Case 9 An infant with bloody diarrhoea Jamie, an 8-month-old infant, is referred to the paediatric rapid referral clinic with a 24-hour history of vomiting and diarrhoea. Diane, his mother,…

Case 3 A persistent fever Arun, a 4-year-old boy, presents to the ED with a fever, coryza and an earache. On examination he is found to have a temperature of…

Case 12 A boy with fever and rigors Sanjay, a previously healthy 7-year-old boy, presents to the ED with a 3-day history of fever and rigors. He had been seen…

Case 5 A teenager with abdominal pain Hayley is a 13-year-old girl referred to the surgical registrar with abdominal pain at 2.30 pm. She has a temperature of 38.1°C and…

Case 2 A fitting infant Alesha had multiple reviews by the midwife and GP because of repeated episodes of crying and irritability. She fed poorly initially but this had improved….

Case 7 An iatrogenic problem Andreas, a 6-day-old preterm infant born at 33 weeks gestation, is recovering from the respiratory distress syndrome and Group B streptococcal (GBS) sepsis. However, he…

Case 11 A child with leukaemia and tummy ache Simon, a 4-year-old boy with Acute Lymphoblastic Leukaemia (ALL), has just completed his second delayed intensification in the current UK ALL…

Case 8 An infant with a large head Jose, a 17-month-old boy, is referred by the GP to the paediatric clinic where he is seen by the registrar. Jose’s parents…

Case 6 A young girl with a vaginal discharge Gemma, a 5-year-old girl, is brought to the ED by her mother, Sara, who says that Gemma has had a thick…