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A 14-year-old girl has lost 9 kg over five months, restricts herself to about 800 kilojoules a day and exercises for two hours daily. Her heart rate is 58 beats…

Paediatrics · Pre-internship · middle twist

At an immunisation visit, the mother of a 3-year-old boy says he hits his 10-month-old sister several times a day, usually while she is being fed. She has tried…

Paediatrics · Clinical rotations · middle twist

A 5-year-old boy wets the bed on four nights each week and has never been dry for more than a few nights at a time. He has been dry by day since he was three, h…

Paediatrics · Clinical rotations · middle twist

A 15-year-old girl is seen alone at a general practice. During the psychosocial interview she says she has been cutting her left forearm most weeks for three mo…

Paediatrics · Pre-internship · middle twist

A 15-year-old girl attends a general practice with her mother because of four months of tiredness and a 6 kg weight loss. You explain that you see young people…

Paediatrics · Clinical rotations · common

A 7-year-old boy is referred because he is disruptive at school, cannot wait his turn, and is two years behind in reading. He has lived with his grandmother sin…

Paediatrics · Clinical rotations · niche

A 4-year-old boy is brought to a general practice for the third time this year, now with six weeks of night waking and new bedwetting after a year of being dry.…

Paediatrics · Pre-internship · common

A 4-year-old boy has been in foster care for a year, having been removed from his mother's care because of neglect. At kindergarten he walks up to visiting adul…

Paediatrics · Clinical rotations · middle twist

A 14-year-old girl has had daily tiredness and central abdominal pain for eight months and has attended school on only nine days this term. Full blood count, in…

Paediatrics · Pre-internship · middle twist

A 15-year-old girl has had six episodes over three months in which she falls to the floor and her arms and legs thrash irregularly for fifteen to twenty minutes…

Paediatrics · Clinical rotations · middle twist

A 9-year-old girl has had five months of intermittent central abdominal pain, worst on school mornings. Her parents separated six months ago and she has missed…

Paediatrics · Clinical rotations · middle twist

A 10-year-old boy is seen in a paediatric outpatient clinic. Over six months he has become irritable, has stopped playing soccer, which he loved, and takes over…

Paediatrics · Pre-internship · common

An 18-month-old boy is brought by his parents, who are alarmed that he bangs his head rhythmically against the cot rails for ten to fifteen minutes as he settle…

Paediatrics · Clinical rotations · common

A 14-year-old girl is brought by her mother because her marks have dropped over three months, she has quit netball, and she is irritable and withdrawn. Her pare…

Paediatrics · Pre-internship · middle twist

A 7-year-old girl's teacher reports that her schoolwork has fallen away this year and that she "drifts off". Her mother says that twenty or thirty times a day s…

Paediatrics · Clinical rotations · middle twist

An 8-year-old boy is brought in by his mother, who describes fourteen months of daily arguing with adults, deliberate refusal to follow instructions, blaming hi…

Paediatrics · Clinical rotations · middle twist

A 9-year-old boy has primary nocturnal enuresis with no daytime urinary symptoms, normal growth, normal blood pressure and a normal urinalysis. An eight-week al…

Paediatrics · Pre-internship · middle twist

A 7-week-old girl is brought in because she cries inconsolably for four to five hours each evening, drawing her legs up, and has done so since three weeks of ag…

Paediatrics · Clinical rotations · middle twist

A 2-year-old boy attends with his mother after his childcare educator commented that he "plays on his own". He walks and runs well, uses about sixty single word…

Paediatrics · Pre-internship · middle twist

A term 9-month-old boy is brought to the child health nurse. Over the past six weeks he has begun to cry when his grandmother, whom he sees weekly, picks him up…

Paediatrics · Clinical rotations · common