A 7-year-old boy has had three episodes of central abdominal pain in the last three months, each lasting a few days. The pain variably increases and decreases during an episode. It has been severe enough to affect school attendance. When his mother brings him she has no pain and physical examination is normal.
Select from this list the most likely eventual finding for the cause of the symptoms in this boy.
A 5-year-old boy is brought to the GP by his mother. He has had a fever with vomiting for the past 48 hours.
On examination he is pyrexial 38.5°C and is tender across his lower abdomen. A past history of one previous UTI is noted, and on that occasion he was less unwell.
Investigations reveal:
Clean catch urine: blood +, protein ++, coliforms isolated.
He is started on co-amoxiclav and is symptom free 48 hours later.
Which of the following is the most appropriate plan for urological imaging?
A Health Visitor has requested a review of a 9-month-old girl who is not reaching out for objects. The mother reports that the child is able to sit with support and has started to crawl.
Which is the single most appropriate initial intervention?
What medical condition in a child would require circumcision?
A 14-month-old girl is brought to the General Practice Surgery by her mother following concerns raised by her nursery that she has not said any words and she makes sounds, but there are no recognisable words. They are also concerned that she doesn’t respond when her name is called.
Which is the single most appropriate initial management?
You see a 13-year-old boy who has burns on his hands. Three months ago he had a fractured radius.
You talk to him and he reveals that his father has been causing the injuries. You inform him that you will be referring him to child protection services, but he pleads with you not to. He comprehends the situation and the role of the child protection team, but he expresses his love for his family and doesn’t want to be separated from them. You are familiar with his father and his grandfather, as they are all patients of yours.
What course of action should you take?
Under what conditions is MMR (measles, mumps and rubella) vaccination not recommended?
An apprehensive mother has called the clinic to report that her family had significant contact with a confirmed case of measles yesterday. Her husband believes he had measles when he was younger, but their three children, aged 6 months, 5 years, and 11 years, have not received the MMR vaccine. You are contemplating administering post-exposure prophylaxis with the MMR vaccine.
What is the minimum age requirement for the MMR vaccine to be effective as post-exposure prophylaxis?
A four-year-old child presents with a rash. The child has a history of atopic eczema that has been challenging to manage. Upon examination, the child has multiple umbilicated papules primarily on the neck and trunk. When compressed, the lesions discharge a cheesy substance.
What would be your plan of action?
A man visits your clinic after a year as he requires an increase in his dosage of methylphenidate. As per NICE guidelines, what assessments will you need to conduct as a physician?