Growing slowly, with headaches

Instructions

You are a medical student on placement in general practice in Busselton. Your next patient is Althea Mendoza, 9, brought in by her father, Paolo, who is worried that she has barely grown in two years and keeps getting headaches.

1. 1

   Take a focused history from her father

2. 2

   Perform a focused examination

3. 3

   Outline to the examiner:

   • Your most likely diagnosis and differentials
   • Next steps in management, including relevant investigations

• You do not need to summarise your findings to the examiner
• Althea is not in the room: say what you would examine; the examiner will give the findings