Child maltreatment

A 4-month-old boy is brought in by his mother's partner with a swollen right thigh, which he says happened when the baby rolled off the couch this morning.…

Pre-internship · common

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…

Pre-internship · common

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…

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…

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…

Pre-internship · middle twist

A 6-year-old girl attends a general practice with her aunt for a rash. While her aunt is out of the room collecting a prescription, the girl says, without any p…

Clinical rotations · common

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…

Pre-internship · middle twist

A 3-year-old girl attends a rural general practice for the fourth time in six months, twice with minor bruises and twice with abdominal pain. Dry at night for a…

Clinical rotations · 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…

Pre-internship · middle twist

A 4-year-old boy is brought to a Perth emergency department with a swollen, bruised left forearm. At triage his mother said he fell from a kitchen chair. When y…

Clinical rotations · 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…

Pre-internship · niche

A 2-year-old girl is brought to the emergency department by her father after falling from a play structure onto grass. She is walking, playing and interactive,…

Clinical rotations · middle twist

A five-month-old boy is brought to a regional emergency department at 2 am because he cannot be roused. His respiratory rate is 12 per minute and his pupils are…

Pre-internship · middle twist

A 10-week-old girl is brought to the emergency department by both parents with a bruise on the left cheek and a smaller one over the left ear. Her father says h…

Pre-internship · middle twist

A 14-year-old girl attends a Perth general practice alone and asks for emergency contraception after a condom broke last night. She tells you she has been seein…

Pre-internship · middle twist

A 3-year-old boy is in the emergency department of a Perth hospital with a forearm fracture after falling from a trampoline. While you are applying the backslab…

Pre-internship · middle twist

A 4-year-old girl is brought to a Perth general practice by her mother and her mother's partner because of six months of intermittent abdominal pain. She has mi…

Clinical rotations · common

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…

Pre-internship · middle twist

A 4-year-old boy is brought to a general practice for the third time this year, now with six weeks of night waking and new bedwetting after a year of being dry.…

Pre-internship · common

A 4-year-old boy has been in foster care for a year, having been removed from his mother's care because of neglect. At kindergarten he walks up to visiting adul…

Clinical rotations · middle twist

A 7-month-old girl is brought to a rural general practice. Her weight has fallen from the 50th centile to below the 0.4th centile over three months; her length…

Pre-internship · middle twist

A 7-year-old boy is brought to a Perth emergency department by his mother with a spiral fracture of the left humerus. He also has a healing circular burn on the…

Pre-internship · middle twist

A 15-year-old girl attends a Perth general practice alone and asks for the contraceptive pill. She explains accurately how it works and why it must be taken dai…

Pre-internship · middle twist

A 14-year-old girl attends your general practice with her mother for the fourth time this year with abdominal pain. She has lost 4 kg, stopped playing netball,…

Clinical rotations · common

A 14-year-old girl attends a Western Australian general practice on her own for what she calls a check-up. During the consultation she tells you she has been ha…

Pre-internship · middle twist

A 9-year-old girl is brought to a Western Australian emergency department by her mother with three weeks of intermittent abdominal pain. While her mother is out…

Pre-internship · middle twist

An 8-week-old boy is brought to a general practice for his scheduled immunisations. While preparing the injections the practice nurse notices a 1.5 cm oval brui…

Pre-internship · middle twist

A 1 year old child presents with bilateral retinal haemorrhages, confusion, drooling and sedated. He lives at home with his mother (a single parent) and has a d…

Clinical rotations · middle twist