Pediatrics
Practice
Judgement drills, not recall: which five facts matter, which question to ask next, what to examine, and a differential in three buckets. Small, repeatable, and about prioritization.
What matters?
Fifteen facts, choose five
0/5 chosen
An 8-month-old admitted with bronchiolitis. Fifteen pieces of information are on the chart. Choose the five that most change what you do tonight.
0/5 chosen
A 2-year-old with two days of vomiting and diarrhea in the emergency department. Choose the five pieces of information that most decide the disposition.
What would you ask next?
The history, one line at a time
A 3-year-old girl brought by her father because she has been limping since yesterday.
The single most useful next question?
A 5-week-old boy, first child, brought because he vomits after every feed and 'is always hungry'.
The single most useful next question?
What would you examine?
Choose the regions
A 4-year-old with a limp for 2 days, no fever, bearing weight. Choose the regions you would examine before deciding on investigations.
The ranked differential
Most likely, must not miss, other
A 4-year-old with 3 days of fever, now 39.5, a fine red sandpaper rash on the trunk, a red tongue, and a sore throat. Well between fevers, drinking. Sort the candidates into most likely, must not miss, and other.
- Drug reaction
- Scarlet fever (group A streptococcus)
- Toxic shock syndrome
- Meningococcal disease
- Viral exanthem
- Hand-foot-and-mouth disease
- Measles
- Kawasaki disease
Quick fire
Normal for age?
Normal for age?
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Visible jaundice at 18 hours of age