome and toxic epidermal necrolysis
Stevens-Johnson Syndrome (SJS) and toxic epidermal necrolysis (TEN) are severe skin and other body system manifestations of immune hypersensitivity, typically in response to medications and, more commonly in kids, infections. They used to be thought of as different conditions but now we think of...
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Parenteral Nutrition | intravenous feeding
Parenteral nutrition (PN) is the process of giving someone their nutrition intravenously. It is given when someone's digestive tract isn't working properly so they can't get their energy/nutrient/fluid needs enterally (via the GIT). Today we will discuss: What is in the PN bags? Why someone might...
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Hypokalaemia | it's bananas
Hypokalaemia is a low serum potassium levels. In paediatrics, see it most commonly in the setting of GI losses, but there are many other causes to be aware of too. The big thing that we worry about with hypokalaemia is the potential development of cardiac arrhythmias, which may be life…
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Interpreting iron studies
Iron studies can be tricky to interpret – many people struggle with it. Today, we go through what each part of the iron studies mean, how these levels may be impacted, when to do iron studies and when the levels may be spurious. Links and resources: Follow us on Instagram…
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Neonatal bilious vomiting | a general approach
Bilious vomiting in any child or baby is an urgent matter requiring further workup and management as a matter of priority. This is because bilious vomiting is an initial sign of intestinal obstruction, and a missed obstruction could have catastrophic consequences. In this episode, we focus on...
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6 Month Milestones | and other things 6 month olds usually do
In this episode we discuss: Developmental milestones Red flags Primitive reflexes Feeding Sleep Weight Growth Teething 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...
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Trisomy 21 | down syndrome - a bonus 21st chromosome
Trisomy 21, or Down Syndrome, is the most common chromosomal abnormality in live births. Some of the most common issues associated with it are cardiac defects, intellectual disability and low muscle tone. Overall, prognosis has come a very long way in the past few decades. Follow us on Instagram...
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Acute otitis media | lend me your ears
Acute otitis media is an extremely common infection in kids - 75% of children have at least one episode by school age. In fact, 50% of kids have had at least 3 episodes of AOM by the time they are 3 years. Generally, it doesn't require antibiotic therapy, but there are some cases in which...
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Tumour Lysis Syndrome | an oncological emergency
Tumour lysis syndrome is an oncologic emergency. It happens when cancer cells release their intracellular contents into the bloodstream which can cause a variety or serious complications. Follow us on Instagram @yourekiddingrightdoctors Our email is [email protected] Make sure you…
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ABOUT THIS SHOW
You're Kidding, Right is a podcast by two doctors for everything you need to know about paediatrics). Each week we release 2 episodes 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/yourekiddingrightdoctors/This podcast is for educational purposes only. Please see your own doctor or local guidelines for information specific to your situation.
HOSTED BY
Dr Freya Bleathman & Dr Anne Atkins
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Frequently Asked Questions
How many episodes does You're Kidding, Right? have?
You're Kidding, Right? currently has 172 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.
What is You're Kidding, Right? about?
You're Kidding, Right is a podcast by two doctors for everything you need to know about paediatrics). Each week we release 2 episodes 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...
How often does You're Kidding, Right? release new episodes?
You're Kidding, Right? publishes regularly with 172 episodes available. Check the episode list for the typical release schedule.
Where can I listen to You're Kidding, Right??
You can listen to You're Kidding, Right? on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.
Who hosts You're Kidding, Right??
You're Kidding, Right? is created and hosted by Dr Freya Bleathman & Dr Anne Atkins.
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