Acute Throat Infections

What? 14 year old girl presents to the Emergency Department (ED) with a 4 day history of fever (38.7C), sore throat and odynophagia. On examination, she appeared comfortable but was pale, had lymphadenopathy to her anterior cervical chain and was pyrexial at 38.7°C. Whilst she had no drooling, she had been unable to take oral

Neonatal Jaundice

What? A 2-week old baby girl is presented to the emergency department (ED) by her parents on the advice of her Health Visitor (HV) who has noted that she still appears to be jaundiced. Her parents tell you that she has been breastfeeding less over the past 24-hours, but continues to have wet nappies as

Paediatric Gastroenteritis

What? A 4-year-old male presents to the Emergency Department (ED) with a 3-day history of diarrhoea. The illness began with 24-hours of vomiting, subsiding as the diarrhoea became apparent. He had been running a low-grade fever (temperature  37.8C) accompanied by episodes of lethargy.  His parents are concerned that his fluid intake is decreasing and although

Buckle and Greenstick Fractures

What? A 9-year-old male presents to the Emergency Department (ED) following a fall whilst playing rugby at school earlier that day. He presents with left wrist pain and mild swelling. There are no wounds or breaks to the skin. On examination he is noted to be both swollen and tender over the distal radius. An

Bronchiolitis

What? An 8-month old female is presented to the emergency department (ED) with a 3-day history of reduced feeding and less wet nappies. Accompanied by her parents and 4-year old sister, they report no fever (Temperature is recorded as 37.8C) but are concerned regarding the lack of fluid and dietary intake. Over the last 12-hours