Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 785 questions.
A 3-year-old boy is assessed because he is behind his twin sister. He walked at 22 months and now runs stiffly but symmetrically; tone, power and deep tendon re…
Paediatrics · Clinical rotations · middle twist
A 24-month-old boy attends for a developmental check. He runs, walks up stairs holding the rail and kicks a ball. He builds a tower of six blocks, turns the pag…
Paediatrics · Clinical rotations · common
A 6-year-old boy is seen for a routine check. His mother says he has always been "solidly built", like his father. He is 1.18 m tall and weighs 30 kg, giving a…
Paediatrics · Clinical rotations · common
A 5-month-old boy is brought by his mother, who has been told at the child health clinic that he is under the line and is frightened that something is being mis…
Paediatrics · Clinical rotations · middle twist
A 4-month-old girl is referred because her head circumference has fallen from the 25th percentile at birth to below the 3rd percentile. She was born at 39 weeks…
Paediatrics · Clinical rotations · niche
A 7-year-old girl is brought because her school photograph shows her much shorter than her friends. At 4 years of age her height and weight were both on the 50t…
Paediatrics · Clinical rotations · middle twist
A 14-year-old boy is brought by his mother because he is the shortest in his class and is being teased. His height has followed a line just below the 3rd percen…
Paediatrics · Clinical rotations · middle twist
A 9-month-old boy is brought by his mother, who has been told at day care that his head looks big and who asks whether he needs a scan. His head circumference h…
Paediatrics · Clinical rotations · middle twist
A 15-year-old boy attends for a sports participation certificate. He mentions that his parents give him a glass of wine with Sunday dinner so that he learns to…
Paediatrics · Clinical rotations · common
A 6-month-old boy attends with his mother for a routine check. He is exclusively breastfed, thriving and well, and has had no solid food. He has had moderate ec…
Paediatrics · Clinical rotations · middle twist
A 4-year-old boy attends for a preschool health check. His parents want to move him into the booster seat his 7-year-old sister has outgrown, because he says hi…
Paediatrics · Clinical rotations · niche
A midwife makes a home visit to a 2-week-old girl. She was born at term, is exclusively breastfed and has regained her birth weight. Her mother is exhausted and…
Paediatrics · Clinical rotations · common
A boy born at 30 weeks gestation attends the child health nurse at 9 months of age. His mother has completed the Ages and Stages Questionnaire using his date of…
Paediatrics · Clinical rotations · middle twist
A 4-year-old girl attends her preschool vision screening in the year before she starts school. She is well, has no complaints, and her parents have noticed noth…
Paediatrics · Clinical rotations · middle twist
A 20-month-old boy attends for his 18-month health check in an outer suburb of Perth. He walks confidently, climbs onto the kitchen bench and opens cupboards. T…
Paediatrics · Clinical rotations · middle twist
A 17-year-old girl attends a general practice for a pre-employment medical. The Australian Immunisation Register shows she received one dose of nine-valent huma…
Paediatrics · Clinical rotations · middle twist
A 9-week-old boy has a full blood count taken when an intravenous cannula is inserted before an inguinal hernia repair. He was born at 39 weeks weighing 3300 g,…
Paediatrics · Clinical rotations · middle twist
A medical student writes a medication order on the chart of a 3-year-old girl weighing 14 kg who has been admitted with an asthma exacerbation. The order reads:…
Paediatrics · Clinical rotations · common
A 15-year-old girl attends the general practice with her mother because of four months of daily headaches. Her mother answers every question, describes the head…
Paediatrics · Clinical rotations · common
A 10-month-old girl is brought by her mother, who has noticed that in photographs taken with a flash the left pupil looks white while the right glows red. The g…
Paediatrics · Clinical rotations · middle twist