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Precocious puberty: who needs an urgent referral?

20th March 2026 · Season 4 · Episode 5 · Available for over a year

This time Fiona and Nik serve up two “don’t miss” clinical challenges: precocious puberty—what’s normal vs red flags, who warrants urgent paediatric referral, and how to use the RCPCH puberty growth charts.

And bullous pemphigoid—how to spot it fast, common drug links and when to phone dermatology today: when was the last time you did that?

Useful Links

Growth charts from the Royal College of Paediatrics and Child Health (RCPCH) with ‘puberty lines’ that show the normal age limits for phases of puberty:  

  1. RCPCH - growth charts: girls childhood and puberty close monitoring 
  2. RCPCH - growth charts: boys childhood and puberty close monitoring 

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Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.