Results for “seizures”

An 18-month-old boy is carried into the emergency department floppy and unrousable. He has vomited several times over the past day and has refused food since ye…

Paediatrics · Clinical rotations · common

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 mother brings her 18-month-old son to the general practice for a routine check. Her own mother has just moved in and keeps her tablets in a weekly pill organi…

Paediatrics · Clinical rotations · middle twist

An 18-month-old boy is brought to a rural emergency department after being found in a farm shed beside a spilt container, with his clothing wet. He is drowsy bu…

Paediatrics · Clinical rotations · middle twist

A three-year-old girl weighing 14 kg is found with her grandmother's dose administration aid, which contains amitriptyline. Two hours later she is drowsy with 5…

Paediatrics · Pre-internship · middle twist

A 4-year-old girl is admitted with four days of diarrhoea. She is 10 per cent dehydrated but not shocked, and her serum sodium on arrival is 172 mmol/L (135-145…

Paediatrics · Pre-internship · middle twist

A 9-year-old girl is on day three of treatment for pneumococcal meningitis and has been receiving intravenous sodium chloride 0.9% with glucose 5% at full maint…

Paediatrics · Pre-internship · niche

A 26-month-old girl with no known epilepsy is brought in convulsing. The seizure began 14 minutes ago; paramedics gave buccal midazolam at six minutes and a fur…

Paediatrics · Pre-internship · middle twist

A 6-year-old girl is referred because her teacher has noticed her stopping mid-sentence and staring for a few seconds, then carrying on as though nothing had ha…

Paediatrics · Clinical rotations · middle twist

A boy born at 38 weeks is 44 hours old on the postnatal ward. His mother attends a treatment program for a daily supervised dose of buprenorphine and reports no…

Paediatrics · Pre-internship · middle twist

A girl born at 38 weeks weighs 2.2 kg and her head circumference is well below the third centile. Scattered purple-red spots over the trunk do not blanch, and t…

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 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 15-year-old girl has had six episodes over three months in which she falls to the floor and her arms and legs thrash irregularly for fifteen to twenty minutes…

Paediatrics · Clinical rotations · middle twist

A 7-year-old girl's teacher reports that her schoolwork has fallen away this year and that she "drifts off". Her mother says that twenty or thirty times a day s…

Paediatrics · Clinical rotations · middle twist

A 9-year-old boy has primary nocturnal enuresis with no daytime urinary symptoms, normal growth, normal blood pressure and a normal urinalysis. An eight-week al…

Paediatrics · Pre-internship · middle twist

A 9-year-old boy is brought by his mother, who has completed a standardised parent rating scale scoring highly for inattention and hyperactivity. She says he ca…

Paediatrics · Clinical rotations · middle twist

An 18-month-old boy is brought back to the general practice by his father. At his 15-month check he was walking, waving goodbye, using eight words and handing h…

Paediatrics · Pre-internship · 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 44-year-old man with treatment-resistant schizophrenia has taken clozapine 400 mg at night for six years and smokes 30 cigarettes a day. He is admitted to a s…

Psychiatry · Pre-internship · middle twist