Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 832 questions.
A 2-year-old boy whose parents were born in Vietnam has a blood test before starting childcare. He drinks about 700 mL of cow milk a day and refuses meat. He is…
Paediatrics · Clinical rotations · middle twist
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 4-day-old term boy, discharged home yesterday and feeding well until this morning, has vomited four times in six hours. The vomit is dark green. He passed mec…
Paediatrics · Clinical rotations · middle twist
A 9-year-old boy has two years of worsening exercise intolerance, drooping eyelids and newly fitted hearing aids. You take a family history to draw a pedigree.…
Paediatrics · Clinical rotations · middle twist
A 3-week-old boy has just had a pyloromyotomy for infantile hypertrophic pyloric stenosis. He is his parents' first child and neither parent nor any grandparent…
Paediatrics · Clinical rotations · middle twist
A couple in their early thirties have had three consecutive first-trimester miscarriages and have no living children. Both are well and neither has a family his…
Paediatrics · Clinical rotations · middle twist
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
A boy is born at 39 weeks weighing 2.5 kg to a woman with epilepsy who took a single antiepileptic drug throughout the pregnancy. He has a broad flat nasal brid…
Paediatrics · Clinical rotations · niche
A 7-day-old breastfed girl is admitted with a two-day history of poor feeding and vomiting. She is deeply jaundiced, lethargic and hypothermic, with a liver edg…
Paediatrics · Clinical rotations · niche
A term girl weighing 2.6 kg is examined before discharge. The backs of both hands and both feet are puffy and doughy, and there is loose redundant skin over the…
Paediatrics · Clinical rotations · middle twist
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
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 girl born at 38 weeks weighs 2.2 kg and her head circumference is well below the third centile. Scattered purple-red spots over the trunk do not blanch, and t…
Paediatrics · Clinical rotations · middle twist
A five-week-old exclusively breastfed boy is brought to the general practitioner because he is still yellow. He was born at term weighing 3.4 kg and now weighs…
Paediatrics · Clinical rotations · middle twist
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 woman who has had no antenatal care presents in advanced labour and gives birth to a boy weighing 2350 g. She is unsure of her dates and there has been no ult…
Paediatrics · Clinical rotations · middle twist
A boy born at 39 weeks by spontaneous vaginal birth is 60 hours old. He has a high-pitched cry, tremors when he is undressed, sneezes repeatedly and takes the b…
Paediatrics · Clinical rotations · middle twist
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