Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 785 questions.
A 12-year-old Aboriginal boy is seen at a community clinic for a sports form. His body mass index is well above the 95th centile for age. His mother mentions th…
Paediatrics · Clinical rotations · middle twist
A 5-month-old boy is brought to a regional general practice because he "is not filling out". Born at term weighing 3.4 kg, he tracked along the 50th centile unt…
Paediatrics · Clinical rotations · middle twist
A 9-month-old boy is brought by his mother, who is worried he is too small because her sister's baby of the same age is much bigger. He was born at term weighin…
Paediatrics · Clinical rotations · middle twist
A 20-month-old boy of Greek-Australian parents is investigated for pallor and irritability. He drinks about 1.2 litres of full-cream milk a day from a bottle, i…
Paediatrics · Clinical rotations · middle twist
A 29-year-old woman is seen on day four after an uncomplicated vaginal birth. Both breasts are firm, hot and uncomfortable, the skin is shiny, and the areolae a…
Paediatrics · Clinical rotations · common
At an immunisation visit, the mother of a 3-year-old boy says he hits his 10-month-old sister several times a day, usually while she is being fed. She has tried…
Paediatrics · Clinical rotations · middle twist
A 5-year-old boy wets the bed on four nights each week and has never been dry for more than a few nights at a time. He has been dry by day since he was three, h…
Paediatrics · Clinical rotations · middle twist
A 15-year-old girl attends a general practice with her mother because of four months of tiredness and a 6 kg weight loss. You explain that you see young people…
Paediatrics · Clinical rotations · common
A 7-year-old boy is referred because he is disruptive at school, cannot wait his turn, and is two years behind in reading. He has lived with his grandmother sin…
Paediatrics · Clinical rotations · niche
A 4-year-old boy has been in foster care for a year, having been removed from his mother's care because of neglect. At kindergarten he walks up to visiting adul…
Paediatrics · Clinical rotations · middle twist
A 15-year-old girl has had six episodes over three months in which she falls to the floor and her arms and legs thrash irregularly for fifteen to twenty minutes…
Paediatrics · Clinical rotations · middle twist
A 9-year-old girl has had five months of intermittent central abdominal pain, worst on school mornings. Her parents separated six months ago and she has missed…
Paediatrics · Clinical rotations · middle twist
An 18-month-old boy is brought by his parents, who are alarmed that he bangs his head rhythmically against the cot rails for ten to fifteen minutes as he settle…
Paediatrics · Clinical rotations · common
A 7-year-old girl's teacher reports that her schoolwork has fallen away this year and that she "drifts off". Her mother says that twenty or thirty times a day s…
Paediatrics · Clinical rotations · middle twist
An 8-year-old boy is brought in by his mother, who describes fourteen months of daily arguing with adults, deliberate refusal to follow instructions, blaming hi…
Paediatrics · Clinical rotations · middle twist
A 7-week-old girl is brought in because she cries inconsolably for four to five hours each evening, drawing her legs up, and has done so since three weeks of ag…
Paediatrics · Clinical rotations · middle twist
A term 9-month-old boy is brought to the child health nurse. Over the past six weeks he has begun to cry when his grandmother, whom he sees weekly, picks him up…
Paediatrics · Clinical rotations · common
A 14-year-old boy is brought by his parents because he is the shortest in his class and has no signs of puberty. His height is on the 3rd centile and he has gro…
Paediatrics · Clinical rotations · middle twist
A term-born 10-month-old boy attends for his routine child health check. He sits unsupported, crawls, pulls to stand and transfers objects between his hands; he…
Paediatrics · Clinical rotations · middle twist
A 9-year-old boy is brought by his mother, who has completed a standardised parent rating scale scoring highly for inattention and hyperactivity. She says he ca…
Paediatrics · Clinical rotations · middle twist