You are a GP working in general practice. Aisha is a 3-year-old girl who is seen on your emergency list with her dad. She has a three-day history of runny nose, dry cough and a low-grade fever. During the examination, you observe a palpable abdominal mass. The rest of her examination is normal.
What would be your next course of action?
Which of the following features is least commonly associated with rickets?
A father brings his 9-month-old to the pediatrician with concerns about a rash. The infant developed a fever and cold-like symptoms a few days ago, and the rash appeared yesterday evening. It’s worth noting that the baby started daycare two weeks ago. During the examination, the child is alert and responsive with good muscle tone. The baby has no fever, and all vital signs are normal. There is some nasal congestion, and a papular rash is present on the trunk, which disappears when pressed.
What is the probable cause of the rash?
A 32 year old woman comes to your clinic 3 weeks after giving birth to a healthy baby girl. She is worried that her baby is not breastfeeding properly, unlike her previous two children. The baby seems to struggle with latching on and the mother experiences pain during attachment. You suspect that the baby may have tongue-tie. What is true about tongue-tie?
A 4-week-old boy is brought in for a routine check-up. He was born at 35 weeks gestation via normal vaginal delivery and spent a few days in the neonatal intensive care unit due to low birth weight. During the examination, it is noted that only one testicle can be felt.
What is the recommended course of action in this situation?
A 2-year-old boy is brought to an urgent GP appointment with an acute limp. He is coryzal but apyrexial. There is no history of trauma. He is able to weight bear.
What is the appropriate course of action for management?
A 6-year-old girl presents to the clinic with complaints of dysuria. Upon examination, her temperature is 37.2ºC, her abdomen appears normal, and a urine dipstick test reveals the presence of leukocytes and nitrites. The patient has no significant medical history. Besides urine microscopy, what is the most suitable course of action for management?
As a healthcare professional working in a GP practice, your next patient is a thirteen-month-old boy who has not yet started walking. His mother is worried because he has had six nosebleeds in the past two weeks, which have stopped on their own after basic first aid.
The child’s medical history is unremarkable, and he has no known allergies or regular medications. During the examination, you observe a lethargic-looking child with a normal heart rate and tympanic temperature. Upon inspecting his nose, there are no visible abnormalities, and his tonsils are slightly enlarged.
What is the most appropriate course of action to manage this situation?
A 6 week-old infant is presented to your clinic as the mother has observed a white spot in the baby’s mouth. Upon examination, a small white papule of around 1 mm size is visible on the lower gum. The baby is being breastfed and feeding without any issues. What is the probable diagnosis?
You are treating a group of teenagers for head lice after a live head louse is found in one of them. You are giving some general advice. Which of the following is appropriate advice to give?