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 16-year-old boy has had a moderate depressive episode for five months. He has completed eight sessions of cognitive behavioural therapy with a psychologist an…

Paediatrics · Pre-internship · 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 16-year-old boy is brought to a regional emergency department by his mother, who found messages in which he described wanting to die. Seen alone, he says he h…

Paediatrics · Pre-internship · middle twist

A 17-year-old girl asks for help to stop vaping. She has used a disposable device every day for two years, now wakes at night to use it, and has failed three at…

Paediatrics · Pre-internship · middle twist

A 16-year-old girl attends with three months of worsening acne. There are deep tender lumps on both cheeks and along the jaw, two of them discharging, and four…

Paediatrics · Pre-internship · 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

A 16-year-old girl attends a Perth general practice for a repeat asthma prescription. She spent a term of Year 7 overseas and her immunisation record shows no d…

Paediatrics · Clinical rotations · middle twist

A 7-year-old girl is brought to a general practice because over six months she has developed underarm odour and a few dark hairs in the pubic area. Her mother i…

Paediatrics · Clinical rotations · middle twist

A 14-year-old girl attends a Perth general practice alone and asks for emergency contraception after a condom broke last night. She tells you she has been seein…

Paediatrics · Pre-internship · middle twist

A 15-year-old boy who lives on a wheat farm 300 km from Perth is brought in by his mother after she found a note in his room. He tells you that for the past mon…

Paediatrics · Pre-internship · middle twist

A 14-month-old boy is brought to a regional emergency department with a scald to his left forearm and hand. He had been sitting in the bath and turned the hot t…

Paediatrics · Clinical rotations · middle twist

A 9-week-old girl is brought to a regional emergency department with three weeks of cough. Her mother describes bouts of coughing that leave her red in the face…

Paediatrics · Clinical rotations · middle twist

A 15-year-old boy attends for clearance to play first-grade school football. He has never had chest pain or blackouts and keeps up with the fittest boys at trai…

Paediatrics · Clinical rotations · middle twist

A 3-year-old boy is in the emergency department of a Perth hospital with a forearm fracture after falling from a trampoline. While you are applying the backslab…

Paediatrics · Pre-internship · middle twist

A 5-year-old boy with steroid-sensitive nephrotic syndrome finished a six-week course of oral prednisolone 2 mg/kg daily yesterday. He is in remission, is well…

Paediatrics · Pre-internship · middle twist

A 12-month-old girl is brought to a general practice in Perth for her scheduled immunisations, which include measles-mumps-rubella and meningococcal ACWY vaccin…

Paediatrics · Clinical rotations · middle twist

A 4-month-old Aboriginal boy attends an Aboriginal Medical Service for his scheduled immunisations. He was born at term, is well, and received all of his 6-week…

Paediatrics · Clinical rotations · middle twist

A 5-month-old boy is brought to the emergency department by his parents because he has been unsettled overnight. He is well grown, afebrile and feeding normally…

Paediatrics · Pre-internship · middle twist

An 18-month-old boy is brought to a general practice for a routine check. He walked at 11 months, now runs everywhere, climbs onto the kitchen bench and has lea…

Paediatrics · Clinical rotations · middle twist