A 6-month-old baby girl is brought to her General Practitioner by her mother. She had a runny nose for two days and has had a cough for three days. She has not been feeding as much as usual.
On examination, her temperature is 38.2 °C. Her respiratory rate is slightly raised. On auscultation of the chest, she has a widespread wheeze and crepitations. Her other observations are within normal limits.
What is the most likely diagnosis?
You are the paediatric SHO on call. You receive a call to attend the emergency department to assess a 3-year-old with stridor. Upon arrival, you find the patient sitting on their mother’s lap, leaning forward and drooling. Audible stridor can be heard from the end of the bed. The patient’s medical history reveals that they have not received any vaccinations.
What is the most suitable course of action in this scenario?
A father brings his 4-year-old daughter to your clinic with worsening eczema despite regular use of emollient creams. On examination, the child has dry, scaly skin on the flexor surfaces of her arms and legs without any signs of infection or weeping. What is the most suitable next step in managing her condition?
A 1-month-old infant presents with low-set ears, rocker bottom feet, and overlapping of fingers. What is the probable diagnosis?
A 35-year-old primip has a stillborn baby at 34 weeks gestation. The infant presents with microcephaly, micrognathia, and club feet. What is the diagnosis?
A mother brings in her 3-day-old female baby to the pediatrician’s office. She noticed a small cyst on the roof of the baby’s mouth. Upon examination, a small white cystic vesicle measuring approximately 2 mm in diameter is found on the hard palate near the midline. What is the probable diagnosis?
You are the foundation year two doctor on the paediatric medical assessment unit. You are asked to clerk a 10-year-old boy who has been brought in by his father due to abdominal pain and strong smelling urine.
A urine dip is positive for nitrites and leucocytes. You start treatment for a urinary tract infection. What is the most probable organism responsible for this infection?
A newly born infant is diagnosed with gastroschisis and has exposed bowel. The mother is concerned about potential complications besides fluid loss.
A mother brings in her 4-week old male baby who was born at 30 weeks. He was discharged from neonatal intensive care unit 2 weeks ago. She reports that for the last 4 days, he has been refusing feed. This morning she noticed that he passed some bloody stools. On examination, the baby has a distended abdomen.
What is the probable diagnosis?
A 10-year-old boy has been diagnosed with constipation.
What is the recommended first line treatment for constipation in children?