Pre-internship
The harder call — the unwell patient, escalation, prioritisation, prescribing detail, ethics and law. 456 questions.
A 5-month-old girl is brought to the emergency department because her left thigh is swollen and she cries when it is moved. Her father says she rolled off a cou…
Paediatrics · Pre-internship · common
You are the intern attached to a regional public health unit. Its annual child health profile for a town of 4,000 people reports: two-dose measles-mumps-rubella…
Paediatrics · Pre-internship · niche
You are the intern in a regional hospital's paediatric outpatient clinic. A 3-year-old Aboriginal boy has bilateral middle ear effusions and a 35 dB conductive…
Paediatrics · Pre-internship · middle twist
A coastal local government area has recorded four drownings of children under five years of age in five years, every one of them in a backyard swimming pool at…
Paediatrics · Pre-internship · middle twist
You are the intern on a Perth paediatric ward. Over three weeks you admit four toddlers from the same remote community with extensive impetigo, and a fifth chil…
Paediatrics · Pre-internship · middle twist
You are a junior doctor at a regional Western Australian hospital. Hospital data show that Aboriginal children in the district are admitted with skin infections…
Paediatrics · Pre-internship · middle twist
You are a general practice registrar in Perth. A 3-year-old boy attends with his mother for a routine pre-kindergarten review recorded in his personal health re…
Paediatrics · Pre-internship · middle twist
A 6-year-old girl with spastic diplegic cerebral palsy attends a Perth outpatient clinic. She needs continuing physiotherapy and speech pathology to preserve fu…
Paediatrics · Pre-internship · middle twist
You are the intern on a Perth paediatric ward. A 6-year-old girl admitted with pneumonia tells you that a family friend does rude things to her when he babysits…
Paediatrics · Pre-internship · middle twist
You are a resident in a Perth children's hospital and have had concerns about five children this week. Each concern is soundly based, you believe each on reason…
Paediatrics · Pre-internship · niche
A 9-year-old girl is brought to a Perth emergency department by her mother at 9 pm. At triage she told the nurse that her mother's partner puts his hands inside…
Paediatrics · Pre-internship · middle twist
You are the intern caring for a 3-year-old boy admitted with bronchiolitis at a Perth hospital. On the second night his mother tells you that his father drinks…
Paediatrics · Pre-internship · middle twist
At 2 am you are the intern who admits a 2-year-old girl with a spiral fracture of the humeral shaft and bruising over the upper arm and back, for which her pare…
Paediatrics · Pre-internship · middle twist
A 22-month-old boy is brought to the emergency department with scalds to both feet and lower legs. His mother says he climbed into the bath alone while she answ…
Paediatrics · Pre-internship · niche
A 3-year-old boy is brought to a regional emergency department 30 minutes after being carried out of a house fire. There is soot around his nostrils and on his…
Paediatrics · Pre-internship · common
You are discharging a 5-week-old boy after an admission with bronchiolitis. His mother smokes ten cigarettes a day outdoors. She tells you she is so exhausted t…
Paediatrics · Pre-internship · middle twist
A 9-day-old term baby is brought to a rural emergency department pale, mottled and grunting after a day of poor feeding. He is afebrile. His heart rate is 190 a…
Paediatrics · Pre-internship · niche
A 4-year-old girl with Dravet syndrome is brought in by ambulance with a generalised convulsion that started 20 minutes ago. Her parents gave buccal midazolam a…
Paediatrics · Pre-internship · niche
A 15-year-old girl swallowed twelve of her mother's ibuprofen tablets after a break-up and is now six hours post-ingestion. She is asymptomatic, her observation…
Paediatrics · Pre-internship · common
A 3-year-old girl weighing 15 kg is brought in one hour after swallowing tablets from her mother's iron bottle. Each tablet contains 65 mg of elemental iron and…
Paediatrics · Pre-internship · middle twist