Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 398 questions.
A term-born 10-month-old boy attends for his routine child health check. He sits unsupported, crawls, pulls to stand and transfers objects between his hands; he…
Paediatrics · Clinical rotations · middle twist
A 9-year-old boy is brought by his mother, who has completed a standardised parent rating scale scoring highly for inattention and hyperactivity. She says he ca…
Paediatrics · Clinical rotations · middle twist
A 3-year-old boy is assessed because he is behind his twin sister. He walked at 22 months and now runs stiffly but symmetrically; tone, power and deep tendon re…
Paediatrics · Clinical rotations · middle twist
A 5-month-old boy is brought by his mother, who has been told at the child health clinic that he is under the line and is frightened that something is being mis…
Paediatrics · Clinical rotations · middle twist
A 7-year-old girl is brought because her school photograph shows her much shorter than her friends. At 4 years of age her height and weight were both on the 50t…
Paediatrics · Clinical rotations · middle twist
A 14-year-old boy is brought by his mother because he is the shortest in his class and is being teased. His height has followed a line just below the 3rd percen…
Paediatrics · Clinical rotations · middle twist
A 9-month-old boy is brought by his mother, who has been told at day care that his head looks big and who asks whether he needs a scan. His head circumference h…
Paediatrics · Clinical rotations · middle twist
A 6-month-old boy attends with his mother for a routine check. He is exclusively breastfed, thriving and well, and has had no solid food. He has had moderate ec…
Paediatrics · Clinical rotations · middle twist
A boy born at 30 weeks gestation attends the child health nurse at 9 months of age. His mother has completed the Ages and Stages Questionnaire using his date of…
Paediatrics · Clinical rotations · middle twist
A 4-year-old girl attends her preschool vision screening in the year before she starts school. She is well, has no complaints, and her parents have noticed noth…
Paediatrics · Clinical rotations · middle twist
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…
Paediatrics · Clinical rotations · middle twist
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…
Paediatrics · Clinical rotations · middle twist
A 9-week-old boy has a full blood count taken when an intravenous cannula is inserted before an inguinal hernia repair. He was born at 39 weeks weighing 3300 g,…
Paediatrics · Clinical rotations · middle twist
A 10-month-old girl is brought by her mother, who has noticed that in photographs taken with a flash the left pupil looks white while the right glows red. The g…
Paediatrics · Clinical rotations · middle twist
A 5-week-old girl is brought to the emergency department after two episodes of vomiting and an hour of unusual drowsiness. She was born at home at term after an…
Paediatrics · Clinical rotations · middle twist
A 40-year-old man who came to Australia from Iraq as a refugee eight years ago attends a general practice with six months of broken sleep, nightmares and daily…
Psychiatry · Clinical rotations · middle twist
A metropolitan mental health service is examining why Aboriginal and Torres Strait Islander inpatients leave the ward against medical advice far more often than…
Psychiatry · Clinical rotations · middle twist
A 22-year-old Aboriginal man is brought to a regional hospital by his aunt six weeks after his grandfather's funeral. At night he hears his grandfather calling…
Psychiatry · Clinical rotations · middle twist
The Australian Institute of Health and Welfare reports causes of death for Aboriginal and Torres Strait Islander children and young people. Among Aboriginal and…
Psychiatry · Clinical rotations · middle twist
A 15-year-old girl is brought to a general practice by her mother, who is worried about three months of falling grades, weight loss and irritability. After the…
Psychiatry · Clinical rotations · middle twist