A 6-month-old girl with poor weight gain is brought to see the pediatrician. Her growth has slowed crossing 1 centile but her weight has fallen from 50th to 9th centile in the last two months.
She began weaning at 4 months with a variety of foods. Her mother says she eats well and has no other specific symptoms. On examination she appears emaciated with abdominal distension. She is rolling over and making appropriate cooing sounds.
What is the probable diagnosis?
A 9-month-old girl is brought to their GP due to family concerns over the child’s development. They were born at term via vaginal delivery, without complications. The child is otherwise well, without past medical history.
What developmental milestone would be most anticipated in this child?
A three-week-old preterm baby boy is brought to the paediatric assessment unit by his mother due to concerns of increasing lethargy and refusal to feed over the past 3 days. On examination, the baby’s respiratory rate is 66 breaths/min, oxygen saturations are 95% on air, heart rate is 178 bpm, blood pressure is 64/48 mmHg, and temperature is 36.5ºC. The only notable findings are lethargy and signs of dehydration. What is the most likely diagnosis?
Which one of the following statements regarding cow’s milk protein intolerance/allergy in toddlers is true?
A mother observes that her 2-year-old son has small eye openings, a small body, and low-set ears. During the examination, the pediatrician also observes a flat philtrum, a sunken nasal bridge, short palpebral fissures, and a thin upper lip. What could be the probable cause of these symptoms?
A 7-year-old girl is diagnosed with Attention Deficit Hyperactivity Disorder and prescribed methylphenidate. What should be monitored during her treatment?
A 12-year-old girl comes to the paediatric outpatient departments with a height of 142 cm, which is below the 0.4th centile. Upon examination, she has an immature-appearing face and a significantly delayed bone age on wrist x-ray. Her TSH levels are normal, and she is at an appropriate Tanner stage. It is noted that her mother had her menarche at the age of 11 years. What is the probable diagnosis for this patient?
A 5-year-old boy has been brought in by his worried mother. She reports that he is a typical boy, but he has been experiencing difficulty walking and falls frequently. He started walking at 15 months old, and she has observed that he requires assistance getting up from a seated position. Apart from that, he is comparable to his classmates in school and has progressed normally. During the examination, he displays proximal weakness, but his distal muscle strength is intact.
What is the probable diagnosis?
A baby born at 32 weeks’ gestation develops sudden abdominal distension and a purpuric rash. The nurses record the passage of blood and mucous per rectum during the first week of life in the Neonatal Intensive Care Unit.
Which is the most likely diagnosis?
A 10-year-old foster parent brings in her 7-year-old foster child to the GP. He has been complaining of pain when going to the toilet. The foster mother explains that he often has pain when urinating and as a younger child often cried when passing urine. He has only recently developed pain while defecating, however, the foster mother is clearly concerned and consents to the GP examining the child.
What clinical findings are most likely to indicate child sexual abuse in a 7-year-old child who complains of pain when going to the toilet and has a history of crying while passing urine?