Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 371 questions.
A 4-year-old girl is brought to a Perth general practice by her mother and her mother's partner because of six months of intermittent abdominal pain. She has mi…
Paediatrics · Clinical rotations · common
A 6-month-old boy is brought to a general practice for his immunisations. He has just started pureed vegetables and rice cereal. His 4-year-old sister has a pea…
Paediatrics · Clinical rotations · common
A 6-week-old boy is brought to a general practice for a routine check. He was born at term weighing 3.2 kg and now weighs 4.0 kg. He is formula fed, taking 90 m…
Paediatrics · Clinical rotations · common
A 2-year-old girl is brought to a general practice because she is pale and always tired. Her weight has drifted from the 50th to the 10th centile over the past…
Paediatrics · Clinical rotations · common
A 29-year-old woman is seen on day four after an uncomplicated vaginal birth. Both breasts are firm, hot and uncomfortable, the skin is shiny, and the areolae a…
Paediatrics · Clinical rotations · common
A 15-year-old girl attends a general practice with her mother because of four months of tiredness and a 6 kg weight loss. You explain that you see young people…
Paediatrics · Clinical rotations · common
An 18-month-old boy is brought by his parents, who are alarmed that he bangs his head rhythmically against the cot rails for ten to fifteen minutes as he settle…
Paediatrics · Clinical rotations · common
A term 9-month-old boy is brought to the child health nurse. Over the past six weeks he has begun to cry when his grandmother, whom he sees weekly, picks him up…
Paediatrics · Clinical rotations · common
A 24-month-old boy attends for a developmental check. He runs, walks up stairs holding the rail and kicks a ball. He builds a tower of six blocks, turns the pag…
Paediatrics · Clinical rotations · common
A 6-year-old boy is seen for a routine check. His mother says he has always been "solidly built", like his father. He is 1.18 m tall and weighs 30 kg, giving a…
Paediatrics · Clinical rotations · common
A 15-year-old boy attends for a sports participation certificate. He mentions that his parents give him a glass of wine with Sunday dinner so that he learns to…
Paediatrics · Clinical rotations · common
A midwife makes a home visit to a 2-week-old girl. She was born at term, is exclusively breastfed and has regained her birth weight. Her mother is exhausted and…
Paediatrics · Clinical rotations · common
A medical student writes a medication order on the chart of a 3-year-old girl weighing 14 kg who has been admitted with an asthma exacerbation. The order reads:…
Paediatrics · Clinical rotations · common
A 15-year-old girl attends the general practice with her mother because of four months of daily headaches. Her mother answers every question, describes the head…
Paediatrics · Clinical rotations · common
A term newborn girl is examined on the postnatal ward. She lay in a breech position from 34 weeks and was delivered by caesarean section. With the baby relaxed…
Paediatrics · Clinical rotations · common
A girl born at 28 weeks gestation is brought to the child health nurse for a routine review. She is now 5 months old by the calendar and has been home from the…
Paediatrics · Clinical rotations · common
An 81-year-old woman attends a Perth general practice for a diabetes review, accompanied by her son, who moved in with her this year and has driven her today. T…
Psychiatry · Clinical rotations · common
A 22-year-old apprentice electrician has recovered from a first episode of psychosis and is well on aripiprazole. He lives with his parents, has no debts, showe…
Psychiatry · Clinical rotations · common
A 34-year-old primary school teacher describes six months of constant worry, difficulty getting to sleep and irritability that is now affecting her teaching. Sh…
Psychiatry · Clinical rotations · common
A 29-year-old woman has had eight episodes over four months in which her heart pounds, she cannot get enough air, her hands tingle and she becomes certain she i…
Psychiatry · Clinical rotations · common