A 7-year-old girl is brought to surgery by her father. For the past 3 months she has been complaining of pain in her shins and ankles at night-time. Her symptoms are bilateral and she is otherwise healthy. There is no significant family history. Upon clinical examination, no abnormalities are found. What is the probable diagnosis?
You are requested to assess a premature infant born at 34 weeks, 48 hours after delivery without any complications. During the examination, you observe a continuous ‘machinery-like’ murmur and a left subclavicular thrill. Additionally, you notice a bounding pulse and a widened pulse pressure. There are no indications of cyanosis or crackles on auscultation. The mother confirms that there were no complications during pregnancy, and antenatal scans and screening did not reveal any abnormalities. There is no family history of significant illnesses. What would be the most appropriate management option for this probable diagnosis?
A 6-week-old baby is brought in by his first-time mother concerned about a flaky/scaly rash on his scalp.
Which of the following is the diagnosis?
A 7-week-old male infant was presented to the GP clinic by his anxious mother. She complains of a 2-week history of inadequate feeding and weight gain, accompanied by fast breathing, especially during feeding. The mother became extremely worried when she observed a bluish tint on her baby’s skin this morning.
What is the probable diagnosis?
As a second-year foundation doctor in the emergency department, you come across a thirteen-year-old patient complaining of right hip pain and a limp. The patient has a mild fever, but all other observations and blood tests are normal. An X-ray also shows no abnormalities. What is the probable diagnosis?
A 10-year-old girl presents to the Emergency Department after suffering a head injury falling from a tree. She has remained conscious and her Glasgow Coma Score (GCS) has been 15 since the accident. She is not vomiting.
On examination, there is no focal neurological deficit. An area of bruising is seen behind her left ear and she has a headache. No other injuries are observed.
What is the most appropriate initial investigation for this patient?
A 4-week-old infant is referred by the health visitor for failure to thrive. The infant’s weight has dropped from the 50th to the 9th centile on the growth chart. The parents disclose that the infant vomits after every meal, sometimes even hitting the wall. The mother had a normal pregnancy with regular antenatal scans, and the infant was delivered vaginally without complications. The newborn examination did not reveal any abnormalities. What is the probable diagnosis?
A mother requests a home visit for her 10-year-old daughter who is too unwell to come to the clinic. Upon arrival, the girl is observed to have a fever, cold extremities, and purplish spots on her legs. What steps should be taken?
A 6-year-old boy presents to the operating room with a fever and a developing purplish rash. What is the best course of action to take?
A 6-year-old girl is brought to the clinic by her mother due to complaints of itching around her vulva and anus for the past 3 days. Upon examination, the area appears red and the skin on her vulva is broken from excessive scratching. Her mother has been applying sudocrem but it has not provided relief. There are no other individuals at home with similar symptoms. Based on the probable diagnosis, what is the most suitable course of action?