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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

An 8-year-old boy who had a right tympanostomy tube inserted last year has a two-week history of an itchy, discharging right ear after swimming lessons. He has…

Paediatrics · Pre-internship · niche

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 5-year-old boy has had a clear runny nose and a dry night cough for four days. He is afebrile and eating normally, and his chest, throat and ears are normal.…

Paediatrics · Pre-internship · 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 woman telephones the practice about her 3-week-old, who was born at term and is thriving on exclusive breastfeeding. Yesterday another doctor started her on a…

Paediatrics · Pre-internship · middle twist

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

A 15-year-old boy with Crohn disease attends a routine clinic review with his mother. He has lost 4 kg in three months and has missed a third of school days thi…

Paediatrics · Pre-internship · common

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

An 8-month-old boy is brought to a general practice with six weeks of dry, pink, scaly patches on both cheeks and around the mouth. He rubs at them and wakes se…

Paediatrics · Pre-internship · niche

A 15-year-old girl attends a general practice for a repeat of her salbutamol inhaler. She has had asthma since childhood. She uses salbutamol two or three times…

Paediatrics · Pre-internship · middle twist

The bone marrow result for a 4-year-old girl admitted with pallor and bruising has confirmed acute lymphoblastic leukaemia. You are to be present while the cons…

Paediatrics · Pre-internship · common

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 12-year-old Aboriginal girl from a remote community has been admitted to a tertiary hospital with newly diagnosed type 1 diabetes. English is the family's fir…

Paediatrics · Pre-internship · middle twist

A 6-year-old boy with cystic fibrosis is admitted for his third pulmonary exacerbation this year. His mother tells the team she resigned from her job to manage…

Paediatrics · Pre-internship · common

A 15-year-old girl with type 1 diabetes since the age of nine attends the clinic with her father. Her glycated haemoglobin has risen steadily over 12 months. He…

Paediatrics · Pre-internship · middle twist

A 7-year-old boy has had atopic dermatitis since infancy. His skin is currently red, thickened and excoriated across both antecubital and popliteal fossae and h…

Paediatrics · Pre-internship · middle twist

A 9-year-old girl with newly diagnosed type 1 diabetes has been on the paediatric ward for eight hours receiving intravenous fluid and an insulin infusion for k…

Paediatrics · Pre-internship · niche