A father is worried about a swelling he has noticed on his two-day-old baby’s head. The baby was delivered using forceps due to a prolonged second stage of labor. Upon examination, there is a swelling in the parietal region that does not cross the suture lines. The doctor informs him that it may take several weeks to resolve. What type of head injury is most likely responsible for this?
You are assessing a 10-month-old infant with a viral upper respiratory tract infection. Despite being clinically stable, the mother inquires about the child’s development towards the end of the consultation. The infant is observed to point and babble ‘mama’ and ‘dada’, but has not yet developed any other words. She appears to be timid and cries when being examined. The infant has an early pincer grip and can roll from front to back, but is unable to sit without support. How would you evaluate her developmental progress?
A 1-year-old child is diagnosed with multiple congenital abnormalities such as an extra finger on each hand, microphthalmia, microcephaly, and cleft palate and lip. Which chromosome is most likely to be affected in this case?
A 42-year-old multiparous woman undergoes an 11-week gestation dating scan revealing a live fetus with several abnormalities such as choroid plexus cysts, clenched hands, rocker bottom feet, and a small placenta. What is the probable abnormality?
A 10-year-old boy presents to you with his mother, reporting pain in his left hip. He is typically healthy, but he recently saw another doctor for a viral upper respiratory tract infection. The pain began two days ago, and he is hesitant to put weight on his left leg.
What is the probable underlying condition?
A 10-year-old boy presents to the paediatric clinic with his mother. She reports that her son has been experiencing pain in his left hip and groin, accompanied by a limp over the past week. There is no history of any injury. The patient’s medical history includes eczema, and he completed a course of antibiotics for tonsillitis 4 weeks ago.
During the examination, there is palpable tenderness in the left groin, hip, and knee. The patient experiences extreme pain, leading to a loss of internal rotation of left hip flexion. He is in the 90th percentile of weight for his age.
What is the most probable diagnosis?
A father brings his 4-month-old baby who is currently breastfed to your clinic. He reports that the baby sometimes rejects feeds, frequently vomits, and cries for extended periods after feeds. The baby’s weight was at the 50th percentile during birth but has now dropped to the 40th percentile. What advice should you give?
A 12-year-old boy comes to the emergency department with a dog bite on his right leg. During examination, it is found that he has 2 puncture wounds on the anterior aspect of the leg. Apart from administering antibiotics, what is the appropriate way to treat the wounds?
A couple from Bangladesh, parents of a 13-year-old boy, seek guidance. They have recently moved to the UK and have been advised by immigration officials that their son should receive the BCG vaccine for tuberculosis. The boy is currently healthy and shows no symptoms. What would be the most suitable course of action?