Pre-internship
The harder call — the unwell patient, escalation, prioritisation, prescribing detail, ethics and law. 456 questions.
A father telephones the emergency department. Twenty minutes ago he found his 20-month-old daughter with the back of the television remote prised open and one o…
Paediatrics · Pre-internship · middle twist
Several people are brought to a metropolitan emergency department after a chemical was deliberately released in a shopping centre. A six-year-old girl weighing…
Paediatrics · Pre-internship · niche
A three-year-old girl is brought to a regional emergency department 30 minutes after drinking from an unlabelled bottle her father had decanted drain cleaner in…
Paediatrics · Pre-internship · middle twist
A two-year-old girl weighing 12 kg is brought to a regional emergency department 90 minutes after being found with her mother's iron tablets. The pack accounts…
Paediatrics · Pre-internship · middle twist
A 20-month-old girl is brought to a metropolitan emergency department 45 minutes after her brother saw her swallow a 20 mm lithium button battery from a remote…
Paediatrics · Pre-internship · niche
A 15-year-old boy weighing 60 kg presents to a metropolitan emergency department six hours after swallowing forty paracetamol 500 mg tablets in one go. He has v…
Paediatrics · Pre-internship · middle twist
A three-year-old girl weighing 14 kg is found with her grandmother's dose administration aid, which contains amitriptyline. Two hours later she is drowsy with 5…
Paediatrics · Pre-internship · middle twist
A two-year-old girl is brought to the emergency department 40 minutes after her mother saw her swallow an unknown number of the grandmother's paracetamol tablet…
Paediatrics · Pre-internship · middle twist
A five-month-old boy is brought to a regional emergency department at 2 am because he cannot be roused. His respiratory rate is 12 per minute and his pupils are…
Paediatrics · Pre-internship · middle twist
You are the resident covering an after-hours paediatric telephone line. The mother of a two-year-old boy rings about his second day of gastroenteritis. He was r…
Paediatrics · Pre-internship · common
An 18-month-old girl weighing 10.0 kg has had four days of diarrhoea and has been given water and diluted cordial at home. She is lethargic with a doughy feel t…
Paediatrics · Pre-internship · niche
A 10-year-old boy weighing 32 kg is admitted to the ward for observation after an appendicectomy. He is comfortable, normotensive and well perfused, has not vom…
Paediatrics · Pre-internship · middle twist
A 7-month-old boy has had 18 hours of loose stools and two vomits. His mother says the nappies are as wet as usual and he is still breastfeeding well. He is ale…
Paediatrics · Pre-internship · middle twist
A 4-year-old girl is admitted with four days of diarrhoea. She is 10 per cent dehydrated but not shocked, and her serum sodium on arrival is 172 mmol/L (135-145…
Paediatrics · Pre-internship · middle twist
A 3-year-old boy is seen in general practice with a two-day blanching viral rash and is otherwise well. He is eating, playing and having his usual number of wet…
Paediatrics · Pre-internship · niche
An 8-year-old girl with chronic kidney disease is brought in vomiting after missing two dialysis sessions. She is alert and her blood pressure is 128/78 mmHg. S…
Paediatrics · Pre-internship · common
A 3-year-old boy weighing 15 kg has had two days of profuse vomiting and diarrhoea. On arrival he was drowsy with cold mottled legs, capillary refill of five se…
Paediatrics · Pre-internship · middle twist
A 9-year-old girl is on day three of treatment for pneumococcal meningitis and has been receiving intravenous sodium chloride 0.9% with glucose 5% at full maint…
Paediatrics · Pre-internship · niche
A 14-month-old boy is being discharged with amoxicillin oral suspension to be given three times a day for five days. His mother arrived in Australia four months…
Paediatrics · Pre-internship · middle twist
A 3-year-old boy weighing 18 kg has a bulging left tympanic membrane with purulent discharge in the ear canal, and antibiotic treatment is indicated. He is at l…
Paediatrics · Pre-internship · middle twist