Murtagh's triads

Question 1

Lower limb arthralgia + Abdominal pain + rash on buttocks

Answer 1

Henoch Schonlein purpura

Question 2

Respiratory symptoms + vomiting + mental changes +/ seizure/coma

Answer 2

Reye syndrome

Question 3

Pallor + drowsiness + fever

Answer 3

Meningitis

Question 4

Pallor + abdominal pain (severe and intermittent) + inactivity

Answer 4

Intussusception

Question 5

Malaise + fever + polyarthritis (flitting) +/- Rash +/- Chorea

Answer 5

Rheumatic fever

Question 6

10month old, Drowsiness + coughing + wheeziness =

Answer 6

Bronchiolitis

Question 7

2month old male, weakness + weight loss + vomiting (severe and intermittent) =

Answer 7

Pyloric stenosis

Question 8

Neonate, Vomiting after first feed + drooling + abdominal distension

Answer 8

Duodenal/ or oesophageal atresia

Question 9

Malaise + pallor + bone pain

Answer 9

Acute Lymphatic laeukaemia

Question 10

Malaise + pallor + oral problems (gingival hypertrophy, bleeding, ulceration) =

Answer 10

AML

Question 11

Abdominal pain + pallor +a/n/v

Answer 11

Appendicitis

Question 12

Abdominal pain + malar flush + fever +/- URTI

Answer 12

Mesenteric adenitis

Question 13

During gastroenteritis, Extreme malaise + diarrhea + severe abdominal pain

Answer 13

Haemolytic Uraemic syndrome

Question 14

Drowsiness + tachypnea + chest wall recession

Answer 14

Pneumonia

Question 15

Drowsiness + fever + purpuric rash

Answer 15

meningicoccal infection

Question 16

Lethargy + drooling saliva + snoring stridor

Answer 16

Acute epiglottitis

Question 17

URTI + brassy cough + insporatory stridor =

Answer 17

Croup

Question 18

Large ears + long narrow face + large genitals =

Answer 18

Fragile X

Question 19

Small hands, feet genitals + narrow forehead + eating disorder

Answer 19

Prader Willi Syndrome

Question 20

Elfin face + low set ears + cardiac murmurs

Answer 20

William’s syndrome

Question 21

Short female + webbed neck + pigmented naevi +/ cardiac problems

Answer 21

Turner’s syndrome

Question 22

Short + webbed neck + facial disproportion (broad forehead, ptosis, low set ears etc) +/- cardiac disorder

Answer 22

= Noonan syndrome

Question 23

Chronic, Fever(FUO) + abdominal mass + haematuria

Answer 23

Wilm’s tumour

Question 24

malaise + vague abdominal pain + abnormal behaviour

Answer 24

Lead posioning

Question 25

Headache +/ a/n/v + ataxia

Answer 25

medulloblastoma

Question 26

Fever + malaise (extreme) + a/n/v ± anaemia =

Answer 26

Neuroblastoma

Question 27

Snorting, blinking etx + oral noises + loud expletives =

Answer 27

Tourrete syndrome

Question 28

Irritability + disorders of appetite + vague abdominal pain

Answer 28

Substance abuse?

Question 29

older child with, mid to low back pain/discomfort + inability to touch toes + kyphosis =

Answer 29

Scheuermann disorder

Question 30

Knee pain (after activity) = tender knee ‘lump’ + pain on kneeling =

Answer 30

Osgood Schlatter disorder

Question 31

Adolescent with limp + knee pain + hip pain =

Answer 31

Slipped capital femoral epiphysis