Presentations Flashcards
A 5 year old boy presents with a symmetrical rash (over buttocks, extensor surfaces and ankles); red, swollen, and tender knees; with vomiting and diarrhoea.
Henoch-Schonlein Purpura
A 6 year old boy presents with swollen legs, scrotum and puffy eyes. On investigation he is found to have proteinuria and hypercholesterolaemia
Nephrotic syndrome
A 2 week old boy presents with projectile vomiting, weight loss, a palpable epigastric mass during feeding, and visible peristalsis
Pyloric stenosis
A child with a defect in the ∆F508 gene coding for CFTR
Cystic fibrosis
A child with Brushfield spots on the iris, low set ears and a prominent tongue.
Down’s syndrome
A 1 year old boy presents with hepatomegaly, tachycardia, tachypnoea and a harsh systolic murmur heard best at the lower left sternal edge.
Heart failure secondary to right to left shunt
On inspection you notice this girl has a webbed neck, a broad chest with wide spaced nipples and absent secondary sexual characteristics
Turner’s syndrome
A 2 year old boy attends with a fever, cough, maculopapular rash that first appeared behind the ear and has now spread to his trunk. On further inspection you notice small white lesions on the oral mucosa
Measles
A 7 year old girl presents with painful lesions around her mouth which have a golden crust
Impetigo
A 3 year old boy presents with a 1 day history of feeling unwell, high fever and noisy breathing. He is noted to be drooling saliva.
Epiglottitis
A 2 year old is admitted at 2am with a cough and inspiratory stridor. His mum describes his feeling hot with a runny nose for the past 3 days.
Parainfluenza virus
An 8 month old boy presents with a dry cough. On auscultation you find high pitched expiratory wheeze and suspect his chest is hyper-inflated.
Respiratory synctial virus
An infant presents, following a 1 week history of a cold, with coughing fits. His mother expresses concern as he seems to stop breathing at the end of these fits.
Pertussis
