Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 371 questions.
A 4-year-old girl has had bruises on her shins and trunk for three weeks. Her mother says she has become pale, tires on the walk to kindergarten and asks to be…
Paediatrics · Clinical rotations · common
A 13-year-old boy is brought to a general practice with three weeks of aching in his left knee and a limp his football coach has noticed. He weighs 82 kg. There…
Paediatrics · Clinical rotations · common
A 22-day-old boy born at term is brought to a rural emergency department because he felt hot. His rectal temperature is 38.4 degrees Celsius. He has fed normall…
Paediatrics · Clinical rotations · common
An 18-month-old girl is brought to the emergency department with two days of fever and irritability. She sits quietly on her mother's knee watching you, and sta…
Paediatrics · Clinical rotations · common
A 3-year-old girl has had fever and cough for two days. She is alert, sitting up and drinking, and her mother has a car and lives ten minutes from the hospital.…
Paediatrics · Clinical rotations · common
A 7-month-old boy has had a runny nose for three days and is now coughing, wheezing and breathing fast. This is his first such illness. Respiratory rate is 58 p…
Paediatrics · Clinical rotations · common
A 3-year-old girl is brought in after her mother felt a lump in her tummy while bathing her. She is thriving, plays normally, and has had no fever, weight loss…
Paediatrics · Clinical rotations · common
A couple attend at nine weeks of a planned pregnancy. Their first child has cystic fibrosis, and both parents are known carriers of the same CFTR variant. They…
Paediatrics · Clinical rotations · common
At the six-week check, the mother of a healthy breastfed girl says she is so tired that for the second half of most nights she brings the baby into her own bed.…
Paediatrics · Clinical rotations · common
You examine a 2-day-old girl before discharge from the postnatal ward. She was born by caesarean section at 38 weeks for persistent breech presentation and is h…
Paediatrics · Clinical rotations · common
A woman in preterm labour at 29 weeks is given betamethasone and transferred to a tertiary centre. Antenatal ultrasound and screening have all been normal and t…
Paediatrics · Clinical rotations · common
A boy is born at 39 weeks weighing 4450 g to a woman whose gestational diabetes required insulin from 28 weeks. The birth was complicated by shoulder dystocia r…
Paediatrics · Clinical rotations · common
A 29-year-old woman brings her six-week-old first baby to the general practice for his immunisations. Asked how she is, she says she has felt flat since about t…
Paediatrics · Clinical rotations · common
A boy is born at 39 weeks by normal vaginal birth and cries immediately. He is dried, weighed and then bathed by a student midwife before being wrapped and plac…
Paediatrics · Clinical rotations · common
A 16-year-old girl attends a suburban general practice with her mother because of headaches over three months. Examination, including fundoscopy and blood press…
Paediatrics · Clinical rotations · common
A 15-year-old boy is brought to a general practice by his exasperated mother. Over the past year he has argued about every household rule, dyed his hair, spends…
Paediatrics · Clinical rotations · common
A 14-year-old girl who has had type 1 diabetes since she was eight is reviewed in the paediatric diabetes clinic. Her glycated haemoglobin has risen over twelve…
Paediatrics · Clinical rotations · common
You have been asked to speak about staying safe to Year 11 and 12 students at a metropolitan Western Australian high school. So that the talk targets the bigges…
Paediatrics · Clinical rotations · common
A 15-year-old girl in Year 10 at a Perth high school attends with her mother for treatment of acne. You spend part of the consultation with her alone and explai…
Paediatrics · Clinical rotations · common
A 16-year-old girl attends a Perth general practice on her own and asks for the contraceptive pill. She has been with her 17-year-old boyfriend for a year and t…
Paediatrics · Clinical rotations · common