Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 785 questions.
A 7-year-old boy has had atopic dermatitis since infancy. Over two years his height has fallen from the 50th to the 10th centile, with weight falling in paralle…
Paediatrics · Clinical rotations · middle twist
A 6-year-old girl is referred because her teacher has noticed her stopping mid-sentence and staring for a few seconds, then carrying on as though nothing had ha…
Paediatrics · Clinical rotations · middle twist
A 13-year-old girl attends a general practice in the first week of September. Every year from the first week of October until Christmas she has a blocked, itchy…
Paediatrics · Clinical rotations · niche
A 5-year-old boy with spastic quadriplegic cerebral palsy is reviewed in a community clinic. His mother says every meal now takes 45 minutes, that he coughs and…
Paediatrics · Clinical rotations · middle twist
A 4-year-old girl has had bruises on her shins and trunk for three weeks. Her mother says she has become pale, tires on the walk to kindergarten and asks to be…
Paediatrics · Clinical rotations · common
A 16-month-old girl who arrived in Australia from overseas six months ago is brought to a general practice because she is not gaining weight. Her weight has fal…
Paediatrics · Clinical rotations · middle twist
A 7-month-old girl has had six hours of episodes in which she suddenly screams, draws her knees up and stiffens for a minute or two, then lies pale and floppy u…
Paediatrics · Clinical rotations · middle twist
A 13-year-old boy is brought to a general practice with three weeks of aching in his left knee and a limp his football coach has noticed. He weighs 82 kg. There…
Paediatrics · Clinical rotations · common
A 22-day-old boy born at term is brought to a rural emergency department because he felt hot. His rectal temperature is 38.4 degrees Celsius. He has fed normall…
Paediatrics · Clinical rotations · common
An 18-month-old girl is brought to the emergency department with two days of fever and irritability. She sits quietly on her mother's knee watching you, and sta…
Paediatrics · Clinical rotations · common
A 3-year-old girl has had fever and cough for two days. She is alert, sitting up and drinking, and her mother has a car and lives ten minutes from the hospital.…
Paediatrics · Clinical rotations · common
A 7-month-old boy has had a runny nose for three days and is now coughing, wheezing and breathing fast. This is his first such illness. Respiratory rate is 58 p…
Paediatrics · Clinical rotations · common
A 3-year-old boy has had a fever above 39 degrees Celsius for six days despite regular paracetamol. Both eyes are red without any discharge or crusting. His lip…
Paediatrics · Clinical rotations · middle twist
A 2-year-old boy whose parents were born in Vietnam has a blood test before starting childcare. He drinks about 700 mL of cow milk a day and refuses meat. He is…
Paediatrics · Clinical rotations · middle twist
A 3-year-old girl is brought in after her mother felt a lump in her tummy while bathing her. She is thriving, plays normally, and has had no fever, weight loss…
Paediatrics · Clinical rotations · common
A 4-day-old term boy, discharged home yesterday and feeding well until this morning, has vomited four times in six hours. The vomit is dark green. He passed mec…
Paediatrics · Clinical rotations · middle twist
A 9-year-old boy has two years of worsening exercise intolerance, drooping eyelids and newly fitted hearing aids. You take a family history to draw a pedigree.…
Paediatrics · Clinical rotations · middle twist
A 3-week-old boy has just had a pyloromyotomy for infantile hypertrophic pyloric stenosis. He is his parents' first child and neither parent nor any grandparent…
Paediatrics · Clinical rotations · middle twist
A couple in their early thirties have had three consecutive first-trimester miscarriages and have no living children. Both are well and neither has a family his…
Paediatrics · Clinical rotations · middle twist
A couple attend at nine weeks of a planned pregnancy. Their first child has cystic fibrosis, and both parents are known carriers of the same CFTR variant. They…
Paediatrics · Clinical rotations · common