You are requested to assess a newborn on the post-natal ward 12 hours after a vaginal delivery. The midwife reports that the mother tested positive for group B streptococcus. During your examination, you observe a yellowish tint to the skin. What would be the most suitable course of action to take next?
You are summoned to the neonatal ward to assess a 12 hour old infant delivered via elective caesarian section at 38 weeks gestation. Upon reviewing the medical records, you come across the administration of maternal labetalol for hypertension. During the physical examination, you observe that the baby displays tremors and decreased muscle tone. What would be the most suitable course of action to take next?
A 7-year-old girl visits her pediatrician with her father due to difficulty falling asleep at night caused by an itchy bottom. She is an active and healthy child who attends school regularly and enjoys playing with friends in the park. She has received all her vaccinations up to date. What is the recommended first-line treatment for her most likely diagnosis?
A 7-year-old girl is brought to the pediatrician’s office by her father. She has been experiencing nighttime itching around her bottom and has mentioned to her father that she has seen small white strands moving in her stool. She is not constipated and is generally healthy. No one else in the household has reported similar symptoms. The girl lives with her father and her two-year-old brother.
What should be the next course of action?
What is the most frequent location for osteoclastoma to occur?
A 14-month-old boy is referred to paediatrics by his GP due to concerns that he is still not attempting to ‘pull to stand’. He was born at 28 weeks by emergency cesarean section due to foetal distress and weighed 1.2kg at birth.
On examination, he appears healthy and engaged. He responds to his name and has 8 meaningful words. He can drink from a cup using both hands. When put on the floor, he commando crawls to move around. Upper limb tone is normal however lower limb tone is significantly increased.
Based on this patient’s symptoms, where in the brain/nervous system has damage occurred?
A 5-year-old girl is brought to the emergency department by her father. The father seems hesitant for his child to be examined, and admits he has some distrust towards modern medicine. His daughter has not received any of her routine immunisations. He explains that his daughter was slightly unwell with cold symptoms and a mild cough last week, but her condition has worsened over the past 10 days. Her cough has become so severe that she experiences uncontrollable coughing fits, which have caused her lips to turn blue and led to vomiting. Her symptoms are particularly severe at night.
What is the most appropriate class of antibiotics to prescribe for this patient, given the most likely diagnosis?
A 4-year-old girl visits her GP complaining of a fever and a rash.
What symptom might indicate the need for the GP to administer IM benzylpenicillin during the appointment?
A 10-year-old boy is brought to surgery due to persistent leg pains. Which one of the following would not be consistent with a diagnosis of ‘growing pains’?
A father attends his GP to discuss concerns he has about his 12-year-old daughter. Since the age of three, she has had a lot of routines, such as how she organizes her toys and which way she walks to school, and is very rigid about following them. She does not cope at all well with changes to the routine. She struggles to make friends and seems very uncomfortable in social situations. Apart from going to school, she avoids meeting children; she has been to a few birthday parties, but she was very clingy to her father and demanded to be taken home after a few minutes. On examination, the GP is unable to build a rapport with the girl, as she refuses to speak and will not maintain eye contact. She appears fidgety and gets up and down out of her chair on several occasions to try and leave the room. You suspect a diagnosis but advise her father that more assessment will be needed to confirm a diagnosis.
The sign to support the diagnosis is the child’s rigid adherence to routines and difficulty coping with changes to the routine, as well as their struggles with social situations and avoidance of meeting other children.