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A 15-year-old girl has never had a period. Her breasts and pubic hair have been fully developed and unchanged for about a year, and she has grown 1 cm in the pa…

Paediatrics · Pre-internship · niche

A 14-year-old boy is brought in by both parents, who are worried that he is the shortest in his year and has not started to change. His height has followed the…

Paediatrics · Clinical rotations · niche

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 16-year-old girl attends a Perth general practice on her own and asks for the contraceptive pill. She has been with her 17-year-old boyfriend for a year and t…

Paediatrics · Clinical rotations · common

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 6-year-old boy with laboratory-confirmed SARS-CoV-2 infection is admitted to a paediatric ward. Over an hour his oxygen saturation falls to 88 per cent on 6 L…

Paediatrics · Pre-internship · common

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 16-year-old girl asks you to sign a clearance form for state-level netball. Twice this year she has collapsed without warning, once in the third quarter of a…

Paediatrics · Pre-internship · common

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 4-year-old girl is brought to a Perth general practice by her mother and her mother's partner because of six months of intermittent abdominal pain. She has mi…

Paediatrics · Clinical rotations · common

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 13-year-old boy who received a kidney transplant two years ago attends the renal clinic. He takes tacrolimus and mycophenolate and his graft function is stabl…

Paediatrics · Pre-internship · niche

A 16-week-old girl is brought to a general practice by her family, who arrived in Australia three weeks ago. She has no immunisation records and her parents are…

Paediatrics · Pre-internship · niche

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