Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 785 questions.
A boy is born at 39 weeks weighing 2.5 kg to a woman with epilepsy who took a single antiepileptic drug throughout the pregnancy. He has a broad flat nasal brid…
Paediatrics · Clinical rotations · niche
A 7-day-old breastfed girl is admitted with a two-day history of poor feeding and vomiting. She is deeply jaundiced, lethargic and hypothermic, with a liver edg…
Paediatrics · Clinical rotations · niche
A term girl weighing 2.6 kg is examined before discharge. The backs of both hands and both feet are puffy and doughy, and there is loose redundant skin over the…
Paediatrics · Clinical rotations · middle twist
At the six-week check, the mother of a healthy breastfed girl says she is so tired that for the second half of most nights she brings the baby into her own bed.…
Paediatrics · Clinical rotations · common
You examine a 2-day-old girl before discharge from the postnatal ward. She was born by caesarean section at 38 weeks for persistent breech presentation and is h…
Paediatrics · Clinical rotations · common
A woman in preterm labour at 29 weeks is given betamethasone and transferred to a tertiary centre. Antenatal ultrasound and screening have all been normal and t…
Paediatrics · Clinical rotations · common
A boy is born at 39 weeks weighing 4450 g to a woman whose gestational diabetes required insulin from 28 weeks. The birth was complicated by shoulder dystocia r…
Paediatrics · Clinical rotations · common
A girl born at 38 weeks weighs 2.2 kg and her head circumference is well below the third centile. Scattered purple-red spots over the trunk do not blanch, and t…
Paediatrics · Clinical rotations · middle twist
A five-week-old exclusively breastfed boy is brought to the general practitioner because he is still yellow. He was born at term weighing 3.4 kg and now weighs…
Paediatrics · Clinical rotations · middle twist
A 29-year-old woman brings her six-week-old first baby to the general practice for his immunisations. Asked how she is, she says she has felt flat since about t…
Paediatrics · Clinical rotations · common
A woman who has had no antenatal care presents in advanced labour and gives birth to a boy weighing 2350 g. She is unsure of her dates and there has been no ult…
Paediatrics · Clinical rotations · middle twist
A boy born at 39 weeks by spontaneous vaginal birth is 60 hours old. He has a high-pitched cry, tremors when he is undressed, sneezes repeatedly and takes the b…
Paediatrics · Clinical rotations · middle twist
A boy is born at 39 weeks by normal vaginal birth and cries immediately. He is dried, weighed and then bathed by a student midwife before being wrapped and plac…
Paediatrics · Clinical rotations · common
A 16-year-old girl attends her general practice for a routine health check required before a school leadership camp. She is well, her growth is on the 50th cent…
Paediatrics · Clinical rotations · middle twist
A 16-year-old netballer attends for a pre-participation examination. She is asymptomatic. The femoral pulses are strong and synchronous with the radial pulses.…
Paediatrics · Clinical rotations · middle twist
A 16-year-old girl attends a suburban general practice with her mother because of headaches over three months. Examination, including fundoscopy and blood press…
Paediatrics · Clinical rotations · common
A 15-year-old boy is brought to a general practice by his exasperated mother. Over the past year he has argued about every household rule, dyed his hair, spends…
Paediatrics · Clinical rotations · common
A 14-year-old girl who has had type 1 diabetes since she was eight is reviewed in the paediatric diabetes clinic. Her glycated haemoglobin has risen over twelve…
Paediatrics · Clinical rotations · common
A 15-year-old boy attends a bulk-billing general practice alone for a sports injury certificate. You have completed a psychosocial screen covering home, school,…
Paediatrics · Clinical rotations · middle twist
A 15-year-old girl is brought by her father because her marks have fallen from the top band to failing over two school terms. She has given up netball, which sh…
Paediatrics · Clinical rotations · middle twist