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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 4-year-old boy attends for a preschool health check. His parents want to move him into the booster seat his 7-year-old sister has outgrown, because he says hi…

Paediatrics · Clinical rotations · niche

A midwife makes a home visit to a 2-week-old girl. She was born at term, is exclusively breastfed and has regained her birth weight. Her mother is exhausted and…

Paediatrics · Clinical rotations · common

A woman who is 19 weeks pregnant with her second child asks what she can do to protect the new baby from whooping cough. Her 2-year-old daughter is fully immuni…

Paediatrics · Pre-internship · common

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

You are the intern on the postnatal ward. The newborn screening laboratory telephones about a 5-day-old girl: the immunoreactive trypsinogen was raised on the b…

Paediatrics · Pre-internship · common

A 3-year-old boy is brought to the general practice because he uses only about twenty single words and no two-word phrases. He passed his newborn hearing screen…

Paediatrics · Pre-internship · common

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 14-year-old boy attends the renal clinic. He received a deceased-donor kidney transplant at age 9 and takes tacrolimus, mycophenolate and low-dose prednisolon…

Paediatrics · Pre-internship · niche

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 12-year-old boy had blood taken during a work-up for recurrent abdominal pain, which has since settled without treatment. He is well, is Tanner stage 3, and h…

Paediatrics · Pre-internship · niche

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

A medical student writes a medication order on the chart of a 3-year-old girl weighing 14 kg who has been admitted with an asthma exacerbation. The order reads:…

Paediatrics · Clinical rotations · common

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 15-year-old girl attends the general practice with her mother because of four months of daily headaches. Her mother answers every question, describes the head…

Paediatrics · Clinical rotations · common

You are the intern on the paediatric ward. A 2-year-old girl admitted with gastroenteritis needs a nasogastric tube for rehydration. Her parents arrived in Aust…

Paediatrics · Pre-internship · common

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