Middle twist
One twist — a threshold, a comorbidity, an atypical presentation. 741 questions.
A 12-year-old boy attends with his mother. His body mass index for age is above the 99.7th percentile on his growth chart, having been on the 92nd percentile at…
Paediatrics · Pre-internship · middle twist
A 5-month-old boy is brought by his mother, who has been told at the child health clinic that he is under the line and is frightened that something is being mis…
Paediatrics · Clinical rotations · middle twist
A 7-year-old girl is brought because her school photograph shows her much shorter than her friends. At 4 years of age her height and weight were both on the 50t…
Paediatrics · Clinical rotations · middle twist
A 14-year-old boy is brought by his mother because he is the shortest in his class and is being teased. His height has followed a line just below the 3rd percen…
Paediatrics · Clinical rotations · middle twist
A 9-month-old boy is brought by his mother, who has been told at day care that his head looks big and who asks whether he needs a scan. His head circumference h…
Paediatrics · Clinical rotations · middle twist
A 6-month-old boy attends with his mother for a routine check. He is exclusively breastfed, thriving and well, and has had no solid food. He has had moderate ec…
Paediatrics · Clinical rotations · middle twist
A 13-year-old boy who received a deceased-donor kidney transplant eighteen months ago attends the general practice with his mother. He takes tacrolimus, mycophe…
Paediatrics · Pre-internship · middle twist
A boy born at 30 weeks gestation attends the child health nurse at 9 months of age. His mother has completed the Ages and Stages Questionnaire using his date of…
Paediatrics · Clinical rotations · middle twist
A 4-year-old girl attends her preschool vision screening in the year before she starts school. She is well, has no complaints, and her parents have noticed noth…
Paediatrics · Clinical rotations · middle twist
You are the resident in a paediatric outpatient clinic. A 15-year-old boy attends for review of his asthma, which is well controlled. At the start you explained…
Paediatrics · Pre-internship · middle twist
A 20-month-old boy attends for his 18-month health check in an outer suburb of Perth. He walks confidently, climbs onto the kitchen bench and opens cupboards. T…
Paediatrics · Clinical rotations · middle twist
A 17-year-old girl attends a general practice for a pre-employment medical. The Australian Immunisation Register shows she received one dose of nine-valent huma…
Paediatrics · Clinical rotations · middle twist
A 9-week-old boy has a full blood count taken when an intravenous cannula is inserted before an inguinal hernia repair. He was born at 39 weeks weighing 3300 g,…
Paediatrics · Clinical rotations · middle twist
You are asked to chart regular paracetamol for a 14-year-old boy on the first day after an open appendicectomy. He weighs 68 kg and is 174 cm tall. He has no li…
Paediatrics · Pre-internship · middle twist
A 4-month-old boy attends for his scheduled immunisations. He was born at term and is thriving. The right hemiscrotum is empty and underdeveloped. The right tes…
Paediatrics · Pre-internship · middle twist
A 10-month-old girl is brought by her mother, who has noticed that in photographs taken with a flash the left pupil looks white while the right glows red. The g…
Paediatrics · Clinical rotations · middle twist
A 10-day-old girl is reviewed before discharge from the special care nursery, where she was admitted for feeding support. She was born at 38 weeks in a frank br…
Paediatrics · Pre-internship · middle twist
You are the intern on the postnatal ward. A healthy term boy was born two hours ago weighing 3400 g. After a full discussion of the risks, both parents decline…
Paediatrics · Pre-internship · middle twist
A 5-week-old girl is brought to the emergency department after two episodes of vomiting and an hour of unusual drowsiness. She was born at home at term after an…
Paediatrics · Clinical rotations · middle twist
A 40-year-old man who came to Australia from Iraq as a refugee eight years ago attends a general practice with six months of broken sleep, nightmares and daily…
Psychiatry · Clinical rotations · middle twist