A mother brings in her 7-year-old girl who complains of ‘an itchy bottom’ at night. She is otherwise systemically well, developing normally and denies any change in her bowel habit. An external examination of the anus is unremarkable.
What is the most probable cause of her symptoms?
A 7-week old male infant is presented to the GP clinic by his mother for a regular examination. During auscultation of the baby’s heart, you detect a harsh ejection systolic murmur that is most audible at the second intercostal space on the right parasternal area and extends to the neck. Additionally, you observe that the baby has a small upturned nose, a long philtrum, a small chin, and swollen eyes. What is the probable syndrome that this baby is suffering from?
A 6-year-old girl is brought to your clinic by her father. She has a history of asthma and has been using salbutamol as needed. However, her father reports that her symptoms have become more severe lately, with a persistent nighttime cough that disrupts her sleep and affects her performance during physical activities at school. Upon examination, there are no notable findings. What is your recommended course of action?
A 9-month-old boy is presented to the GP with a 4-week history of rash. He has no significant medical history and is meeting developmental milestones appropriately. He has received all of his scheduled immunizations, has no known allergies, and is feeding and urinating well. Upon examination, there is a symmetrical, poorly defined erythematous rash on his elbows and knees. What is the most probable diagnosis?
A 36-year-old woman has been diagnosed with pertussis. She came to the doctor’s office after a child at her workplace daycare tested positive for whooping cough. She has been experiencing an on-and-off cough with occasional vomiting for the past 18 days. Assuming the patient has no allergies, what is the best course of treatment for this diagnosis?
A 14-year-old girl arrives at the clinic with her mother. She is asking for the combined oral contraceptive (COC) pill as she has recently started a relationship with a 19-year-old man whom she met at a local coffee shop, but they have not yet engaged in sexual activity. During the consultation, you discuss the age difference, but the mother assures you that she has met the boyfriend and believes he treats her daughter well. Both the girl and her mother insist that they do not want anyone else involved. What is the most appropriate course of action?
A father brings his 5-year-old daughter to the clinic. Despite not getting the MMR vaccine during the recent scare, he now wants to know if it’s still possible to have her immunised due to the current measles outbreak. What should be done in this situation?
While on your GP placement, you hear a cry for help coming from the reception area. Rushing over, you see a young girl who appears to be around 4 years old collapsed on the floor. Upon checking, you find that there are no signs of life.
What would be your initial course of action in this situation?
A 5-year-old child is brought to the Paediatric department by his grandmother. He has developed a very high fever and is breathing with a high-pitched sound. His grandmother is very worried as she has tried to get him to drink some water and take paracetamol this morning, but he is drooling and refuses to take anything orally. The child is Spanish speaking, however, his grandmother translates that he feels too hot and his chest hurts.
What is the most suitable initial step in managing this child’s condition?
A 25-year-old male patient visits the GP clinic complaining of left ear pain that has been present for 3 days. The patient is new to the clinic and there is no medical history available on the system. Upon examination, you observe the patient’s facial features, which include upslanting palpebral fissures, prominent epicanthic folds, low-set ears, and a protruding tongue. Otoscopy examination of the left ear reveals a bulging tympanic membrane. What is the probable diagnosis?