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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 local health district in western Sydney surveys its primary schools and finds that one in three children aged 5 to 12 years is above the healthy weight range,…
Paediatrics · Clinical rotations · 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
A Perth tertiary hospital's ear, nose and throat department plans a programme to reduce chronic suppurative otitis media in a remote Aboriginal community 1500 k…
Paediatrics · Clinical rotations · 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
A 4-year-old Aboriginal boy from a remote Kimberley community has bilateral chronic suppurative otitis media with a 35 dB conductive hearing loss and delayed sp…
Paediatrics · Clinical rotations · 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 15-year-old girl is brought to the emergency department by her mother two hours after swallowing a handful of tablets during an argument. She says she took on…
Paediatrics · Clinical rotations · common
A 15-year-old boy weighing 60 kg presents to a metropolitan emergency department six hours after swallowing forty paracetamol 500 mg tablets in one go. He has v…
Paediatrics · Pre-internship · middle twist
A 14-month-old girl is brought to a rural general practice with three days of watery diarrhoea and vomiting. She is alert and playing, her lips are dry, her cap…
Paediatrics · Clinical rotations · common
An 18-month-old girl weighing 10.0 kg has had four days of diarrhoea and has been given water and diluted cordial at home. She is lethargic with a doughy feel t…
Paediatrics · Pre-internship · niche
A 10-year-old boy weighing 32 kg is admitted to the ward for observation after an appendicectomy. He is comfortable, normotensive and well perfused, has not vom…
Paediatrics · Pre-internship · middle twist
An 8-year-old girl with chronic kidney disease is brought in vomiting after missing two dialysis sessions. She is alert and her blood pressure is 128/78 mmHg. S…
Paediatrics · Pre-internship · common
A 3-year-old boy weighing 15 kg has had two days of profuse vomiting and diarrhoea. On arrival he was drowsy with cold mottled legs, capillary refill of five se…
Paediatrics · Pre-internship · middle twist
A 3-year-old girl has a red bulging left tympanic membrane. She is afebrile, has had no ear discharge, and is playing in the waiting room. She is not Aboriginal…
Paediatrics · Clinical rotations · common
A 4-year-old girl weighing 20 kg has acute otitis media and is lethargic and pale, so antibiotics are indicated. You have decided on amoxicillin 15 mg/kg, to a…
Paediatrics · Clinical rotations · common
A 3-year-old boy weighing 18 kg has a bulging left tympanic membrane with purulent discharge in the ear canal, and antibiotic treatment is indicated. He is at l…
Paediatrics · Pre-internship · middle twist
A 9-year-old boy has a forearm fracture and needs regular oral paracetamol in the emergency department. He weighs 52 kg; the 50th centile weight for his age and…
Paediatrics · Pre-internship · middle twist
A 4-year-old girl admitted with a severe exacerbation of a chronic illness has a nasogastric tube in situ and cannot swallow tablets. One of her regular medicin…
Paediatrics · Pre-internship · middle twist