Results for “thyroid”

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 couple in their early thirties have had three consecutive first-trimester miscarriages and have no living children. Both are well and neither has a family his…

Paediatrics · Clinical rotations · middle twist

You are the intern in a newborn follow-up clinic. A 9-day-old boy has been recalled because his newborn bloodspot screening result shows a markedly raised thyro…

Paediatrics · Pre-internship · middle twist

A boy born at 38 weeks is hypotonic and feeds slowly. Rapid chromosome testing has confirmed trisomy 21. He is pink in air with a normal respiratory rate, the p…

Paediatrics · Pre-internship · middle twist

A five-week-old exclusively breastfed boy is brought to the general practitioner because he is still yellow. He was born at term weighing 3.4 kg and now weighs…

Paediatrics · Clinical rotations · middle twist

A boy born at 39 weeks by spontaneous vaginal birth is 60 hours old. He has a high-pitched cry, tremors when he is undressed, sneezes repeatedly and takes the b…

Paediatrics · Clinical rotations · middle twist

A 14-year-old girl who has had type 1 diabetes since she was eight is reviewed in the paediatric diabetes clinic. Her glycated haemoglobin has risen over twelve…

Paediatrics · Clinical rotations · common

A 13-year-old girl attends with her mother for a check before she starts high school sport. Her mother's cousin wore a spinal brace as a teenager, and she asks…

Paediatrics · Clinical rotations · middle twist

A 9-year-old boy is referred to a paediatric clinic because his weight is above the 97th centile. Both parents are overweight, he spends most of his free time o…

Paediatrics · Clinical rotations · 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 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 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 14-year-old girl is brought by her mother because her marks have dropped over three months, she has quit netball, and she is irritable and withdrawn. Her pare…

Paediatrics · Pre-internship · middle twist

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 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 12-year-old boy had blood taken during a work-up for recurrent abdominal pain, which has since settled without treatment. He is well, is Tanner stage 3, and h…

Paediatrics · Pre-internship · niche

A 49-year-old woman with schizophrenia has taken olanzapine for 12 years and attends a community clinic. Over three months she has become thirsty, gets up twice…

Psychiatry · Clinical rotations · middle twist

A 46-year-old carpenter has had a major depressive episode for seven months. He completed eight weeks of sertraline 100 mg daily with no change, then twelve wee…

Psychiatry · Clinical rotations · middle twist

A 34-year-old primary school teacher describes six months of constant worry, difficulty getting to sleep and irritability that is now affecting her teaching. Sh…

Psychiatry · Clinical rotations · common

A 29-year-old woman has had eight episodes over four months in which her heart pounds, she cannot get enough air, her hands tingle and she becomes certain she i…

Psychiatry · Clinical rotations · common