1. Identify which signs or symptoms indicate ‘toxicity’ in a child (alertness, breathing, cardiovascular, fluid intake/UO):
a. 2 year old boy with 2 vomits this morning. HR 160, CRT 4s, T 36.9.

1. Identify which signs or symptoms indicate ‘toxicity’ in a child (alertness, breathing, cardiovascular, fluid intake/UO):
b. 1 year old girl, fevers to 40 at home for 2 days. Difficult to wake after her morning nap.

1. Identify which signs or symptoms indicate ‘toxicity’ in a child (alertness, breathing, cardiovascular, fluid intake/UO):
c. 6 month old boy, fever 38.1 one day after his 6 month immunisations. Alert, RR 65, no subcostal recession.

1. Identify which signs or symptoms indicate ‘toxicity’ in a child (alertness, breathing, cardiovascular, fluid intake/UO):
d. 4 year old girl with 3 days of vomiting and diarrhoea. T 37.8, HR 120, CRT 3s, RR 20. She has not passed urine for 6 hours.

2. 5 week boy with one day of fever 38.5. Examination - mild runny nose only. Looks mildly unwell but is feeding as per usual.
a. What is the most likely cause of fever in this age group?

2. 5 week boy with one day of fever 38.5. Examination - mild runny nose only. Looks mildly unwell but is feeding as per usual.
b. What are the risk factors for serious illness in this child?

2. 5 week boy with one day of fever 38.5. Examination - mild runny nose only. Looks mildly unwell but is feeding as per usual.
c. What investigations should you do for this child?

2. 5 week boy with one day of fever 38.5. Examination - mild runny nose only. Looks mildly unwell but is feeding as per usual.
d. What treatment/follow up do you arrange for this child?

TRUE/FALSE?
3. 3 year old boy with 48 hours of fever to 39. Previously well, UTD with immunisations. Normal vital signs, alert. No focus for fever on examination.
a. The most likely cause of fever in this child is a serious bacterial infection.

TRUE/FALSE?
3. 3 year old boy with 48 hours of fever to 39. Previously well, UTD with immunisations. Vital signs are normal, alert. No focus for fever on examination.
b. No further investigations are needed.

TRUE/FALSE?
3. 3 year old boy with 48 hours of fever to 39. Previously well, UTD with immunisations. Vital signs are normal, alert. No focus for fever on examination.
c. You advise the parents that this is a viral illness and no further medical follow up is needed.