26: A boy with sickle cell disease and a fever
Case 26 A boy with sickle cell disease and a fever Lewis, a 9-year-old boy with HbSS sickle cell disease, is brought to the paediatric ambulatory care unit of his…
30: Treatment for tonsillitis
Case 30 Treatment for tonsillitis A 3-year-old girl, Lily, is seen at 7 pm in the Paediatric ED having had her second 3 minute typical uncomplicated febrile convulsion. Despite having…
23: A boy with nonspecific symptoms
Case 23 A boy with nonspecific symptoms Asil, a 7-year-old Turkish boy, has a fever and a runny nose. He becomes ‘lifeless and lethargic’ and is taken to the GP….
29: A difficult transfer
Case 29 A difficult transfer Sophie, a 3-year-old girl, attends ED in the evening with a high fever and a history of insect bites. At triage she has a temperature…
35: The importance of interpretation
Case 35 The importance of interpretation A 4-month-old Pakistani infant, Arif, presents to the ED with a 24-hour history of abnormal movements. One of the episodes is witnessed by the…
28: A bad case of ’flu
Case 28 A bad case of ’flu During the early phase of an influenza A pandemic, a 10-year-old boy, Michael is brought to the Paediatric ED at his local hospital…
31: Increasing respiratory distress
Case 31 Increasing respiratory distress Adam, a 4-week-old boy born at term, is admitted having had a 20 second ‘blue’ episode in the GP’s evening surgery. He has been breast…
24: A delayed walker
Case 24 A delayed walker A female infant, Natalie, is born by normal vaginal delivery at term weighing 3.8 kg. Her mother, Clare, is 17 years old and a single…
27: Negative test results
Case 27 Negative test results A 23-year-old South African woman, Della, presents in active labour to a hospital in Wales at 3 am on Saturday morning. This is her second…
22: A teenager with scrotal pain
Case 22 A teenager with scrotal pain Adam, a 15-year-old boy, presents to the ED at 10 pm with a 4-hour history of severe right-sided testicular pain. There is no…
