A childminder brings a boy for his routine 18 month vaccinations. The boy’s father is at work and has provided a letter stating that he consents for his son to be vaccinated. The practice nurse is unsure whether it is appropriate to administer the vaccine without the father being present. What should be the nurse’s course of action?
A 4-year-old girl is brought to the pediatrician by her mother. She is currently being treated for a cold but her mother is worried about her heart rate. What is the typical heart rate for a 4-year-old child?
The mother of a 3-year-old boy contacts you for a telephone consultation seeking advice on febrile convulsions. Her son was recently hospitalized due to his first febrile seizure, which was believed to be caused by a viral upper respiratory tract infection. She describes the convulsion as a typical, simple febrile seizure that lasted for 2-3 minutes, with complete recovery in approximately 30 minutes.
The mother recalls being informed that there is a possibility of a recurrence, but she was unsure about what to do if it happens again. She mentions that they were not given any treatment during their hospital stay and were discharged home.
She seeks your guidance on when to call an ambulance if her son experiences another febrile convulsion.
A 14-year-old boy visits his GP with a complaint of knee pain that has been bothering him for a week. He has no notable medical history. What factor would increase the likelihood of a diagnosis of Osgood-Schlatter disease?
A 6-month-old boy is scheduled for his routine immunisations. He has received all previous immunisations according to the routine schedule and has no medical history. What vaccinations should he receive during this visit?
A mother brings her 2-year-old daughter into surgery complaining that she is having trouble passing urine. She describes ‘ballooning’ of the labia when she urinates. She doesn’t complain of any pain, is well in herself and has no past medical history. You examine her and find that her labia doesn’t separate. What is the next most appropriate plan of management?
A neonate presents with a cleft palate and posterior displacement of the tongue. What is the probable diagnosis?
A concerned mother brings in her 7 month old baby boy, worried about the shape of his skull. The baby’s development and birth have been normal, and there are no known conditions in the family. Upon examination, the baby’s head circumference is at the 40th percentile, while his height and weight are at the 30th percentile. The left side of his occiput is flattened, his left ear protrudes slightly forward, and his left forehead is more prominent than the right. No other abnormalities are detected. What is the most appropriate course of action?
A 5-year-old girl is presented to the emergency surgery department with a fever and a blotchy rash. Her mother reports that the rash started behind her ears and has now spread all over her body. During the examination, you observe clusters of white lesions on the buccal mucosa. The child has not received any vaccinations.
What is the potential complication that this child may face?
A 14-month-old baby boy receives his first MMR vaccine. If any side-effects occur, what are the most probable symptoms?