Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 785 questions.
A three-year-old boy weighing 15 kg is brought to the emergency department 90 minutes after his parents found him with an open bottle of perfume containing 60%…
Paediatrics · Clinical rotations · common
An Australian poisons information centre is reviewing the 4200 calls it took last year about children younger than 16 years, so that it can direct a prevention…
Paediatrics · Clinical rotations · common
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 14-year-old girl is brought to the emergency department by her mother three hours after being found crying in her bedroom beside an empty packet of ibuprofen…
Paediatrics · Clinical rotations · common
A 14-month-old girl is brought to a rural general practice with three days of watery diarrhoea and vomiting. She is alert and playing, her lips are dry, her cap…
Paediatrics · Clinical rotations · common
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 3-year-old girl weighing 14 kg is admitted with a fractured femur and placed in traction. She is comfortable on regular analgesia, well perfused, has moist mu…
Paediatrics · Clinical rotations · common
A 2-year-old girl has had 24 hours of vomiting and watery diarrhoea. She is alert and irritable, her mucous membranes are dry, her father thinks her eyes look s…
Paediatrics · Clinical rotations · common
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
An 11-month-old boy weighing 10 kg has had 36 hours of watery diarrhoea and vomiting. He lies quietly in his mother's arms and opens his eyes when spoken to. Hi…
Paediatrics · Clinical rotations · common
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 3-year-old girl has a red bulging left tympanic membrane. She is afebrile, has had no ear discharge, and is playing in the waiting room. She is not Aboriginal…
Paediatrics · Clinical rotations · common
A 4-year-old girl weighing 20 kg has acute otitis media and is lethargic and pale, so antibiotics are indicated. You have decided on amoxicillin 15 mg/kg, to a…
Paediatrics · Clinical rotations · common
A 12-year-old boy weighing 42 kg has multiple crusted impetigo lesions on both legs and needs oral antibiotic therapy. The recommended regimen is flucloxacillin…
Paediatrics · Clinical rotations · common
You are the evening intern on a paediatric ward. The consultant asks you to chart an oral medicine you have not prescribed before for a 3-year-old girl weighing…
Paediatrics · Clinical rotations · common
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 20-month-old boy has had two days of fever and disturbed sleep, waking crying and pulling at both ears. His temperature is 38.9 degrees Celsius. Both tympanic…
Paediatrics · Clinical rotations · common
A 5-month-old boy born at term has had a runny nose for three days and is now feeding poorly. His temperature is 37.8 degrees Celsius and respiratory rate 56, w…
Paediatrics · Clinical rotations · common
A 7-year-old girl returns from a camping trip in far north Queensland with five days of fever, headache and severe myalgia. There is a 1 cm black-crusted ulcer…
Paediatrics · Clinical rotations · niche
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