A mother brings in her 8 week old baby girl and reports that she has noticed that the lips of her baby’s vagina appear ‘sewn’ together. She has also noticed that since birth the baby always cries when urinating. On examination you note that the child has a normal vagina, however it appears that the labia minora are fused together.
What would be your next step in management?
A 9-year-old girl has been diagnosed with ADHD. What dietary recommendations should be given to her parents?
A mother brings her 4-year-old daughter, Lily, to the clinic. Lily has been experiencing discomfort in her genital area and has difficulty urinating, often dribbling. During the examination, with a chaperone present, you observe that she has a labial adhesion that is causing a small opening over the urethra. What is the most suitable course of action for management?
A 16-year-old female patient is being treated by the paediatric team for obesity and has also been diagnosed with type 2 diabetes. The team has decided to include orlistat in her management plan for weight loss, which the patient has agreed to. The dietician has suggested some dietary supplements. What specific nutrients should be monitored to prevent deficiencies in this patient?
A health visitor expresses concern about the head growth of a 6-month-old girl who has moved from the 50th to the 91st centile in the last 2 months. Which of the following is not a likely cause for this change?
A 38-year-old woman has just found out that she has Huntington disease and is worried that she may have passed it on to her children. The father of the children doesn’t have the disease.
What is the probability that each of her children has inherited the condition?
What is the most common cause of hypertension in adolescents?
A 6-month-old girl is brought to surgery as her parents are worried about her excessive hypotonia. Upon examination, it is found that her hypotonia is more severe than what is typical for her age. Which of the following is not a likely cause for her condition?
A 2-week-old girl has her hearing checked through the Newborn Hearing Screening program. She had a normal delivery at 40 weeks and was discharged home with her parents. The hearing screening was abnormal and a follow-up test is required to confirm.
What is the follow-up test needed in this case?
A mother brings her 8-week-old baby to the GP clinic for their routine 7-week check-up. The baby appears happy and responsive during the assessment. During the examination, you observe weak femoral pulses on both sides. The rest of the examination is normal.
What is the most suitable course of action to manage this situation?