A 6 month old baby presents with a sausage-shaped abdominal mass and a history of green vomit a few hours earlier. The baby was born at 38 weeks of gestation and immigrated recently form the Philippines with his parents. What is the most probable diagnosis?
A 6 year old boy is admitted following a motor vehicle collision (MVC). He presents with tachycardia and it is indicated that he might be in shock. Upon immediate management with fluid bolus, his condition becomes improves, only to worsen again after a while, as he becomes more tachycardia and his pulse pressure starts decreasing. Which of the following is the most probably cause of shock?
An 8 year old male was just hit by a car and brought by a helicopter to the emergency department. He is intubated and you want to avoid secondary brain injury. Which of the following measures is not indicated to prevent secondary brain injury?
A 5 year old boy fell and hit his head. The parents say that after the fall he cried immediately and then vomited four times. They brought him to the emergency department one hour after the event. His Glasgow Coma Scale (GCS) is 15 and he has a 6 cm haematoma on the right side of his head. Neurological examination is normal and he has full memory of what happened. What would you do next?
A 1-year old infant is brought to the emergency by her parents with difficulty breathing. Examination reveals stridor from an oedematous airway, bilateral wheezing and low blood pressure. Which of the following medications would result in the reversal of these symptoms?
A 13-year-old child who is undergoing assisted ventilation following traumatic brain injury develops new-onset bradycardia and hypertension.Which of the following can improve his current condition?
A 21-day old infant is brought to the paediatric clinic by his mother with complaints of fever, lethargy and a reduction in feeds. On examination, the infant is hypotonic, tachypnoeic and has a CRT of 4 seconds, with the femoral pulse being barely palpable. Venous access is obtained with difficulty by inserting an interosseous needle and blood sugar level is 13. His saturation is found to be 98%. Which of the following is the most likely diagnosis?
A 2-month-old child is brought to the paediatric emergency by his parents. Which of the following would be a contraindication for the baby’s discharge from the hospital?
A 6 months old girl presents with a history of vomiting, colic pain, fever, and listlessness. She doesn’t want to eat and the doctors noticed a bloody nappy. Upon clinical examination she’s found to be tachycardic and with cool peripheries. What is the most appropriate management?
A 5 year old boy falls into the swimming pool whilst playing and almost drowns. His parents start BLS and transfer him to the emergency department. You attach him to the cardiac monitoring and you notice ventricular fibrillation. You immediately start on CRP algorithm for shockable rhythms. Which of the following may result in a poor defibrillation response?