Results for “congenital heart disease”

A 3-day-old boy, born at term and discharged well at 24 hours, is brought back because he has become grey, floppy and uninterested in feeding over six hours. Hi…

Paediatrics · Pre-internship · middle twist

A 76-year-old man reports that for three months he has felt light-headed and has twice nearly fainted walking up the hill to the shops, together with a tight fe…

Cardiovascular · Pre-internship · common

A 9-day-old term baby is brought to a rural emergency department pale, mottled and grunting after a day of poor feeding. He is afebrile. His heart rate is 190 a…

Paediatrics · Pre-internship · niche

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 boy born at 38 weeks is hypotonic and feeds slowly. Rapid chromosome testing has confirmed trisomy 21. He is pink in air with a normal respiratory rate, the p…

Paediatrics · 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…

Paediatrics · Pre-internship · niche

A 4-month-old girl with a large ventricular septal defect is reviewed before surgical repair. She breastfeeds every two hours but takes 40 minutes each time, sw…

Paediatrics · Pre-internship · middle twist

A 76-year-old man is brought to the emergency department after losing consciousness while pushing his lawnmower up a slope. His wife reports he went pale and co…

Cardiovascular · Clinical rotations · common