Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 382 questions.
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 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
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
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 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
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
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
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
A 2-year-old boy weighing 13 kg is brought to the emergency department 40 minutes after his mother found him beside her open bottle of iron tablets, with an ora…
Paediatrics · Clinical rotations · middle twist
A mother brings her 18-month-old son to the general practice for a routine check. Her own mother has just moved in and keeps her tablets in a weekly pill organi…
Paediatrics · Clinical rotations · middle twist
An 18-month-old boy is brought to a rural emergency department after being found in a farm shed beside a spilt container, with his clothing wet. He is drowsy bu…
Paediatrics · Clinical rotations · middle twist
A two-year-old boy is brought to a regional emergency department 30 minutes after drinking from a soft drink bottle in the garage that his father had filled wit…
Paediatrics · Clinical rotations · middle twist
A public health registrar is reviewing a local council's childhood injury prevention plan after a rise in emergency department presentations for household poiso…
Paediatrics · Clinical rotations · middle twist
A 6-year-old girl weighing 20 kg is admitted with severe gastroenteritis. She was shocked on arrival and was given sodium chloride 0.9% 400 mL intravenously ove…
Paediatrics · Clinical rotations · middle twist
A 5-week-old boy has vomited after feeds for three weeks. The milk now comes back forcefully enough to reach the floor, and he immediately wants to feed again.…
Paediatrics · Clinical rotations · middle twist
A 5-year-old boy weighing 20 kg is admitted with bacterial meningitis. He is alert, his peripheries are warm with capillary refill under two seconds, and his mu…
Paediatrics · Clinical rotations · middle twist
A 12-month audit of a paediatric ward identifies four prescriptions in which a weight-based dose was written ten times higher than intended; two of these reache…
Paediatrics · Clinical rotations · middle twist
A 31-year-old woman weighing 60 kg restarts sertraline 100 mg daily for recurrent depression. She is exclusively breastfeeding a healthy, thriving 4-month-old b…
Paediatrics · Clinical rotations · middle twist
A 7-year-old boy has had atopic dermatitis since infancy. Over two years his height has fallen from the 50th to the 10th centile, with weight falling in paralle…
Paediatrics · Clinical rotations · middle twist