Legal Definition of a Child in Malaysia and the Definition of Statutory Rape

Image downloaded from Microsoft Office website. Available at here.

I made a mistake when discussing on the legal definition of a child in Malaysia and the definition of statutory, and so I thought it would be a good idea to revise on this topic.

I mistakenly thought that a child in Malaysia is defined as one aged 18 years old and below. I was wrong. According to the Malaysian Child Act

The Rule of SIX in Drug Dosing and Infusion

Image credited to zeathiel at stock.xchngSupposed as a junior medical officer, you want to start dopamine infusion for a patient in hypovolemic shock (with persistent low BP despite adequate fluid resuscitation). You look up at the drug formulary (just to counter-check) and it states that the dosage for dopamine is "5 mcg/kg/min, increasing gradually using 5-10 mcg/kg/min increments......". Most

Insect Bite Diagnostic Aid: S-C-R-A-T-C-H

(The above image is a linked image from the article by Hernandez and Cohen)Hernandez and Cohen developed a diagnostic guidelines when they found that a majority of children with a final diagnosis of an insect-bite hypersensitivity reaction had undergone costly, unnecessary and extensive lab tests and skin biopsies before they were referred to Johns Hopkins Children's Center.This set of principles

Can We Avoid Head CT scan in Some Pediatric Patients With Head Trauma?

In a multicenter trial published in Lancet recently, Kuppermann N et al. enrolled 42,412 children (age, ≤18 years) with mild head trauma (defined as Glasgow Coma Scale score >13) to derive and validate decision rules for two separate age groups:- those below 2 years and- those aged 2 years and above.In that paper, the authors highlighted the need to identify pediatric patients with very low risk

Pediatric Protocols For Malaysian Hospitals FREE download in MPA website

The Pediatric Protocols for Malaysian Hospitals is available for FREE download at the Malaysian Pediatric Association Website. I am awaiting to purchase a printed copy because eventually I find reading from a laptop screen is very tiring and straining the eyes.Anyway, you may click here to download the protocol in pdf. Click here to access the website of Malaysian Pediatric Association.

Henoch-Schönlein purpura

Case: This 7-years old boy was seen in the emergency department about a month ago with the main complaint of sudden onset of colicky abdominal pain. After been given pain relief, his abdomen was soft, non tender and non guarded. He was, otherwise, fully alert and conscious; vital signs are normal, not toxic looking and no signs of meningisms. The easy part is he has been suspected of