A 4-year-old child presents with a 4-month history of recurrent episodes of cough and wheeze. The cough is worse at night. Chest examination is normal between episodes of wheeze, but there is prolonged expiratory wheeze during an episode.
What is the most appropriate course of action?
A 6-week-old baby girl is brought to her pediatrician’s office by her mother who is worried about her poor feeding over the past 24 hours. The mother has noticed that the baby feels warm but has not observed any signs of cough or cold. The baby is scheduled to receive her vaccinations next week. She has had a wet and dirty diaper today and her urine has a strong odor.
During the examination, the baby has a fever of 38.9ºC and is fussy, but her chest and abdomen appear normal.
What is the most appropriate course of action for this infant?
A 6-month-old infant, one of twins born at term, presents with central cyanosis. What is the most probable cause?
As a paediatrician, you are reviewing a 1-month-old who was delivered at 39+2 weeks vaginally and without any complications. The parents of the child have a concern that their child might have achondroplasia as the child’s father has been diagnosed with this condition. Apart from measuring the child’s length, what other physical characteristic should you look for to determine if the child has achondroplasia?
Parents bring their infant to see you because their child is not growing normally. There is no family history of note. On examination, he is noted to have a large head relative to the limbs. The limbs are relatively shortened, compared to the trunk.
What is the molecular basis for this condition?
What are the typical vaccines administered to adolescents aged 12-19 years?
A 3-month-old girl is presented to the pediatrician by her father. The baby has been struggling with feeding since birth, is frequently fussy, and her lips turn blue after crying for extended periods. She was born at term, weighing 2500 grams. During the examination, the doctor detects an ejection systolic murmur at the left sternal edge.
What is the probable diagnosis?
A 1-month-old infant begins to turn blue and becomes tachypnoeic 10 minutes after feeding. They are administered 100% oxygen for 20 minutes and an arterial blood gas is performed.
pH 7.40 7.36 – 7.42
PaO2 11.5 kPa 10.0 – 12.5
PaCO2 5.8 kPa 5.1 – 5.6
On auscultation, the infant has no murmur but a loud single S2. On palpation, there is a prominent ventricular pulse.
What is the most likely diagnosis?
You are requested to assess a neonate who is 6 hours old and has been experiencing intermittent grunting and occasional nasal flaring. The baby was delivered this morning through an elective Caesarean section at 41 weeks gestation. The respiratory rate and oxygen saturation of the baby are both normal. The mother is worried as her previous child, who was also born through Caesarean section, had a similar presentation. What guidance would you provide to the mother?
Which statement accurately describes Factitious disorder imposed on another (FDIA)?