A 5-year-old girl presents with a three-day history of paroxysms of colicky central abdominal pain and bile-stained vomiting. The abdomen feels full and tender. Some red mucous has been passed from the rectum.
What is the most likely diagnosis?
A father requests access to his 16-year-old son’s medical records. He is in the process of separating from his son’s mother, and they have been married for twenty-five years.
What is the most appropriate action in this case?
A 7-year-old child comes to the clinic after visiting a petting zoo about 2 weeks ago. The child complains of watery diarrhea, abdominal cramps, and a low-grade fever. The mother reports that the child is still able to eat and drink normally and is urinating normally. Upon examination, the child appears pale, and the abdomen is slightly tender but soft. What is the most probable diagnosis?
For individuals with Trisomy 21, what is the most prevalent congenital heart defect?
During a local measles outbreak you are contacted by a number of elderly patients who are enquiring about immunisation for themselves.
In which of the following groups is MMR vaccine contraindicated?
Under what circumstances is it safe to administer the MMR (measles, mumps, and rubella) vaccine?
A 9-month-old boy is febrile, but there are no focal symptoms to suggest the site of an infection. There are no intermediate- or high-risk signs, according to the National Institute for Health and Care Excellence guidelines. You decide to keep the child at home.
The appearance of which of the following would be most appropriate for the parents to seek immediate further advice?
Recurrent chest infections/persistent cough are a common reason for adults to seek medical attention. This can pose a diagnostic dilemma. What is the most probable cause for an adult presenting with these symptoms?
A 6-week-old girl has had vomiting that has been increasing in frequency over several days. Now when she vomits, the gastric contents are ejected with great force. She is ravenously hungry after each vomit. She is otherwise well but has started to lose weight.
Which is the SINGLE MOST LIKELY diagnosis?
A 24-month-old girl is brought to the General Practitioner by her father who is concerned she is ‘showing abnormal behaviour’.
Which of the following behaviours would cause MOST concern in this patient?