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…
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…
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…
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…
25: A diabetic girl with a headache
Case 25 A diabetic girl with a headache Katie, a 6-year-old girl with a 3-year history of Type 1 diabetes is admitted one afternoon with an 8-hour history of vomiting….
21: A neonate with abnormal movements
Case 21 A neonate with abnormal movements A 3-week-old boy, Oliver, presents to the ED on Friday morning with abnormal movements. His mother noticed abnormal movements of the arms on…
17: Recurrent wheeze
Case 17 Recurrent wheeze Caroline, a 2½-year-old girl, was brought to the Paediatric ED by staff at her nursery because she had suddenly developed a cough and a wheeze. They…
18: A jaundiced neonate
Case 18 A jaundiced neonate Caleb, an 8-day-old infant, is referred by the midwife to the hospital’s ED. He is feeding poorly, has lost 800 g, and appears jaundiced. He…
3: Investigating and dealing with errors
326 A paediatric example A Consultant Paediatrician appeared before the Fitness to Practise Panel facing allegations about his management of a sick child four years earlier. This child had the…
16: A hospital acquired infection
Case 16 A hospital acquired infection Charlie, a 7-week-old male infant who was born at 24 weeks gestation, is transferred from the regional level 3 neonatal unit back to the…
