Paediatric therapeutics and safety

A father telephones the emergency department. Twenty minutes ago he found his 20-month-old daughter with the back of the television remote prised open and one o…

Pre-internship · middle twist

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…

Clinical rotations · middle twist

An Australian poisons information centre is reviewing the 4200 calls it took last year about children younger than 16 years, so that it can direct a prevention…

Clinical rotations · common

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…

Pre-internship · middle twist

A 12-year-old boy weighing 42 kg has multiple crusted impetigo lesions on both legs and needs oral antibiotic therapy. The recommended regimen is flucloxacillin…

Clinical rotations · common

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…

Pre-internship · middle twist

You are the evening intern on a paediatric ward. The consultant asks you to chart an oral medicine you have not prescribed before for a 3-year-old girl weighing…

Clinical rotations · common

A 5-year-old boy has had a clear runny nose and a dry night cough for four days. He is afebrile and eating normally, and his chest, throat and ears are normal.…

Pre-internship · common

A 14-month-old boy is brought to a regional emergency department with a scald to his left forearm and hand. He had been sitting in the bath and turned the hot t…

Clinical rotations · middle twist

An 18-month-old boy is brought to a general practice for a routine check. He walked at 11 months, now runs everywhere, climbs onto the kitchen bench and has lea…

Clinical rotations · middle twist

A 4-year-old boy attends for a preschool health check. His parents want to move him into the booster seat his 7-year-old sister has outgrown, because he says hi…

Clinical rotations · niche

A 20-month-old boy attends for his 18-month health check in an outer suburb of Perth. He walks confidently, climbs onto the kitchen bench and opens cupboards. T…

Clinical rotations · middle twist

You are asked to chart regular paracetamol for a 14-year-old boy on the first day after an open appendicectomy. He weighs 68 kg and is 174 cm tall. He has no li…

Pre-internship · middle twist

A 2-year-old girl is brought to the emergency department after falling off a bunk bed at home. She was playing unsupervised in her older sibling’s room. She hit…

Clinical rotations · common

A 3-year-old boy is brought to the emergency department after falling from a low-height chair at home. He has swelling and tenderness over his left forearm. X-r…

Clinical rotations · common