Paediatric Oncology

Paediatric Oncology

Paediatric Oncology

Paediatric Oncology Paediatric Oncology

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Question 1 of 3

1. Question
What is the best initial course of action?
- Provide oxygen, analgesia, IV fluids and antibiotics for likely pneumonia.
- Provide oxygen, analgesia, IV fluids and antibiotics for likely sepsis.
- Carry out a urine dip and administer some laxatives to treat the constipation and review.
- Refer directly to the paediatricians, and let them make all of the decisions.
- Provide oxygen, analgesia, IV fluids, urine dip and examine all systems meticulously.
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Question 2 of 3

2. Question
On detailed examination the child appears anaemic, and there is a definite mass in her left upper quadrant. Urine dip is NAD. You note the patient now has a fever of 38.5.

What is the best immediate treatment strategy?
- Wait for blood results to confirm infective process.
- Treat as likely respiratory sepsis.
- Treat as potential neutropenic sepsis.
- NICE traffic light red flag symptoms are present, so refer to paeds for a lumbar puncture.
- Ask the parents if they would like antibiotics now or to wait for results.
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Question 3 of 3

3. Question
Veera is a 2-year-old who also attends with “constipation”. You take a good history and diagnose her with constipation, and likely faecal impaction.

What is your best next step?
- Perform a rectal examination to confirm.
- Request an abdominal x-ray.
- Refer to paediatrics.
- Dietary advice and discharge.
- Add a stool softener eg. Osmolax.
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