Acutely Ill Child

Clerkship

Lecture materials and small group cases are posted here for University of Calgary Cumming School of Medicine students. Access to these materials are password protected.

Objectives

By the end of the Paediatric Clerkship, a medical student will be able to:

1. Recognize and initiate treatment of an acutely ill child.
2. Calculate the fluid deficit and write orders for management of a paediatric patient with: burn, shock, and diabetic ketoacidosis.
3. Identify signs and symptoms of a surgical abdomen.
4. Clinically recognize signs and symptoms of poisoning / intoxication and propose an investigation and management plan for patients with acetaminophen toxicity.
5. Clinically recognize meningococcemia and describe a management plan.
6. Propose a management plan for a paediatric patient with trauma including primary and secondary surveys, and use of Broselow tape.

Half Day Cases

• A 1 year old boy presents with complaint of cough and difficulty breathing. He has a 2 day history of nasal congestion and low grade fever.
• A 3 month old girl presents with a 2 day history of severe difficulty breathing.
• A 15 month old boy presents with a 24 hour history of vomiting and diarrhea (watery, with pus and blood). Child is now listless.
• A 6 month old girl is brought to ED after “falling from bed” onto carpeted floor. Baby is now “sleepy” according to mother.
• A 4 year old boy fell off a playground structure 6 feet off the ground. He struck his head and may have lost consciousness.
• A 16 year old boy is found unconscious in the locker room at school.