A missing piece of apple
A 4year old boy presents after choking on a piece of apple. His mum reports that he was eating a slice of apple when he started to cough and struggle to catch his breath. She reports that there was a significant improvement within a minute but that he continues to cough and wheeze since the event. She denies apnoea, colour change or loss of consciousness.
A 14yr old girl presents via ambulance with severe left iliac fossa pain. She reports that it started that earlier that afternoon, as a mild discomfort in her left iliac fossa that radiated into her left flank. This was associated with nausea and loss of appetite. She decided to go to bed early but was woken a short time later by a sudden increase in her pain associated with vomiting.
A febrile child
A 2year old boy presents with a history of being unwell for the last 72hours. His parents report that over the past few days he has just not been himself. Today he has developed fevers, had a number of vomits and has cried for most of the day. He has had minimal oral intake.
A child with back pain
A 4yr old girl presents complaining of back pain for the past week. Her parents report that whilst she is able to mobilise and sleep through the night without pain, sudden movements cause her to cry out. During this period, they report that she has also had a cough, lost her appetite and been more lethargic than usual. She has been afebrile and there is no history of trauma.
Dr Danielle Scarfe