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A 14-year-old boy is brought by his parents because he is the shortest in his class and has no signs of puberty. His height is on the 3rd centile and he has gro…

Paediatrics · Clinical rotations · middle twist

A 14-year-old boy attends the general practice with his mother because his school marks have collapsed over two terms and he has begun refusing to go on Monday…

Paediatrics · Pre-internship · middle twist

A term-born 10-month-old boy attends for his routine child health check. He sits unsupported, crawls, pulls to stand and transfers objects between his hands; he…

Paediatrics · Clinical rotations · middle twist

A 9-year-old boy is brought by his mother, who has completed a standardised parent rating scale scoring highly for inattention and hyperactivity. She says he ca…

Paediatrics · Clinical rotations · middle twist

An 18-month-old boy is brought back to the general practice by his father. At his 15-month check he was walking, waving goodbye, using eight words and handing h…

Paediatrics · Pre-internship · middle twist

A boy born at 28 weeks gestation is brought to the general practice at 20 months of age because he is not yet walking. He was discharged home at term with no in…

Paediatrics · Pre-internship · middle twist

A 3-year-old boy is assessed because he is behind his twin sister. He walked at 22 months and now runs stiffly but symmetrically; tone, power and deep tendon re…

Paediatrics · Clinical rotations · middle twist

A 30-month-old boy is reviewed after the practice nurse completed an Ages and Stages Questionnaire with his mother. He scores below the cut-off for communicatio…

Paediatrics · Pre-internship · middle twist

A 24-month-old boy attends for a developmental check. He runs, walks up stairs holding the rail and kicks a ball. He builds a tower of six blocks, turns the pag…

Paediatrics · Clinical rotations · common

A 7-month-old girl is brought to a rural general practice. Her weight has fallen from the 50th centile to below the 0.4th centile over three months; her length…

Paediatrics · Pre-internship · middle twist

A 6-year-old boy is seen for a routine check. His mother says he has always been "solidly built", like his father. He is 1.18 m tall and weighs 30 kg, giving a…

Paediatrics · Clinical rotations · common

A 7-month-old boy is brought to the emergency department by his 19-year-old mother because of a cold. His weight has crossed from the 50th percentile at 4 month…

Paediatrics · Pre-internship · middle twist

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 4-month-old girl is referred because her head circumference has fallen from the 25th percentile at birth to below the 3rd percentile. She was born at 39 weeks…

Paediatrics · Clinical rotations · niche

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 15-year-old boy attends for a sports participation certificate. He mentions that his parents give him a glass of wine with Sunday dinner so that he learns to…

Paediatrics · Clinical rotations · common

A 14-year-old boy attends the general practice with his father because of headaches on most school days for three months. His neurological examination, includin…

Paediatrics · Pre-internship · common