A 9-month-old boy is brought to the emergency department by his father. His father reports that over the past 4 hours, his son has had episodes of shaking and is less responsive than usual.
On examination, the boy is drowsy and does not respond to voice. You note he has some bruising around his torso. You suspect that the baby may have been shaken.
Which triad of symptoms is consistent with this diagnosis?
A teenager attends the GP with his mother who is concerned about his height. The GP charts the teenager’s height on a growth chart and finds him to be in the 5th percentile. At birth, he was in the 50th percentile. However, the teenager’s developmental milestones are normal, and he appears to be content with himself. What is the most appropriate next step in managing this teenager?
A 4-year-old girl presents to the emergency department with a cough and noisy breathing after experiencing coryzal symptoms for 2 days. Upon examination, she has intercostal recession, a cough, and harsh vibrating noise during inspiration. Although she is afebrile, her symptoms are concerning. What is the probable causative organism?
A 7-year-old boy is presented to the Emergency department with a sudden onset of limping. He denies any history of injury, but experiences pain in his right hip with any movement. Additionally, his temperature is 37.5°C. What investigation would have the greatest impact on your management plan in the next few hours?
A 6-year-old boy is brought to the Emergency Department by his parents due to a high-pitched sound heard during his breathing while playing with toy cars. Upon examination, the patient is experiencing respiratory distress, and a chest X-ray reveals a hyperinflated right lung. What is the most probable location of the obstruction?
A 2-year-old toddler is brought to the GP by concerned parents who have noticed swelling of the foreskin during urination and inability to retract it. What is the most appropriate initial approach to manage this condition?
A 3-year-old girl is brought to the emergency department after experiencing a seizure. Once she is observed and tested, she is diagnosed with febrile convulsions. What advice should be given to her parents before they take her home?
As an F1 doctor on a paediatric ward, you come across a 9-year-old girl with her parents. She has been diagnosed with West syndrome and is part of a research trial that requires regular EEG recordings. While discussing her progress during the ward round, the girl interrupts and expresses her dislike for the ‘horrible head stickers’. She becomes visibly upset when the trial is mentioned. What would be the best course of action in this situation?
A full-term female neonate has bilateral palpable flank masses and oliguria and is in respiratory distress. The mother had little prenatal care, but a third-trimester ultrasound right before delivery showed severe oligohydramnios. An ultrasound of the neonate now shows multiple renal cysts and hepatic fibrosis.
What is the most likely cause of these findings?
The midwife has requested that you conduct a newborn examination on a 2-day-old baby boy. He was delivered vaginally at 39 weeks gestation, weighing 3300 grams, and was in good condition. The antenatal scans were normal, and it was a low-risk pregnancy without family history of congenital disorders. During your examination, you observe a ventral urethral meatus while examining the external genitalia. What condition is commonly associated with this finding?