Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 398 questions.
A 15-year-old boy attends for clearance to play first-grade school football. He has never had chest pain or blackouts and keeps up with the fittest boys at trai…
Paediatrics · Clinical rotations · 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…
Paediatrics · Clinical rotations · middle twist
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…
Paediatrics · 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…
Paediatrics · Clinical rotations · middle twist
A 4-year-old girl attends a general practice with her father for a pre-kindergarten check. Her weight is above the 97th centile and her body mass index has been…
Paediatrics · Clinical rotations · middle twist
A 9-year-old boy is referred to a paediatric clinic because his weight is above the 97th centile. Both parents are overweight, he spends most of his free time o…
Paediatrics · Clinical rotations · middle twist
A 13-year-old boy is brought to the emergency department with six weeks of ache in the left knee, worse after football and now making him limp. There has been n…
Paediatrics · Clinical rotations · middle twist
A 12-year-old Aboriginal boy is seen at a community clinic for a sports form. His body mass index is well above the 95th centile for age. His mother mentions th…
Paediatrics · Clinical rotations · middle twist
A 5-month-old boy is brought to a regional general practice because he "is not filling out". Born at term weighing 3.4 kg, he tracked along the 50th centile unt…
Paediatrics · Clinical rotations · middle twist
A 9-month-old boy is brought by his mother, who is worried he is too small because her sister's baby of the same age is much bigger. He was born at term weighin…
Paediatrics · Clinical rotations · middle twist
A 20-month-old boy of Greek-Australian parents is investigated for pallor and irritability. He drinks about 1.2 litres of full-cream milk a day from a bottle, i…
Paediatrics · Clinical rotations · middle twist
At an immunisation visit, the mother of a 3-year-old boy says he hits his 10-month-old sister several times a day, usually while she is being fed. She has tried…
Paediatrics · Clinical rotations · middle twist
A 5-year-old boy wets the bed on four nights each week and has never been dry for more than a few nights at a time. He has been dry by day since he was three, h…
Paediatrics · Clinical rotations · middle twist
A 4-year-old boy has been in foster care for a year, having been removed from his mother's care because of neglect. At kindergarten he walks up to visiting adul…
Paediatrics · Clinical rotations · middle twist
A 15-year-old girl has had six episodes over three months in which she falls to the floor and her arms and legs thrash irregularly for fifteen to twenty minutes…
Paediatrics · Clinical rotations · middle twist
A 9-year-old girl has had five months of intermittent central abdominal pain, worst on school mornings. Her parents separated six months ago and she has missed…
Paediatrics · Clinical rotations · middle twist
A 7-year-old girl's teacher reports that her schoolwork has fallen away this year and that she "drifts off". Her mother says that twenty or thirty times a day s…
Paediatrics · Clinical rotations · middle twist
An 8-year-old boy is brought in by his mother, who describes fourteen months of daily arguing with adults, deliberate refusal to follow instructions, blaming hi…
Paediatrics · Clinical rotations · middle twist
A 7-week-old girl is brought in because she cries inconsolably for four to five hours each evening, drawing her legs up, and has done so since three weeks of ag…
Paediatrics · Clinical rotations · middle twist
A 14-year-old boy is brought by his parents because he is the shortest in his class and has no signs of puberty. His height is on the 3rd centile and he has gro…
Paediatrics · Clinical rotations · middle twist