Adolescent health

A 15-year-old boy with Crohn disease attends a routine clinic review with his mother. He has lost 4 kg in three months and has missed a third of school days thi…

Pre-internship · common

A 16-year-old girl attends a Western Australian general practice alone with three days of lower abdominal pain and vaginal discharge. She is sexually active and…

Pre-internship · middle twist

A 16-year-old girl attends a suburban general practice with her mother because of headaches over three months. Examination, including fundoscopy and blood press…

Clinical rotations · common

An 11-year-old girl has just been diagnosed with type 1 diabetes and will start insulin today. She is quiet, and her only questions are whether the injections w…

Pre-internship · middle twist

A 17-year-old man with cystic fibrosis has attended the same paediatric respiratory clinic since infancy and will move to the adult service next year. His mothe…

Pre-internship · middle twist

A 15-year-old boy attends a bulk-billing general practice alone for a sports injury certificate. You have completed a psychosocial screen covering home, school,…

Clinical rotations · middle twist

A 15-year-old girl in Year 10 at a Perth high school attends with her mother for treatment of acne. You spend part of the consultation with her alone and explai…

Clinical rotations · common

A 15-year-old girl attends a general practice with her mother, who is worried that she has stopped eating properly and has lost weight. Her mother says she has…

Pre-internship · middle twist

A 15-year-old girl attends a general practice with her mother because of four months of tiredness and a 6 kg weight loss. You explain that you see young people…

Clinical rotations · common

A 14-year-old boy attends the general practice with his mother because his school marks have collapsed over two terms and he has begun refusing to go on Monday…

Pre-internship · middle twist

A 15-year-old boy attends for a sports participation certificate. He mentions that his parents give him a glass of wine with Sunday dinner so that he learns to…

Clinical rotations · common

A 14-year-old boy attends the general practice with his father because of headaches on most school days for three months. His neurological examination, includin…

Pre-internship · common

You are the resident in a paediatric outpatient clinic. A 15-year-old boy attends for review of his asthma, which is well controlled. At the start you explained…

Pre-internship · middle twist

During the part of a consultation conducted without his parents, a 16-year-old boy tells you he smokes cannabis with friends most weekends. He is attending scho…

Pre-internship · middle twist

A 15-year-old girl is brought to the general practice by her mother because her grades have fallen and she is tired all the time. The mother answers most of the…

Clinical rotations · common

A 16-year-old girl attends your general practice with her mother, who announces at the desk that her daughter needs to go on the pill for her periods. In the ro…

Clinical rotations · common