You are attending labour for an emergency Caesarean section for failure to progress. The operation goes on without any complications. The baby cries immediately after birth and there is 30 seconds of delayed cord clamping. On examination, baby is centrally pink with blueish hands and feet. Saturation probes are attached to the baby and show an oxygen saturation of 73% at 5 minutes. What is the most appropriate next step in management?
A 4-month old baby presents with a murmur and cyanosis. What is the most probable diagnosis?
Which of the following is not a characteristic of Tetralogy of Fallot?
A 5-month-old baby presents with symptoms of shortness of breath and difficulty taking feeds. During examination, a systolic murmur is heard at the left lower sternal edge, and a thrill is felt in the pulmonary area. A rough ejection systolic murmur is best heard in the same area. An ECG shows right ventricular hypertrophy with right axis deviation, and the liver is palpable. The baby’s oxygen saturation intermittently drops to 88%, causing cyanotic spells. What is the most probable diagnosis?
A 4-day-old male infant is presenting with progressive abdominal distension. He has not had a bowel movement since birth. Digital rectal examination results in the expulsion of explosive feces. No additional information is obtained from abdominal examination or blood tests.
What is the conclusive measure for diagnosis?
A 2-year-old boy is presented to an urgent GP appointment with an acute limp. He has a runny nose but no fever. There is no reported injury. He is able to bear weight on the affected leg.
What is the appropriate course of action?
A 3-month-old previously healthy boy is brought into the pediatrician’s office by his father who is concerned about a change in his behavior. The father suspects his child has a fever. During the examination, the baby is found to have a temperature of 38.5 ºC but no other notable findings.
What should be the next course of action?
A 9-week-old boy is presented to his GP by his parents who are concerned about an undescended testis. The patient was born at term following an uncomplicated pregnancy and birth and has been healthy since birth. On examination, the left testicle is not palpable in the scrotal sac and is unretractable, while the right testicle has fully descended. What is the most suitable next step in managing this patient?
A 6-month-old boy is brought to the Urgent Paediatric Clinic with a urinary tract infection (UTI) that was treated in the community. He was born at term and has been healthy throughout infancy, without previous history of UTI. There is no significant family history. The child’s development is appropriate for his age and there have been no concerns about his growth. The antibiotics took effect after 4 days and he is currently doing well. Physical examination, including vital signs, is unremarkable. The child’s height and weight are both at the 50th percentile. The microbiology results confirm a UTI caused by Enterococcus. What is the most suitable imaging approach that should have been taken/ordered?
A 14-year-old boy comes to the clinic with complaints of central abdominal pain and haematuria that have been present for a week. He also reports experiencing pain in both knees. Upon examination, a non-blanching purpuric rash is observed on his legs and buttocks. Urine dipstick results show blood ++ and protein +. Additionally, his renal function is abnormal with urea levels at 26.3 mmol/l and creatinine levels at 289 μmol/l. What is the most probable diagnosis?