There are 18 paediatric acute presentations that we need to know about. Not everything we need to know about is covered in the PAPs - but it's important that we know the PAPs.
PAP 1- Abdominal Pain
PAP 2- Accidental poisoning, poisoning and self-harm
PAP 3- ALTE
PAP 4- Blood disorders (sickle cell, purpura and bruising, leukaemia/lymphoma)
PAP 5- Breathing difficulties (asthma, bronchiolitis, pneumonia, pertussis, cardiac causes)
PAP 6- Concerning presentations (physical abuse, sexual abuse, neglect)
PAP 7- Dehydration secondary to diarrhoea and vomiting + pyloric stenosis
PAP 8- ENT (traumatic ear conditions, earache, ear discharge, noses)
PAP 9- Fever (UTI, meningitis/encephalitis, no focus)
PAP 10- Floppy child
PAP 11- GI bleeding (intussusception)
PAP 12- Headache (meningitis/ encephalitis, headaches in children)
PAP 13- Neonatal presentations (NLS, neonatal sepsis, CHD, jaundice)
PAP 14- Ophthalmology (orbital cellulitis)
PAP 15- Pain in Children (including sedation)
PAP 16- Painful limbs - atraumatic (limping child, septic arthritis, back pain)
PAP 17- Painful limbs - traumatic (including hand, radius, scaphoid, shoulder, supracondylar, pulled elbow, femur, toddler's fracture, compartment syndrome, patellar dislocation)
PAP 18- Rashes (eczema + seborrheic dermatitis, bites and infestations)
PAP 19- Sore throat (Epiglottitis, quinsy, FBs in throat, post-tonsillectomy bleeding)
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