Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 400 questions.
A boy is born at 39 weeks weighing 4450 g to a woman whose gestational diabetes required insulin from 28 weeks. The birth was complicated by shoulder dystocia r…
Paediatrics · Clinical rotations · common
A 29-year-old woman brings her six-week-old first baby to the general practice for his immunisations. Asked how she is, she says she has felt flat since about t…
Paediatrics · Clinical rotations · common
A boy is born at 39 weeks by normal vaginal birth and cries immediately. He is dried, weighed and then bathed by a student midwife before being wrapped and plac…
Paediatrics · Clinical rotations · common
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…
Paediatrics · Clinical rotations · common
A 15-year-old boy is brought to a general practice by his exasperated mother. Over the past year he has argued about every household rule, dyed his hair, spends…
Paediatrics · Clinical rotations · common
A 14-year-old girl who has had type 1 diabetes since she was eight is reviewed in the paediatric diabetes clinic. Her glycated haemoglobin has risen over twelve…
Paediatrics · Clinical rotations · common
You have been asked to speak about staying safe to Year 11 and 12 students at a metropolitan Western Australian high school. So that the talk targets the bigges…
Paediatrics · Clinical rotations · common
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…
Paediatrics · Clinical rotations · common
A 16-year-old girl attends a Perth general practice on her own and asks for the contraceptive pill. She has been with her 17-year-old boyfriend for a year and t…
Paediatrics · Clinical rotations · common
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…
Paediatrics · Clinical rotations · common
A 6-month-old boy is brought to a general practice for his immunisations. He has just started pureed vegetables and rice cereal. His 4-year-old sister has a pea…
Paediatrics · Clinical rotations · common
A 6-week-old boy is brought to a general practice for a routine check. He was born at term weighing 3.2 kg and now weighs 4.0 kg. He is formula fed, taking 90 m…
Paediatrics · Clinical rotations · common
A 2-year-old girl is brought to a general practice because she is pale and always tired. Her weight has drifted from the 50th to the 10th centile over the past…
Paediatrics · Clinical rotations · common
A 29-year-old woman is seen on day four after an uncomplicated vaginal birth. Both breasts are firm, hot and uncomfortable, the skin is shiny, and the areolae a…
Paediatrics · Clinical rotations · common
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…
Paediatrics · Clinical rotations · common
An 18-month-old boy is brought by his parents, who are alarmed that he bangs his head rhythmically against the cot rails for ten to fifteen minutes as he settle…
Paediatrics · Clinical rotations · common
A term 9-month-old boy is brought to the child health nurse. Over the past six weeks he has begun to cry when his grandmother, whom he sees weekly, picks him up…
Paediatrics · Clinical rotations · common
A 24-month-old boy attends for a developmental check. He runs, walks up stairs holding the rail and kicks a ball. He builds a tower of six blocks, turns the pag…
Paediatrics · Clinical rotations · common
A 6-year-old boy is seen for a routine check. His mother says he has always been "solidly built", like his father. He is 1.18 m tall and weighs 30 kg, giving a…
Paediatrics · Clinical rotations · common
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…
Paediatrics · Clinical rotations · common