Pre-internship
The harder call — the unwell patient, escalation, prioritisation, prescribing detail, ethics and law. 456 questions.
A 16-year-old girl asks you to sign a clearance form for state-level netball. Twice this year she has collapsed without warning, once in the third quarter of a…
Paediatrics · Pre-internship · common
A 3-year-old boy is in the emergency department of a Perth hospital with a forearm fracture after falling from a trampoline. While you are applying the backslab…
Paediatrics · Pre-internship · middle twist
A 5-year-old boy with steroid-sensitive nephrotic syndrome finished a six-week course of oral prednisolone 2 mg/kg daily yesterday. He is in remission, is well…
Paediatrics · Pre-internship · middle twist
A 13-year-old boy who received a kidney transplant two years ago attends the renal clinic. He takes tacrolimus and mycophenolate and his graft function is stabl…
Paediatrics · Pre-internship · niche
A 16-week-old girl is brought to a general practice by her family, who arrived in Australia three weeks ago. She has no immunisation records and her parents are…
Paediatrics · Pre-internship · niche
A 5-month-old boy is brought to the emergency department by his parents because he has been unsettled overnight. He is well grown, afebrile and feeding normally…
Paediatrics · Pre-internship · middle twist
A 13-month-old girl attends for a routine check. She is well and walking, and her weight and length are on the 75th centile. Her parents want to stop buying inf…
Paediatrics · Pre-internship · middle twist
A 3-week-old girl is brought to a general practice by her mother, who is exhausted and believes her milk supply is failing. The baby was born at term weighing 3…
Paediatrics · Pre-internship · middle twist
A 15-year-old girl attends a general practice with her mother, who is worried that she has stopped eating properly and has lost weight. Her mother says she has…
Paediatrics · Pre-internship · middle twist
A 13-year-old boy weighing 92 kg attends the emergency department with six weeks of left knee ache and a limp. Radiographs of the pelvis show a mild slip of the…
Paediatrics · Pre-internship · middle twist
A 44-year-old man is admitted under your team after a myocardial infarction. Genetic testing has confirmed familial hypercholesterolaemia and the lipid clinic h…
Paediatrics · Pre-internship · middle twist
A 7-month-old girl is referred to a paediatric clinic with slow weight gain. Her weight has fallen from the 50th to the 9th centile over three months while her…
Paediatrics · Pre-internship · middle twist
A 4-month-old girl with a large ventricular septal defect is reviewed before surgical repair. She breastfeeds every two hours but takes 40 minutes each time, sw…
Paediatrics · Pre-internship · middle twist
A 14-month-old girl who is still breastfed and has had no supplements is referred because she is not yet walking and her legs look bowed. Her mother has dark sk…
Paediatrics · Pre-internship · middle twist
A 30-year-old woman, three weeks after giving birth, has had 24 hours of pain in the left breast. There is a tender, red, wedge-shaped area in the upper outer q…
Paediatrics · Pre-internship · middle twist
A 14-year-old girl has lost 9 kg over five months, restricts herself to about 800 kilojoules a day and exercises for two hours daily. Her heart rate is 58 beats…
Paediatrics · Pre-internship · middle twist
A 15-year-old girl is seen alone at a general practice. During the psychosocial interview she says she has been cutting her left forearm most weeks for three mo…
Paediatrics · Pre-internship · middle twist
A 4-year-old boy is brought to a general practice for the third time this year, now with six weeks of night waking and new bedwetting after a year of being dry.…
Paediatrics · Pre-internship · common
A 14-year-old girl has had daily tiredness and central abdominal pain for eight months and has attended school on only nine days this term. Full blood count, in…
Paediatrics · Pre-internship · middle twist
A 10-year-old boy is seen in a paediatric outpatient clinic. Over six months he has become irritable, has stopped playing soccer, which he loved, and takes over…
Paediatrics · Pre-internship · common