15. Case 3
❖ Patrick, 5 years old
❖ Fever and limp for 3 days
❖ Now cannot walk
❖ Carried into department by dad
16. Case 3
❖ No trauma or recent URTI
❖ No hip problems when younger
❖ Looks unwell
❖ 38.9C, HR 127, BP 100/80, RR 20, SaO2
99%
❖ Refuses examination of legs - not
deformed, swelling and redness around
knee
18. Case 4
❖ Olivia, 7 months, 2/7 cough and fever
❖ Not drinking as much
❖ Video
19. Case 5
❖ Ava, 2 years old, noisy breathing
❖ Dad and mum concerned there is a family
history of asthma
❖ Video
20. Case 5
❖ How severe?
❖ Treatment options
❖ When to transfer?
21. Case 6
❖ Ava represents the following night with
worsening breathing and fever
❖ Minimal oral intake all day
❖ 40.1C, RR 46, SaO2 94%, HR 175, BP
98/64
❖ Sitting forward on mum’s lap
22. Case 6
❖ How does your management change?
❖ What is going through your head?
❖ What will you prepare?
23. Case 7
❖ Jordan, 7 years old
❖ Fever and runny nose for 5 days, currently
on amoxycillin, referred by GP as now had
headache and stiff neck to assess for
meningitis
❖ What do you want to know?
24. Case 7
❖ Other concerning symptoms
❖ Truly rigid?
❖ Antibiotic effect?
❖ LP?
25. Case 8
❖ 7 week infant fever with rash
❖ Born at 34 weeks, NG feeds 1/52
❖ Crying
❖ Won’t feed
26. Case 8
❖ How aggressive with your investigations
and management?
❖ LP?