Constipated baby, swollen tummy

Instructions

You are a medical student on placement in general practice in South Hedland. Your next patient is Thon Malith, 5 weeks old, brought in by his mother, Adhieu, who is worried he is constipated and his tummy looks swollen.

1. 1

   Take a focused history from his mother

2. 2

   Examine Thon

3. 3

   Outline to the examiner:

   • Your most likely diagnosis and differentials

• You do not need to summarise your findings or give a full treatment plan
• Please verbalise your examination; findings will be provided on request
• Thon is represented by a doll