Pediatrics
Cases
Longitudinal children with a full chart: the caregiver in the room, feeding and diapers on the record, vitals read against the age band, and decisions whose consequences you see. Data reveals strictly forward; the tutor can only see what you can. Ordered youngest first.
Acute care
core18 days old · 3.6 kg
Eighteen days old, warm, and not interested in feeding
A term newborn's parents bring him in because he feels hot and has slept through two feeds. He looks all right in the waiting room.
Neonatology · 5 steps
Consult
core22 days old · 3.9 kg
Still yellow at three weeks
A breastfed 3-week-old is thriving but has never lost her jaundice. The health visitor sends her in 'just to check'.
Neonatology · 3 steps
Acute care
core5 months old · 6.8 kg
Cough, and not finishing her bottles
A 5-month-old with three days of a cold is breathing fast and has stopped feeding well. Her mother is worried about the pauses.
Respiratory · 5 steps
Acute care
intro18 months old · 10.2 kg
Vomiting and diarrhea, and only two wet diapers
An 18-month-old has had two days of vomiting and watery stools. Her father counts diapers, and today's count is two.
Gastroenterology · 3 steps
Acute care
core20 months old · 11.5 kg
He went stiff and shook, and now he will not wake up properly
A 20-month-old with a fever since the morning had a two-minute convulsion at home. His parents thought he was dying.
Neurology · 3 steps
Acute care
intro2 years old · 12.5 kg
A barking cough at two in the morning
A 2-year-old woke his parents with a cough 'like a seal' and a noise when he breathes in. In the car he seemed better; in the waiting room it started again.
Respiratory · 3 steps
Acute care
core4 years old · 17 kg
Refusing to walk since breakfast
A 4-year-old woke up limping and now will not put his right foot down. He had a cold last week. His mother thinks he hurt himself in the garden.
Musculoskeletal · 3 steps
Acute care
core6 years old · 21 kg
The puffer is not working
A 6-year-old with known asthma has been wheezy for two days; today her blue inhaler lasts an hour. Her father has given ten puffs in the car.
Respiratory · 4 steps
Acute care
core12 years old · 38 kg
Thirsty for weeks, vomiting since this morning
A 12-year-old has been drinking litres, wetting the bed again, and losing weight. Today he cannot keep water down and is breathing strangely.
Endocrine · 5 steps
Acute care
advanced15 years old · 52 kg
Collapsed during the 400 metres
A 15-year-old runner collapsed mid-race and came round within a minute. Her coach says she 'just fainted'. She has fainted once before, in a swimming pool.
Cardiology · 3 steps
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