Results for “liver”
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An 18-month-old girl weighing 10.0 kg has had four days of diarrhoea and has been given water and diluted cordial at home. She is lethargic with a doughy feel t…
Paediatrics · Pre-internship · niche
A 10-year-old boy weighing 32 kg is admitted to the ward for observation after an appendicectomy. He is comfortable, normotensive and well perfused, has not vom…
Paediatrics · Pre-internship · middle twist
An 8-year-old girl with chronic kidney disease is brought in vomiting after missing two dialysis sessions. She is alert and her blood pressure is 128/78 mmHg. S…
Paediatrics · Pre-internship · common
A 3-year-old boy weighing 15 kg has had two days of profuse vomiting and diarrhoea. On arrival he was drowsy with cold mottled legs, capillary refill of five se…
Paediatrics · Pre-internship · 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
A 3-year-old boy weighing 18 kg has a bulging left tympanic membrane with purulent discharge in the ear canal, and antibiotic treatment is indicated. He is at l…
Paediatrics · Pre-internship · middle twist
A 9-year-old boy has a forearm fracture and needs regular oral paracetamol in the emergency department. He weighs 52 kg; the 50th centile weight for his age and…
Paediatrics · Pre-internship · middle twist
A 4-year-old girl admitted with a severe exacerbation of a chronic illness has a nasogastric tube in situ and cannot swallow tablets. One of her regular medicin…
Paediatrics · Pre-internship · middle twist
A 7-year-old boy has had atopic dermatitis since infancy. Over two years his height has fallen from the 50th to the 10th centile, with weight falling in paralle…
Paediatrics · Clinical rotations · middle twist
A 13-year-old girl attends a general practice in the first week of September. Every year from the first week of October until Christmas she has a blocked, itchy…
Paediatrics · Clinical rotations · niche
The bone marrow result for a 4-year-old girl admitted with pallor and bruising has confirmed acute lymphoblastic leukaemia. You are to be present while the cons…
Paediatrics · Pre-internship · common
A 12-year-old Aboriginal girl from a remote community has been admitted to a tertiary hospital with newly diagnosed type 1 diabetes. English is the family's fir…
Paediatrics · Pre-internship · middle twist
A 6-day-old term girl, home since day two and feeding well until this morning, is brought in mottled and lethargic. Heart rate is 186 per minute, respiratory ra…
Paediatrics · Pre-internship · 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 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 boy was born at term to a woman with chronic hepatitis B infection. He was given hepatitis B immunoglobulin and monovalent hepatitis B vaccine within twelve h…
Paediatrics · Pre-internship · middle twist
A healthy boy is born at term after an uncomplicated pregnancy. His mother takes no regular medicines. She tells the midwife she does not want him to have any i…
Paediatrics · Pre-internship · middle twist
A 4-week-old exclusively breastfed boy is brought to the emergency department because he is still yellow. He feeds hungrily and has gained 900 g since birth. Hi…
Paediatrics · Pre-internship · middle twist
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