Paediatrics

A woman arrives at a remote clinic in labour, having had no antenatal care and no dating ultrasound. She gives birth to a girl weighing 1980 g who cries at birt…

Pre-internship · 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…

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…

Clinical rotations · middle twist

A woman whose vaginal-rectal swab at 36 weeks grew group B streptococcus labours spontaneously at 39 weeks and 4 days. Her membranes rupture six hours before bi…

Pre-internship · middle twist

A term boy is 32 hours old and was recorded as normal at the newborn check. He now feeds slowly and tires, is mottled and cool to the knees, and his capillary r…

Pre-internship · niche

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…

Clinical rotations · common

A 15-year-old boy attends the renal clinic two years after a living-donor kidney transplant. He takes tacrolimus, mycophenolate and low-dose prednisolone daily,…

Pre-internship · middle twist

A 16-year-old girl attends her general practice for a routine health check required before a school leadership camp. She is well, her growth is on the 50th cent…

Clinical rotations · middle twist

A 15-year-old boy is being cleared to play club rugby. He has never had chest pain, palpitations, breathlessness out of proportion to exertion or blackouts, and…

Pre-internship · middle twist

A 16-year-old netballer attends for a pre-participation examination. She is asymptomatic. The femoral pulses are strong and synchronous with the radial pulses.…

Clinical rotations · middle twist

A 16-year-old girl attends a Western Australian general practice alone with three days of lower abdominal pain and vaginal discharge. She is sexually active and…

Pre-internship · middle twist

A 15-year-old girl in the emergency department tells you, when seen alone, that for the past month she has often thought she would be better off dead. She has n…

Pre-internship · middle twist

A 16-year-old girl attends a suburban general practice with her mother because of headaches over three months. Examination, including fundoscopy and blood press…

Clinical rotations · common

An 11-year-old girl has just been diagnosed with type 1 diabetes and will start insulin today. She is quiet, and her only questions are whether the injections w…

Pre-internship · middle twist

A 15-year-old boy is brought to a general practice by his exasperated mother. Over the past year he has argued about every household rule, dyed his hair, spends…

Clinical rotations · common

A 17-year-old man with cystic fibrosis has attended the same paediatric respiratory clinic since infancy and will move to the adult service next year. His mothe…

Pre-internship · middle twist

A 16-year-old girl with focal epilepsy attends a general practice alone and asks for contraception. She has been seizure-free for two years on carbamazepine and…

Pre-internship · middle twist

A 14-year-old girl who has had type 1 diabetes since she was eight is reviewed in the paediatric diabetes clinic. Her glycated haemoglobin has risen over twelve…

Clinical rotations · common

A 17-year-old boy attends a sexual health clinic alone. Five days ago he had receptive anal intercourse without a condom with a man he met online, whose HIV sta…

Pre-internship · niche

A 15-year-old boy attends a bulk-billing general practice alone for a sports injury certificate. You have completed a psychosocial screen covering home, school,…

Clinical rotations · middle twist