National Vaccination Program

An 8-month-old boy is brought in because his 5-year-old cousin, who visited the house two days ago and played with him for an afternoon, has today been diagnose…

Pre-internship · niche

A 12-month-old boy is due for his measles–mumps–rubella, meningococcal ACWY and pneumococcal vaccines. Three months ago he developed hives, facial swelling and…

Clinical rotations · common

A 16-week-old girl is brought for her first immunisations; the family have recently arrived from overseas and she has had only the birth dose of hepatitis B vac…

Clinical rotations · niche

A 15-year-old boy attends the renal clinic two years after a living-donor kidney transplant. He takes tacrolimus, mycophenolate and low-dose prednisolone daily,…

Pre-internship · middle twist

A 16-year-old girl attends a Perth general practice for a repeat asthma prescription. She spent a term of Year 7 overseas and her immunisation record shows no d…

Clinical rotations · middle twist

A 5-year-old boy with steroid-sensitive nephrotic syndrome finished a six-week course of oral prednisolone 2 mg/kg daily yesterday. He is in remission, is well…

Pre-internship · middle twist

A 12-month-old girl is brought to a general practice in Perth for her scheduled immunisations, which include measles-mumps-rubella and meningococcal ACWY vaccin…

Clinical rotations · middle twist

A 13-year-old boy who received a kidney transplant two years ago attends the renal clinic. He takes tacrolimus and mycophenolate and his graft function is stabl…

Pre-internship · niche

A 16-week-old girl is brought to a general practice by her family, who arrived in Australia three weeks ago. She has no immunisation records and her parents are…

Pre-internship · niche

A 4-month-old Aboriginal boy attends an Aboriginal Medical Service for his scheduled immunisations. He was born at term, is well, and received all of his 6-week…

Clinical rotations · middle twist

A woman who is 19 weeks pregnant with her second child asks what she can do to protect the new baby from whooping cough. Her 2-year-old daughter is fully immuni…

Pre-internship · common

A 13-year-old boy who received a deceased-donor kidney transplant eighteen months ago attends the general practice with his mother. He takes tacrolimus, mycophe…

Pre-internship · middle twist

A 14-year-old boy attends the renal clinic. He received a deceased-donor kidney transplant at age 9 and takes tacrolimus, mycophenolate and low-dose prednisolon…

Pre-internship · niche

A 17-year-old girl attends a general practice for a pre-employment medical. The Australian Immunisation Register shows she received one dose of nine-valent huma…

Clinical rotations · middle twist

A mother brings her 16-week-old son for his first vaccinations. The family recently arrived from overseas and he has received no vaccines apart from a hepatitis…

Clinical rotations · middle twist

An 8-year-old child has written documentation of two valid diphtheria-tetanus-acellular pertussis doses given at 2 and 4 months of age, but no subsequent doses…

Clinical rotations · common

A 10-month-old child presents for routine care after recently arriving in Australia, and the parents have no written immunisation records. The child appears wel…

Clinical rotations · common