A 2-year-old girl is brought to her pediatrician by her father. He has a photograph and is worried about the different appearances of her eyes. One eye shows a normal red reflex while the other appears white. He wants to know if this is normal.
What is your advice for him?
A 6-week-old infant is brought to the GP clinic by her mother for a check-up. The mother is concerned about her daughter’s occasional fever and wants to have her checked. The baby appears active and healthy, breathing comfortably with a central capillary refill of less than 2 seconds. She has no rashes and is of normal color.
The following observations and growth measurements are recorded:
– Heart rate: 140 beats per minute (normal range: 115-180)
– Oxygen saturation: 99% on room air
– Respiratory rate: 42 breaths per minute (normal range: 25-60)
– Temperature: 38.7ºC
– Weight: 75th percentile
– Height: 50th percentile
– Head circumference: 75th percentile
What would be the most appropriate course of action?
A 7-year-old girl is seen in clinic for nocturnal enuresis. Despite her mother’s attempts at using a reward system, there has been no improvement. What is the best initial approach to management?
A first-time mother brings her daughter, Lily, who is 7-months old, to the GP surgery. She is worried about Lily’s development as she is still unable to sit without support. However, Lily is able to roll from front to back, sit with back straight if being held, and grasp toys when lying on her back. Can you inform the mother at what age Lily will be able to sit without support?
A 6-month-old boy is brought to the emergency department with a 24-hour history of cough and wheeze, following a week of mild fever and coryzal symptoms. The infant appears otherwise healthy and has no significant medical history. Upon respiratory examination, diffuse wheezing is noted. Vital signs reveal:
Respiratory rate 52/min
Blood pressure 92/54 mmHg
Temperature 38.2ºC
Heart rate 120 bpm
Oxygen saturation 96% on room air
What is the most appropriate course of action for managing this infant’s symptoms?
What is a contraindication for receiving the pneumococcal vaccine in individuals under the age of 2?
A 7-year-old boy is presented for surgery due to recurring headaches. What is the primary reason for headaches in children?
A mother brings her 8-year-old daughter into surgery. She is struggling in school and the mother suspects she may have ADHD. Which of the following features is not indicative of a diagnosis of Attention Deficit Hyperactivity Disorder (ADHD)?
A mother visits the GP clinic seeking information on the hearing tests conducted during school entry. She is anxious about the hearing screening tests as her sister had a language delay caused by hearing impairment that went unnoticed. Her daughter is 4 years old and is about to start preschool. What kind of hearing screening test will be provided to her?
A 6-year-old girl from a travelling community is brought to the Emergency Department with respiratory distress. Upon examination, she has a fever of 38.5ºC, stridor, and appears toxic. The medical team suspects acute epiglottitis. Which of the following pathogens is the most probable cause?