Middle twist

You are the intern in a regional hospital's paediatric outpatient clinic. A 3-year-old Aboriginal boy has bilateral middle ear effusions and a 35 dB conductive…

Paediatrics · Pre-internship · middle twist

A coastal local government area has recorded four drownings of children under five years of age in five years, every one of them in a backyard swimming pool at…

Paediatrics · Pre-internship · middle twist

A local health district in western Sydney surveys its primary schools and finds that one in three children aged 5 to 12 years is above the healthy weight range,…

Paediatrics · Clinical rotations · middle twist

You are the intern on a Perth paediatric ward. Over three weeks you admit four toddlers from the same remote community with extensive impetigo, and a fifth chil…

Paediatrics · Pre-internship · middle twist

You are a general practice registrar in a Western Australian coastal town of 6000 people. Over the past year the proportion of five-year-olds recorded as fully…

Paediatrics · Clinical rotations · middle twist

You are a junior doctor at a regional Western Australian hospital. Hospital data show that Aboriginal children in the district are admitted with skin infections…

Paediatrics · Pre-internship · middle twist

A Perth tertiary hospital's ear, nose and throat department plans a programme to reduce chronic suppurative otitis media in a remote Aboriginal community 1500 k…

Paediatrics · Clinical rotations · middle twist

You are a general practice registrar in Perth. A 3-year-old boy attends with his mother for a routine pre-kindergarten review recorded in his personal health re…

Paediatrics · Pre-internship · middle twist

A 6-year-old Aboriginal boy attends a Perth general practice with his mother for a certificate to return to school after chickenpox. He is well, fully immunised…

Paediatrics · Clinical rotations · middle twist

A 6-year-old girl with spastic diplegic cerebral palsy attends a Perth outpatient clinic. She needs continuing physiotherapy and speech pathology to preserve fu…

Paediatrics · Pre-internship · middle twist

A 4-year-old Aboriginal boy from a remote Kimberley community has bilateral chronic suppurative otitis media with a 35 dB conductive hearing loss and delayed sp…

Paediatrics · Clinical rotations · middle twist

You are the intern on a Perth paediatric ward. A 6-year-old girl admitted with pneumonia tells you that a family friend does rude things to her when he babysits…

Paediatrics · Pre-internship · middle twist

A 9-year-old girl is brought to a Perth emergency department by her mother at 9 pm. At triage she told the nurse that her mother's partner puts his hands inside…

Paediatrics · Pre-internship · middle twist

You are the intern caring for a 3-year-old boy admitted with bronchiolitis at a Perth hospital. On the second night his mother tells you that his father drinks…

Paediatrics · Pre-internship · middle twist

A 3-year-old girl attends a rural general practice for the fourth time in six months, twice with minor bruises and twice with abdominal pain. Dry at night for a…

Paediatrics · Clinical rotations · middle twist

At 2 am you are the intern who admits a 2-year-old girl with a spiral fracture of the humeral shaft and bruising over the upper arm and back, for which her pare…

Paediatrics · Pre-internship · middle twist

A 4-year-old boy is brought to a Perth emergency department with a swollen, bruised left forearm. At triage his mother said he fell from a kitchen chair. When y…

Paediatrics · Clinical rotations · middle twist

A 2-year-old girl is brought to the emergency department by her father after falling from a play structure onto grass. She is walking, playing and interactive,…

Paediatrics · Clinical rotations · middle twist

You are discharging a 5-week-old boy after an admission with bronchiolitis. His mother smokes ten cigarettes a day outdoors. She tells you she is so exhausted t…

Paediatrics · Pre-internship · middle twist

A previously well 2-year-old boy has passed two large, dark red stools today. He has had no abdominal pain, has not drawn up his legs, has not vomited and has h…

Paediatrics · Clinical rotations · middle twist