Welcome

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All the information here is collected from the internet, and it might be out of date or inaccurate, so please use your judgement and adhere to your hospital's protocols.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.

Friday, 23 August 2019

Rashes in Children

Eczema and Seborrhoeic Dermatitis
Are essentially the same thing, and I think don't forgetthebubbles have it covered!

Bites and Infestations 
Lyme disease causes erythema migrans (pathognomic). If rash present treat - otherwise test. You can get a Jarisch-Herxheimer reaction  - normally self limiting. Don't give routine prophylactic antibiotics. Remove a tip with direct forceful pressure. 

Dog Bites
Probably OK for primary closure, and no routine prophylactic antibiotics. 
Human Bites
Prophylactic antibiotics - always. Don't close if over 24hours old. Remember tetanus and BBV prophylaxis.

Scabies
The classic burrows may be difficult to see in children. May look a bit pustular - but always VERY itchy! Treat with permethrin.

Head Lice or Nits
Can you read this without itching?

References
https://www.youtube.com/watch?v=QcpjbKCmqAw&feature=youtu.be
https://www.rcemlearning.co.uk/reference/trek-tragedy-review-on-lyme-disease/
https://www.rcemlearning.co.uk/modules/trek-tragedy-review-on-lyme-disease/exams/lyme-disease-post-test/
https://www.rcemlearning.co.uk/modules/lemons-and-lymes/
https://www.rcemlearning.co.uk/modules/the-forest/
https://first10em.com/dog-bite/
https://rebelem.com/myths-management-dog-bites/
https://www.cochrane.org/CD001738/WOUNDS_antibiotics-for-reducing-the-rate-of-infection-after-bites-by-mammals-such-as-humans
https://cks.nice.org.uk/bites-human-and-animal
https://dontforgetthebubbles.com/mel-thompson-eradicating-scabies-at-dftb17/

6 comments:

  1. WITH THE HELP OF  DR PERFECT ENLARGEMENT CREAM MY PENIS GROW  FROM 3 INCHES TO 9 INCHES YOU CAN ON EMAIL AT SOLUTIONTOALLPROBLEMS1@GMAIL.COM

    Hello everyone I have to give my testimony about a herbal doctor called Dr Perfect. I was heartbroken because I had a very small penis not good enough to satisfy a woman, I have been in so many relationships but they were cut off because of my situation, I have used so many products prescribed by the doctor but none could render me the help I was looking for, so I decided to search online for solution and I saw a lot of comments about this specialist called Dr Perfect on how he helped people with small penis, cancer and others so I decided to give his herbal product a try, I messaged him on WhatsApp and replied me back, he gave me some comforting words we talked on how i can receive the product and he sent me his herbal product for penis enlargement, within 1 week of using it I began to feel the enlargement of my penis, now it just two weeks of me using his products my penis is about 9 inches longer, and I settle things with my girlfriend I was surprised when she said that she is satisfied with my performance in bed and am happy that i have a big penis now all thanks to Dr Perfect feel free to contact Dr Perfect at solutiontoallproblems1@gmail.com or WhatsApp him +1(256)251-3614 and get your enlargement cream     

    ReplyDelete
  2. Amazing & Readable Article..More Information Please Visit:
    anavar pills price | buy anavar online

    ReplyDelete
  3. I started on COPD Herbal treatment from Ultimate Life Clinic, the treatment worked incredibly for my lungs condition. I used the herbal treatment for almost 4 months, it reversed my COPD. My severe shortness of breath, dry cough, chest tightness gradually disappeared. Reach Ultimate Life Clinic via their website www.ultimatelifeclinic.com . I can breath much better and It feels comfortable!

    ReplyDelete
  4. There are a lot of misconceptions about what it means to be living with Herpes simplex virus (HSV). Ultimately, everyone’s lives are different – how you cope with your diagnosis and how you move forward is up to you.

    The 21st of June 2013 was the day I was diagnosed with Herpes simplex virus (HSV). l was so worried that I cried out endlessly. On the way there I was crying and shaking the steering wheel, I just didn’t know what I should do.

    After that day, my depression was at all-time high, but slowly, I started to do my own research, looking at what I should do next and then last month, i came across a website which was about cure for Herpes simplex virus (HSV) and other STD's.

    I took the contact details from the website and contact the doctor (Dr. Robinson buckler), and after much inquiry, we came to a conclusion and he sent a herbal medicine to me through the courier delivery service, and he also gave me guidelines on how to take the medicine.

    After 9 days of taking the medicine, i discovered that all painful sores in the genital area, the itching, painful urination,
    and tender lumps in the groin was no more, and i went for a medical test, and i was so amazed to see my test result showing NEGATIVE. I then went to another hospital, and my test result is still showing NEGATIVE till date.

    I think life has given me another chance to be happy and free, I now do what I can to inspire others through these battles. For anyone out there affected with such disease please contact Dr. Robinson buckler with the below link;

    Email: Robinson.buckler@yahoo.com,

    ReplyDelete