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?
A 5-year-old boy is brought to the emergency room by his mother. He was playing on the monkey bars at the playground and fell off, landing on his right arm. He started crying and complained that his right elbow hurt. He is now reluctant to move the elbow and holds it slightly flexed and pronated with the forearm held against the abdomen. There is no tenderness, swelling, bruising or deformity at the elbow.
Which is the MOST LIKELY diagnosis?
A new mother brings her 14-day-old boy to see you and you carry out a clinical examination. She wants to know if there are any indications that her child may have an underlying condition.
What feature in this boy would be most suggestive of a high risk of a serious underlying problem?
A 4-year-old boy’s mother is worried about his foreskin not retracting. Ballooning of the foreskin occurs during urination, but the penis appears normal. What is the MOST PROBABLE diagnosis?
A young mother with a 4-month-old boy presents to your practice. Her sister has recently lost a baby due to sudden-infant-death syndrome (SIDS). She asks for the current advice on minimising the risk of SIDS in her own family.
Which of the following pieces of advice is most appropriate?
In the newborn period, what condition necessitates surgical intervention?
The practice pediatrician has seen several adolescents with orthopaedic abnormalities and is uncertain about their management. You have been tasked with creating a tutorial on the subject. Which of these adolescent orthopaedic abnormalities is MOST LIKELY to require active intervention? Choose only ONE option.
A 6-year-old girl has been suffering from constipation and soiling for many months and her mother feels that something needs to be done now that she is starting school. She was born after a normal delivery and had no problems until the age of three. On physical examination, the only obvious abnormality is a loaded colon.
What is the most appropriate next step?
An 8-year-old boy comes to the General Practitioner with his father complaining of bed-wetting, thirst and increasing lethargy for the past 2 weeks. The father reports that his son has lost some weight. The patient appears healthy and the examination is normal. Urinalysis reveals 4+ glucose and moderate ketones. His capillary blood glucose level is 16 mmol/l.
What is the most suitable course of action?