I struggled to find PEM resources for my CT3 year, despite the variety of excellent resources out there. I hope this website will help point you in the right direction. I'm not a PEM expert, but am following the guidance CEM have issued (in the form of a syllabus) to put together this page. This page is not endorsed by CEM, and any mistakes are mine.

Please comment with corrections, additions and further suggestions.

All the information here is collected from the internet, and it might be out of date or inaccurate, so please use your judgement and adhere to your hospital's protocols. If you do notice any errors or omissions please comment so we can put them right!

To navigate, decide whether you want to start with a PMP or a PAP. You can then select which PMP or PAP you want to look at. You will then be taken to the summary page for that PMP, with links expanded topic collections. If you know what topic you want to look at already, click on the link on the right hand side.

Saturday, 24 August 2019

Headaches in Children

Headaches need a good history in children - just like in adults! Unlike in adults, a head circumference is really important.
If the headache is in a <5 year old refer to paeds.

Brain Tumour
Headache for more than 2 weeks with any other symptoms should get imaged - preferably with an MRI, but if not available a contrast CT.

Similar to in adults.

Bacterial meningitis is an infection of the surface of the brain (meninges) by bacteria that have usually travelled there from mucosal surfaces via the bloodstream.

Meningococcal disease occurs as a result of a systemic bacterial infection by Neisseria meningitidis (meningococcus).



  1. The genetic abnormality can range from minuscule to major from a discrete mutation in a single gene to a cross chromosomal abnormality involving the addition or subtraction of an entire chromosome or set of chromosomes. Inherited diseases in children are caused by genetic disorders.

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