OSCE

Question 1

Causes of bilious vomiting in neonates

Answer 1

Surgical causes/ obstruction= marotation with midgut volvulus, duodenal atresia, jejunal/ileal atresia, annular pancreas, hirschprung disease, meconium ileus
Inflammatory/ infectious- NEC, severe gastroenteriris, sepsis

Question 2

Causes of non- bilious vomiting in neonates

Answer 2

Physiological/ benign- GER, overfeeding, swallowing air
Obstructive- pyloric stenosis, gastric outlet obstruction, esophageal atresia
Neurologic - Intraventricular hemorrhage, hydrocephalus, CNS malformations
Inf- sepsis, meningitis, UTI
Metabolic- inborn errors of metabolism, CAH, cong hypothyroidism
Others- drug withdrawl, milk protein allergy

Question 3

Peadiatric hx

Answer 3

Feeding
Toileting
PMH, surgical, prenatal, birth history, neonatal history
Development and growth history
Immunisaiton hx
Drug hx
family hx
Social hx
HEEADSSS

Question 4

HEEADSSS assessment

Answer 4

Home
Education and employment
Eating and exercise
Activities, hobbies, peer relationships
Drugs and alcohol
Sexual activity, sexuality and gender identity
Suicide, self harm, depression, mood, sleeping patterns
Safety