Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 382 questions.
A 6-year-old girl is referred because her teacher has noticed her stopping mid-sentence and staring for a few seconds, then carrying on as though nothing had ha…
Paediatrics · Clinical rotations · middle twist
A 5-year-old boy with spastic quadriplegic cerebral palsy is reviewed in a community clinic. His mother says every meal now takes 45 minutes, that he coughs and…
Paediatrics · Clinical rotations · middle twist
A 16-month-old girl who arrived in Australia from overseas six months ago is brought to a general practice because she is not gaining weight. Her weight has fal…
Paediatrics · Clinical rotations · middle twist
A 7-month-old girl has had six hours of episodes in which she suddenly screams, draws her knees up and stiffens for a minute or two, then lies pale and floppy u…
Paediatrics · Clinical rotations · middle twist
A 3-year-old boy has had a fever above 39 degrees Celsius for six days despite regular paracetamol. Both eyes are red without any discharge or crusting. His lip…
Paediatrics · Clinical rotations · middle twist
A 2-year-old boy whose parents were born in Vietnam has a blood test before starting childcare. He drinks about 700 mL of cow milk a day and refuses meat. He is…
Paediatrics · Clinical rotations · middle twist
A 4-day-old term boy, discharged home yesterday and feeding well until this morning, has vomited four times in six hours. The vomit is dark green. He passed mec…
Paediatrics · Clinical rotations · middle twist
A 9-year-old boy has two years of worsening exercise intolerance, drooping eyelids and newly fitted hearing aids. You take a family history to draw a pedigree.…
Paediatrics · Clinical rotations · middle twist
A 3-week-old boy has just had a pyloromyotomy for infantile hypertrophic pyloric stenosis. He is his parents' first child and neither parent nor any grandparent…
Paediatrics · Clinical rotations · middle twist
A couple in their early thirties have had three consecutive first-trimester miscarriages and have no living children. Both are well and neither has a family his…
Paediatrics · Clinical rotations · middle twist
A term girl weighing 2.6 kg is examined before discharge. The backs of both hands and both feet are puffy and doughy, and there is loose redundant skin over the…
Paediatrics · Clinical rotations · middle twist
A girl born at 38 weeks weighs 2.2 kg and her head circumference is well below the third centile. Scattered purple-red spots over the trunk do not blanch, and t…
Paediatrics · Clinical rotations · middle twist
A five-week-old exclusively breastfed boy is brought to the general practitioner because he is still yellow. He was born at term weighing 3.4 kg and now weighs…
Paediatrics · Clinical rotations · middle twist
A woman who has had no antenatal care presents in advanced labour and gives birth to a boy weighing 2350 g. She is unsure of her dates and there has been no ult…
Paediatrics · Clinical rotations · middle twist
A boy born at 39 weeks by spontaneous vaginal birth is 60 hours old. He has a high-pitched cry, tremors when he is undressed, sneezes repeatedly and takes the b…
Paediatrics · Clinical rotations · middle twist
A 16-year-old girl attends her general practice for a routine health check required before a school leadership camp. She is well, her growth is on the 50th cent…
Paediatrics · Clinical rotations · middle twist
A 16-year-old netballer attends for a pre-participation examination. She is asymptomatic. The femoral pulses are strong and synchronous with the radial pulses.…
Paediatrics · Clinical rotations · middle twist
A 15-year-old boy attends a bulk-billing general practice alone for a sports injury certificate. You have completed a psychosocial screen covering home, school,…
Paediatrics · Clinical rotations · middle twist
A 15-year-old girl is brought by her father because her marks have fallen from the top band to failing over two school terms. She has given up netball, which sh…
Paediatrics · Clinical rotations · middle twist
A 13-year-old girl attends with her mother for a check before she starts high school sport. Her mother's cousin wore a spinal brace as a teenager, and she asks…
Paediatrics · Clinical rotations · middle twist