paeds1111

A 3-year-old boy presents with facial puffiness, frothy urine, lethargy and oliguria for two weeks. Urine analysis reveals proteinuria. Which of the following is the most appropriate treatment for this child?

paeds1109

A 16-year-old girl developed haemoptysis with acute kidney injury requiring dialysis. She suffered from recurrent epistaxis for the past 2 weeks. Renal biopsy showed crescentic glomerulonephritis. Which antibody would you expect to be positive?

paeds1093

A 15-year-old girl presents with mild abdominal pain in the left lower quadrant for the last four months. An ultrasound scan demonstrates a 7cm simple ovarian cyst. What is the most appropriate course of action for this patient?

paeds1085

A 7-year-old girl was brought to the hospital with complaints of fever. 5 days ago, she was taken to her GP with lower abdominal pain and leukocytes 3+ on urine dipstick. She was treated with trimethoprim. On examination, she is found to have a low-grade pyrexia, a CRP of 254 mg/L, and a palpable mass in the right iliac fossa. She is able to consume both solids and liquids. Based on the clinical scenario, what is the probable diagnosis and most appropriate management for this child?

paeds1091

You notice an umbilical hernia in a 6-week old baby. What advice would you give the parents?

paeds1092

What percentage of infants born with meconium Ileus have cystic fibrosis?

paeds1087

A 9 year old girl who has recently undergone a laparoscopic appendicectomy for a perforated appendix develops a swinging temperature of 38.8 C while on admission. What is next step in her management?

paeds1084

A 10-year-old girl presents with a one-day history of bilious vomiting and abdominal distension. Her inflammatory markers are within normal limits. Her mother informs the physician that the girl had an operation at three days of age for malrotation. An abdominal X-ray shows several severely dilated loops of small bowel with no gas in the rectum. What is the probable diagnosis and the appropriate initial management?

paeds1094

A 15-year-old boy complains of fever, headache, and neck stiffness. On examination, Kernig’s and Brudzinski’s signs were positive. In the meantime, while awaiting the results from blood culture, how will you manage this patient?

paeds1090

In a premature infant boy, an inguinal hernia will most likely: