Paediatrics

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…

Clinical rotations · middle twist

A 14-month-old girl who is still breastfed and has had no supplements is referred because she is not yet walking and her legs look bowed. Her mother has dark sk…

Pre-internship · 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…

Clinical rotations · middle twist

A 30-year-old woman, three weeks after giving birth, has had 24 hours of pain in the left breast. There is a tender, red, wedge-shaped area in the upper outer q…

Pre-internship · middle twist

A 14-year-old girl has lost 9 kg over five months, restricts herself to about 800 kilojoules a day and exercises for two hours daily. Her heart rate is 58 beats…

Pre-internship · 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…

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…

Clinical rotations · middle twist

A 15-year-old girl is seen alone at a general practice. During the psychosocial interview she says she has been cutting her left forearm most weeks for three mo…

Pre-internship · 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…

Clinical rotations · middle twist

A 14-year-old girl has had daily tiredness and central abdominal pain for eight months and has attended school on only nine days this term. Full blood count, in…

Pre-internship · 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…

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…

Clinical rotations · middle twist

A 14-year-old girl is brought by her mother because her marks have dropped over three months, she has quit netball, and she is irritable and withdrawn. Her pare…

Pre-internship · 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…

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…

Clinical rotations · middle twist

A 9-year-old boy has primary nocturnal enuresis with no daytime urinary symptoms, normal growth, normal blood pressure and a normal urinalysis. An eight-week al…

Pre-internship · 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…

Clinical rotations · middle twist

A 2-year-old boy attends with his mother after his childcare educator commented that he "plays on his own". He walks and runs well, uses about sixty single word…

Pre-internship · 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…

Clinical rotations · middle twist

A 14-year-old boy attends the general practice with his mother because his school marks have collapsed over two terms and he has begun refusing to go on Monday…

Pre-internship · middle twist