The curriculum for the pediatric clerkship consists of the 25 cases listed below. The first 20 cases are computer-based and can be found on the CLIPP website. There are 5 additional cases that are not computerized, making a total of 25 cases.
On the CLIPP website, you will find 32 CLIPP computer cases. We recommend that you do the 20 cases listed below since they will be represented on the final examination. There are 12 additional CLIPP cases you can complete and their topics are listed below.
Required CLIPP cases: www.med-u.org
|CLIPP Case Number|
|#15 CALEB AND BEN|
21. It is 3:00 a.m. on Saturday morning. The mother of a 3-week-old infant calls to tell you that her baby has a temperature of 104F and isn't nursing well. Describe your management of this child in detail, and how it would vary depending on the results of information you seek including history, physical examination and laboratory data. One year later (assuming that you managed the patient properly) the same mother calls with the complaint that her 13-month-old child has a temperature of 104F. Describe your management of this child, specifically contrasting the differences in management and reason for these differences between this age and one year earlier.
22. A 2250 gram male infant is born to a mother who has received no prenatal care and who has uncertain dates. What would help you determine whether the child is a 1) term, small for gestational age (SGA)infant 2) preterm, appropriate for gestational age (AGA) infant or 3) preterm, large for gestational age (LGA) infant? What issues might you anticipate given these infants’ gestational age and intrauterine growth? What are some conditions that might have caused these growth patterns?
23. A 30-month-old male is seen in the office for routine examination. The mother has no specific complaints. Past history reveals several ear infections, but no ongoing problems. At birth, the child's weight was 3,200 gm, length 51 cm and head circumference 35 cm. There were no neonatal problems.
Past growth points include:
Age Weight Length Head circumference
6 months 7.2 kg 66 cm 44 cm
12 months 8.8 kg 72 cm 47 cm
18 months 10.0 kg 77 cm 48.5 cm
24 months 10.9 kg 81 cm 49.5 cm
Developmentally, the child walked at 12 months and handled a spoon well at 24 months. He currently has a 100 word vocabulary, knows his full name and scribbles with a crayon. On physical examination his weight is 11.8 kg, his length is 85 cm and his head circumference is 50 cm.
Discuss the problem suggested by this data, describing four of the most common and/or important diagnoses which should be considered. Outline your initial approach to investigate the problem including for each diagnosis pertinent history and physical findings, which you would seek, and any key laboratory investigations.
24. The parents of a 2 year old come to your office and ask advice about what to do about the temper tantrums their child is having. What information would you give them regarding the cause of this behavior? What strategies will you suggest?
25. A 15 year old boy who has been an honor student is reported for truancy. He seems withdrawn from his parents and friends. He quits the soccer team after a fight with his coach. Describe your approach to the history and physical examination. How will you incorporate appropriate approaches to interviewing adolescent patients (including issues of confidentiality)? Outline your differential diagnosis for his presentation and develop a plan for each diagnostic consideration.
ADDITIONAL CLIPP CASES:
|CASE NUMBER (NAME)||AGE||CASE DESCRIPTION|
|1 (THOMAS)||Newborn||SMALL INFANT, PERINATAL CARE|
|6 (MIKE)||16 year old||SPORTS PHYSICAL|
|9 (CRIMSON)||2 week old||LETHARGIC NEONATE|
|20 (NICHOLAS)||7 year old||HEADACHE|
|22 (MANDY)||16 year old||ACUTE ABDOMINAL PAIN|
|23 (SARAH)||11 year old||LETHARGY & FEVER|
|27 (JENNY)||8 year old||CHRONIC ABDOMINAL PAIN|
|30 (GERARDO)||2 year old||SICKLE CELL DISEASE|
|31 (KATIE)||5 year old||PUFFY EYES|