Clinical rotations

Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 832 questions.

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An 18-month-old boy is carried into the emergency department floppy and unrousable. He has vomited several times over the past day and has refused food since ye…

Paediatrics · Clinical rotations · common

A 15-year-old girl is brought to the emergency department by her mother two hours after swallowing a handful of tablets during an argument. She says she took on…

Paediatrics · Clinical rotations · common

A 2-year-old boy weighing 13 kg is brought to the emergency department 40 minutes after his mother found him beside her open bottle of iron tablets, with an ora…

Paediatrics · Clinical rotations · 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…

Paediatrics · Clinical rotations · middle twist

An 18-month-old boy is brought to a rural emergency department after being found in a farm shed beside a spilt container, with his clothing wet. He is drowsy bu…

Paediatrics · Clinical rotations · middle twist

A mother telephones her general practice mid-morning. Her two-year-old daughter has been found in the laundry sitting beside an open bottle of a garden product,…

Paediatrics · Clinical rotations · common

A two-year-old boy is brought to a regional emergency department 30 minutes after drinking from a soft drink bottle in the garage that his father had filled wit…

Paediatrics · Clinical rotations · middle twist

A three-year-old boy weighing 15 kg is brought to the emergency department 90 minutes after his parents found him with an open bottle of perfume containing 60%…

Paediatrics · Clinical rotations · common

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…

Paediatrics · Clinical rotations · common

A public health registrar is reviewing a local council's childhood injury prevention plan after a rise in emergency department presentations for household poiso…

Paediatrics · Clinical rotations · middle twist

A 14-year-old girl is brought to the emergency department by her mother three hours after being found crying in her bedroom beside an empty packet of ibuprofen…

Paediatrics · Clinical rotations · common

A 14-month-old girl is brought to a rural general practice with three days of watery diarrhoea and vomiting. She is alert and playing, her lips are dry, her cap…

Paediatrics · Clinical rotations · common

A 6-year-old girl weighing 20 kg is admitted with severe gastroenteritis. She was shocked on arrival and was given sodium chloride 0.9% 400 mL intravenously ove…

Paediatrics · Clinical rotations · middle twist

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

A 5-week-old boy has vomited after feeds for three weeks. The milk now comes back forcefully enough to reach the floor, and he immediately wants to feed again.…

Paediatrics · Clinical rotations · middle twist

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 5-year-old boy weighing 20 kg is admitted with bacterial meningitis. He is alert, his peripheries are warm with capillary refill under two seconds, and his mu…

Paediatrics · Clinical rotations · middle twist

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