EP114 - Lethargic,Febrile Two-Year-Old with a Rash
Description
This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.
This episode presents a scenario involving a febrile, lethargic two-year-old boy with a rash, highlighting the urgency of recognising a paediatric emergency. The case outlines the child's symptoms, which strongly suggest septicemia, possibly meningococcal disease, and details the vital signs indicating a serious condition, such as a high temperature and rapid pulse. It then sets forth the candidate's tasks, emphasising the need to explain diagnostic possibilities and outline a management plan, particularly immediate treatment with antibiotics and urgent hospitalisation, given the potential for rapid and severe deterioration. The core purpose is to assess a healthcare professional's ability to promptly identify and manage a critical paediatric infection while communicating empathetically with anxious parents.
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