Results for “thyroid”

A 10-day-old boy born at term is brought in with two days of poor feeding, vomiting and lethargy, and today is floppy and grey. He is afebrile, with a heart rat…

Paediatrics · Clinical rotations · niche

A 14-year-old boy is worried that he is the shortest in his class and has no signs of puberty. His height is on the 3rd centile and his weight on the 10th; his…

Paediatrics · Clinical rotations · middle twist

A 31-year-old woman presents with six months of fatigue, nausea and 7 kg of weight loss. She has been adding extra salt to everything and craves potato chips. F…

Endocrine and Metabolic · Clinical rotations · common

A 38-year-old woman presents with three weeks of aching pain in the front of her neck that worsens when she turns her head or swallows and radiates up to both e…

Endocrine and Metabolic · Clinical rotations · middle twist

A 68-year-old woman with recently diagnosed small cell lung cancer is brought in after a generalised tonic-clonic seizure at home. Over three days she has becom…

Renal, Urology and Electrolytes · 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 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

You are the intern in a newborn follow-up clinic. A 9-day-old boy has been recalled because his newborn bloodspot screening result shows a markedly raised thyro…

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 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 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 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…

Paediatrics · Clinical rotations · common

A 13-year-old girl attends with her mother for a check before she starts high school sport. Her mother's cousin wore a spinal brace as a teenager, and she asks…

Paediatrics · Clinical rotations · middle twist

A 9-year-old boy is referred to a paediatric clinic because his weight is above the 97th centile. Both parents are overweight, he spends most of his free time o…

Paediatrics · Clinical rotations · middle twist

A 13-year-old boy weighing 92 kg attends the emergency department with six weeks of left knee ache and a limp. Radiographs of the pelvis show a mild slip of the…

Paediatrics · Pre-internship · middle twist

A 12-year-old Aboriginal boy is seen at a community clinic for a sports form. His body mass index is well above the 95th centile for age. His mother mentions th…

Paediatrics · 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…

Paediatrics · Pre-internship · 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…

Paediatrics · 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…

Paediatrics · Clinical rotations · middle twist

A 7-year-old girl is brought because her school photograph shows her much shorter than her friends. At 4 years of age her height and weight were both on the 50t…

Paediatrics · Clinical rotations · middle twist