A 12-year-old boy has been under the care of the Paediatrics Team since birth and is attending the Paediatric Clinic for a follow-up appointment. His mother reports that he is struggling at school due to his learning and behavioural difficulties. He has a large jaw, hyper-extensible joints and macroorchidism.
Which of the following is the most likely syndrome?
An infant develops bile-stained vomiting; an abdominal X-ray shows a ‘double bubble’ appearance. The infant is also hypotonic with brachycephaly.
Which of the following is the most likely diagnosis?
At what age would a typical infant develop the skill of crawling?
A 4-year-old boy presents to the emergency department with stridor and drooling. He is sitting forward and appears to be struggling to breathe. The clinician suspects acute epiglottitis. What is the causative organism of this condition?
A 6-year-old girl attends surgery with a rash on her legs and buttocks. She has been unwell with a cough and cold for one week. The rash is purpuric, macular and symmetrical to both buttocks and legs, and is non-blanching.
Which of the following is the likely cause?
Select the SINGLE cause from the list below.
A 6-year-old girl presents to the emergency department with a 5-day history of fever and lethargy. She has no significant medical history and is up to date with her childhood vaccinations.
During the examination, the girl appears drowsy and has a temperature of 39.2ºC. Her heart rate is 155 beats/min and respiratory rate is 46 breaths/min. She has a maculopapular rash on her torso and upper limbs, and her lips are cracked and erythematous. Additionally, her conjunctivae are inflamed. Kernig’s sign is negative.
What is the most appropriate management for this patient, given the likely diagnosis?
A 6-month-old infant is presented to the emergency department by their caregiver. The infant is exhibiting a fever, lethargy, and decreased muscle tone. Additionally, a non-blanching rash is observed on the right arm of the infant. What is the best course of treatment?
A 9-year-old boy with a history of asthma is being evaluated. He is currently receiving treatment with a salbutamol inhaler as needed and beclometasone inhaler 100mcg twice daily. However, he frequently requires salbutamol for exacerbations and experiences a nighttime cough.
In accordance with NICE recommendations, what is the most suitable course of action for further management?
A 10-year-old girl comes in for a check-up. She was diagnosed with asthma two years ago by her pediatrician. She is currently taking a salbutamol inhaler, using 2 puffs 3 times a day, and a low-dose beclomethasone inhaler. She also takes oral montelukast. However, she still experiences a night time cough and has to use her blue inhaler most days. Unfortunately, the addition of montelukast has not provided much relief. On examination today, her chest is clear with no wheeze and a near-normal peak flow. What should be the next step in her management?
You are a foundation year 2 Doctor on your GP placement. Your first appointment is 6-year-old Jack. His mother has brought him to see you as he has had a cold over the past 6 days and now has developed a productive cough with green sputum. On examination you hear bilateral crackles at the base of his lungs and there is dullness to percussion at the left base. All basic observations are within normal limits. You diagnose a lower respiratory tract infection and decide to prescribe some antibiotics. Jack has no allergies.
What is the first line antibiotic you would prescribe for Jack?