Samantha brings her 18-month-old daughter to the clinic for her routine immunisations. The healthcare provider informs her that her daughter will require four different vaccines, including a pneumococcal booster. Samantha inquires about when her daughter received the pneumococcal vaccine previously in the schedule.
A 12-year-old girl presents to your clinic with her mother, complaining of a rash of small red dots on both arms that has been gradually worsening over the past month. The patient reports feeling generally well, but has been experiencing increased fatigue lately. Upon examination, you note a petechial rash on both forearms and her left calf, as well as hepatomegaly and splenomegaly (3 cm and 2cm below the costal margin, respectively). What is the best course of action for managing this patient?
A 2-year-old boy is brought to surgery with a fever and poor appetite. Upon examination, his temperature is 38.5ºC and there is no clear source of infection. The mother was able to collect a urine sample using a collection pad, which tested positive for both leucocytes and nitrites. As a result, the child was started on a course of trimethoprim and the urine sample was sent for culture. After three days, the urine culture results reveal the growth of Pseudomonas aeruginosa. What is the most appropriate course of action?
As a GP in a busy clinic, you are conducting a 2-month check on an infant. During the examination of the genital area and buttocks, you observe a rash. The rash doesn’t affect the gluteal cleft and is made up of well-defined, merging red patches that have a beefy red appearance. Additionally, there are some isolated papules. The mother has been using Sudocrem daily for almost two weeks, but the issue has not been resolved.
What would be the most appropriate course of action for managing this patient?
Which one of the following statements regarding adolescent health surveillance in the UK is inaccurate?
A 5-year-old girl has a history of constipation and is diagnosed with faecal impaction. Despite receiving lactulose therapy, there has been no improvement. What is the best course of treatment?
A mother brings her 3-year-old son for a concerning diaper rash. She has attempted to treat it with barrier creams but has not seen any improvement. She seeks advice on what to do next. During the examination, the doctor observes beefy red plaques in the groin area, affecting the skin folds. There are no skin abnormalities in other areas. The child is progressing typically, growing well, has received all necessary vaccinations, and is breastfeeding satisfactorily.
What is the probable reason for this diaper rash?
A 4-year-old boy is brought in for a routine check-up. His parents express concern about his decreased appetite and increased fatigue over the past few weeks. They note that he has not lost weight, but he has not grown out of any of his clothes in the last 6 months. During the examination, the boy appears pale, weighs 14kg, and has a non-tender mass on the right side of his abdomen. He also has a low-grade fever, and a urinalysis shows microscopic hematuria. What is the most likely diagnosis?
A 9-month-old girl is presented to the surgical department after experiencing a seizure. She appears lethargic, has a fever, and her capillary refill time is 3 seconds. The medical team suspects meningococcal septicaemia. What is the best course of action for treatment?
A mother brings her 10-week old baby girl in to see you. She was born at 39/40 without any complications and is growing along the 50th centile. The mother is concerned as the baby frequently spits up small amounts of milk after being fed, which is accompanied by crying and discomfort. However, the baby settles down after a few minutes. The baby is having wet and full nappies, and the vomit is milk-colored. The baby is formula-fed approximately 4 ounces, 7 times a day.
What is the recommended first-line advice or treatment for this situation?