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Pediatrics

  • Umair Khalid
  • Mubashar Hussain Sherazi
Chapter

Abstract

In the objective structured clinical examinations (OSCE), you are likely to get at least one and often two stations, on a pediatric case scenario. This will include a detailed history, possibly a discussion of an examination (the need to examine a child in the OSCE setting is unlikely), and likely to end in counseling and/or discussing a management plan with the child’s parents. Pediatric cases can be highly varied, and this chapter will aim to cover the most common topics.

You will most likely be taking a history from the child’s parents (role player) and may need to discuss a physical examination with the examiner in the room. In most cases, the station will be approximately 10 minutes; one should try to keep the history and examination discussion to 5 minutes, leaving 5 minutes to counsel and discuss a management plan with the parents.

This chapter outlines common pediatric-related topics important for an OSCE. At the beginning of the chapter, there is an overview of the history taking required for pediatric stations, followed by several common and important pediatric presentations with detailed histories and counseling discussions. In pediatric cases, it is important to develop skills in communication to be able to counsel and reassure the child’s parents.

Keywords

Pediatrics Fever Febrile convulsion Upper respiratory tract infection Ear pain Cough Rash Anaphylaxis Vomiting Diarrhea Anemia Short stature Jaundice Failure to thrive Delayed speech Vaccination Enuresis Poisoning Child abuse Limping 

References

  1. 1.
    The Royal Children’s Hospital. Clinical practice guidelines. Dehydration. www.rch.org.au/clinicalguide/guideline_index/Dehydration/. Accessed 5 Apr 2018.
  2. 2.
    The Royal Children’s Hospital. Clinical practice guidelines. Febrile convulsion. https://www.rch.org.au/clinicalguide/guideline_index/Febrile_convulsion/. Accessed 5 Apr 2018.
  3. 3.
    Children’s Health Queensland Hospital and Health Service. Febrile convulsions. https://www.childrens.health.qld.gov.au/wp-content/uploads/PDF/factsheets/chifs-febrile-conv.pdf. Accessed 5 Apr 2018.
  4. 4.
    Queensland Government Children’s Health Queensland Hospital and Health Service. Wheeze action plan. https://www.childrens.health.qld.gov.au/wp-content/uploads/PDF/wheeze-action-plan.pdf. Accessed 5 Apr 2018.
  5. 5.
    The Royal Children’s Hospital. Clinical practice guidelines. Acute otitis media. https://www.rch.org.au/clinicalguide/guideline_index/Acute_otitis_media/. Accessed 5 Apr 2018.
  6. 6.
    Phillips R, Orchard D. Chapter 17. Dermatologic conditions. In: Gwee A, Rimer R, Marks M, Royal Children’s Hospital Melbourne, editors. Pediatric handbook. 9th ed. Victoria, Australia: Wiley-Blackwell; 2015. p. 251.Google Scholar
  7. 7.
    Australian Society of Clinical Immunology and Allergy (ASCIA). ASCIA guidelines for adrenaline auto injector prescription. 2016. https://www.allergy.org.au/health-professionals/anaphylaxis-resources/adrenaline-autoinjector-prescription. Accessed 5 Apr 2018.
  8. 8.
    Australian Society of Clinical Immunology and Allergy (ASCIA). How to give EpiPen®. https://www.allergy.org.au/health-professionals/anaphylaxis-resources/how-to-give-epipen-in-english-and-other-languages Accessed 5 Apr 2018.
  9. 9.
    Allergy & Anaphylaxis Australia. How to administer an adrenaline autoinjector. https://allergyfacts.org.au/allergy-management/risk/change-to-instructions-on-epipen-administration. Accessed 5 Apr 2018.
  10. 10.
  11. 11.
    The Royal Children’s Hospital. Clinical practice guidelines. Anemia. https://www.rch.org.au/clinicalguide/guideline_index/Anaemia_Guideline/ Accessed 5 Apr 2018.
  12. 12.
    Zacharin M, Cameron F, Werther G, O’Connell M. Chapter 13. The endocrine system. In: Gwee A, Rimer R, Marks M, The Royal Children’s Hospital Melbourne, editors. Paediatric handbook. 9th ed. Victoria, Australia: Wiley-Blackwell; 2015. p. 193–4.Google Scholar
  13. 13.
    Sinnott B. Hypopituitarism. BMJ Best Practice. 2016. http://bestpractice.bmj.com/topics/en-us/521. Accessed 5 Apr 2018.
  14. 14.
    Queensland Clinical Guidelines. Maternity and neonatal clinical guideline: neonatal Jaundice. 2017. https://www.health.qld.gov.au/__data/assets/pdf_file/0018/142038/g-jaundice.pdf. Accessed 5 Apr 2018.
  15. 15.
    Government of Canada. Appendix B: The Chief Public Health Officer’s report on the State of Public Health in Canada, 2009 – Routine immunization schedule for infants and children. https://www.canada.ca/en/public-health/corporate/publications/chief-public-health-officer-reports-state-public-health-canada/report-on-state-public-health-canada-2009/appendix-b.html. Accessed 5 Apr 2018.
  16. 16.
    U.S. Centers for Disease Control and Prevention. Immunization schedule for infants and children (birth through 6 Years). 2018 immunization schedule. https://www.cdc.gov/vaccines/schedules/easy-to-read/child.html. Accessed 5 Apr 2018.
  17. 17.
    U.S. Centers for Disease Control and Prevention. Immunization Schedule for Preteens and Teens (7 through 18 Years). 2018 immunization schedule. https://www.cdc.gov/vaccines/schedules/easy-to-read/preteen-teen.html. Accessed 5 Apr 2018.
  18. 18.
    Australian Government Department of Health. National immunisation program schedule. https://beta.health.gov.au/topics/immunisation/immunisation-throughout-life/national-immunisation-program-schedule. Accessed 5 Apr 2018.
  19. 19.
    Walker AM, Huston J, O’Brien M, Grover S. Chapter 10. Genitourinary conditions. In: Gwee A, Rimer R, Marks M, Royal Children’s Hospital Melbourne, editors. Pediatric handbook. 9th ed. Victoria, Australia: Wiley-Blackwell; 2015. p. 126–7.Google Scholar
  20. 20.
    Smith A. Chapter 29. Forensic medicine. In: Gwee A, Rimer R, Marks M, Royal Children’s Hospital Melbourne, editors. Pediatric handbook, vol. 419. 9th ed. Victoria, Australia: Wiley-Blackwell; 2015.Google Scholar
  21. 21.
    Victorian Forensic Paediatric Medical Service. VFPMS guidelines for forensic evaluation of suspected child abuse. The Royal Children’s Hospital Melbourne. https://www.rch.org.au/vfpms/guidelines/VFPMS_guidelines_for_forensic_evaluation_of_suspected_child_abuse/ Accessed 5 Apr 2018.
  22. 22.
    Yemen TA, Stemland C. Pediatric anesthesia. In: Sikka P, Beaman S, Street J, editors. Basic clinical anesthesia. New York: Springer; 2015.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Umair Khalid
    • 1
  • Mubashar Hussain Sherazi
    • 2
  1. 1.Child & Adolescent UnitMackay Base HospitalMackayAustralia
  2. 2.Mallacoota Medical CentreMallacootaAustralia

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