paeds1081

A 14-month-old boy is brought to the paediatric clinic by his mother with complaints of vomiting, abdominal pain, and rectal bleeding. On examination, he is found to be dehydrated, and a palpable abdominal mass was felt. A Meckel’s scan proved to be negative. However, the ultrasound scan did reveal a target sign.What is the most probable cause of the patient’s complaints?

paeds1082

A 14-month-old girl was brought to the hospital by her mother, with complaints of a 0.5 cm cystic lump on the lateral aspect of her eyebrow. It has been present since birth but is slowly increasing in size. What is the most probable diagnosis?

paeds1045

An 18-year-old girl presents with complaints of easy fatiguability and severe headaches. She also complains of irregular and sporadic periods. During the examination, you notice behavioural traits that suggest a deterioration in peripheral vision. An eye exam confirms bitemporal hemianopia. Magnetic resonance imaging of the brain reveals a large non-functional pituitary tumour. Which structure does the tumour exert pressure on to cause her visual symptoms?

paeds1047

Congenital cataracts are NOT a known complication of which of the following conditions?

paeds1048

Leukocoria does NOT occur in association with which of the following conditions?

paeds1049

Which of the given features does NOT occur in association with aniridia?

paeds1052

A 1 year old baby is taken to the A&E with colicky abdominal pain and an ileo-ileal intussusception is found on investigation. What is the most appropriate course of action?

paeds1053

A 10 hour old baby who was born by emergency caesarean section, is being observed for foetal distress. She has a displaced apex beat and decreased air entry on the left side of her chest. A scaphoid abdomen is seen on abdominal examination but all else is unremarkable. What is the probable diagnosis?

paeds1054

A 10 year old child presents with enlarged tonsils that meet in the midline. Oropharyngeal examination confirms this finding and you also notice petechial haemorrhages affecting the oropharynx. On systemic examination he is noted to have splenomegaly. What is the most likely cause?

paeds1055

A 11 month old baby develops periumbilical abdominal discomfort and diarrhoea after having a sore throat and fever for a few days. He presents to the A&E department and an ultrasound is done which shows a ‘target sign’ on the right side of the abdomen. What is the best initial course of action?