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المشتركون
لا توجد بيانات24 ساعات
لا توجد بيانات7 أيام
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Hi everyone.I am focusing on intensive studying for my fellowship exams in early February .I will be back here after my 2 initial exams along with sharing my experience of the exams if you are interested🌺
Sarah, aged three years, is brought to see you by her mother, Fiona, who is distressed because Sarah returned from her father’s house last night and promptly complained of a sore vagina. Fiona is worried that Sarah was sexually assaulted by her father. 1. How would you approach this consultation? 2. How would you examine Sarah (including her genitals)? 3. What is the most likely diagnosis? 4. What investigations do you need to perform? 5. What are the symptoms of vulvovaginitis? 6. What are the causes of vulvovaginitis? 7. How would you treat Sarah’s vulvovaginitis? 8. How should you answer Fiona’s question regarding whether Sarah has been sexually assaulted by her father? 9. Is this evidence that Sarah has been sexually assaulted? #Week30_Case4
Tilly, aged 13 years, is brought to your clinic by her mother, Jane. Jane has been concerned about Tilly’s eating and her lack of weight gain for some time; however, this has become more obvious since Tilly started secondary school and her friends now ‘tower over her’. She has also been teased for looking like ‘a primary school kid’. Tilly’s younger brother, aged 11 years, is the same height as she is. 1. What further history would be useful to attain from Jane? 2. What history would you like to obtain from Tilly? 3. What investigations might you perform? 4. What conditions would you consider in your differential diagnosis? 5. Could Tilly just be anxious? What mental health comorbidities may be associated with eating disorders such as avoidant restrictive food intake disorder (ARFID)? 6. What would be your approach to managing Tilly? #Week30_Case3
Belinda, aged 35 years, has come to see you because her daughter, Kara, aged four months, does not seem to be developing in the same way as her older brother did at that age. Belinda says Kara seems ‘floppy’. Kara has trouble holding her head up and lifting her head when lying on her stomach. Belinda is quite worried, as Kara’s infant health record indicates she should be doing all these things by this age. Belinda says that something is not quite right’, and tells you that Kara is not feeding properly and has lost weight. Kara is a bright and interactive infant who smiles appropriately and is interested in her surroundings. 1. Which aspects of Kara’s presentation would you be concerned about and why? 2. What conditions would you include in your differential diagnosis? 3. What would you do next and why? 4. Why is it important to get a prompt referral for Kara? 5. What is SMA? What is Kara’s prognosis? 6. What other treatments or therapies can you arrange for Kara? 7. What would you tell Belinda? 8. What options are available to ‘carrier couples’ when planning pregnancy? #Week30_Case2
