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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.

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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.

Meningitis
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).


https://adultemergencymedicine.blogspot.com/search/label/meningitis
https://www.headsmart.org.uk/symptoms/signs-and-symptoms/children/persistent-recurrent-headache-children/
https://assets.headsmart.org.uk/live/media/filer_public/c7/06/c706d496-44d4-461a-9319-0a5c3596d360/quickreferenceguide_spread_final.pdf
https://www.rcemlearning.co.uk/foamed/pem-headaches/
https://www.rcemlearning.co.uk/modules/meningococcal-disease-and-meningococcal-meningitis/

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