Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 400 questions.
A 3-year-old girl weighing 14 kg is admitted with a fractured femur and placed in traction. She is comfortable on regular analgesia, well perfused, has moist mu…
Paediatrics · Clinical rotations · common
A 2-year-old girl has had 24 hours of vomiting and watery diarrhoea. She is alert and irritable, her mucous membranes are dry, her father thinks her eyes look s…
Paediatrics · Clinical rotations · common
An 11-month-old boy weighing 10 kg has had 36 hours of watery diarrhoea and vomiting. He lies quietly in his mother's arms and opens his eyes when spoken to. Hi…
Paediatrics · Clinical rotations · common
A 3-year-old girl has a red bulging left tympanic membrane. She is afebrile, has had no ear discharge, and is playing in the waiting room. She is not Aboriginal…
Paediatrics · Clinical rotations · common
A 4-year-old girl weighing 20 kg has acute otitis media and is lethargic and pale, so antibiotics are indicated. You have decided on amoxicillin 15 mg/kg, to a…
Paediatrics · Clinical rotations · common
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…
Paediatrics · Clinical rotations · common
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…
Paediatrics · Clinical rotations · common
A 20-month-old boy has had two days of fever and disturbed sleep, waking crying and pulling at both ears. His temperature is 38.9 degrees Celsius. Both tympanic…
Paediatrics · Clinical rotations · common
A 5-month-old boy born at term has had a runny nose for three days and is now feeding poorly. His temperature is 37.8 degrees Celsius and respiratory rate 56, w…
Paediatrics · Clinical rotations · common
A 4-year-old girl has had bruises on her shins and trunk for three weeks. Her mother says she has become pale, tires on the walk to kindergarten and asks to be…
Paediatrics · Clinical rotations · common
A 13-year-old boy is brought to a general practice with three weeks of aching in his left knee and a limp his football coach has noticed. He weighs 82 kg. There…
Paediatrics · Clinical rotations · common
A 22-day-old boy born at term is brought to a rural emergency department because he felt hot. His rectal temperature is 38.4 degrees Celsius. He has fed normall…
Paediatrics · Clinical rotations · common
An 18-month-old girl is brought to the emergency department with two days of fever and irritability. She sits quietly on her mother's knee watching you, and sta…
Paediatrics · Clinical rotations · common
A 3-year-old girl has had fever and cough for two days. She is alert, sitting up and drinking, and her mother has a car and lives ten minutes from the hospital.…
Paediatrics · Clinical rotations · common
A 7-month-old boy has had a runny nose for three days and is now coughing, wheezing and breathing fast. This is his first such illness. Respiratory rate is 58 p…
Paediatrics · Clinical rotations · common
A 3-year-old girl is brought in after her mother felt a lump in her tummy while bathing her. She is thriving, plays normally, and has had no fever, weight loss…
Paediatrics · Clinical rotations · common
A couple attend at nine weeks of a planned pregnancy. Their first child has cystic fibrosis, and both parents are known carriers of the same CFTR variant. They…
Paediatrics · Clinical rotations · common
At the six-week check, the mother of a healthy breastfed girl says she is so tired that for the second half of most nights she brings the baby into her own bed.…
Paediatrics · Clinical rotations · common
You examine a 2-day-old girl before discharge from the postnatal ward. She was born by caesarean section at 38 weeks for persistent breech presentation and is h…
Paediatrics · Clinical rotations · common
A woman in preterm labour at 29 weeks is given betamethasone and transferred to a tertiary centre. Antenatal ultrasound and screening have all been normal and t…
Paediatrics · Clinical rotations · common