Thanks to Dr Andy Mellon, Sub-dean and Paediatrician for this case from the Paediatric emergency department:
Jess Jones (DOB 23/11/2012, Unit Number X 0909090) is a 3 year old girl.
She attends the Emergency department (ED) with her mother on the 30th November 2015 at 12:20. They had an out-patient appointment later in the day. Jess has had a cold for the last 24 hours with runny nose and dry cough. They went to the RVS canteen for a drink. Shortly after arriving there (10 minutes ago) Jess complained of feeling sick and vomited. Her mother reports she looked pale, seemed to have difficulty breathing and developed a rash on her face, with swollen eyes and lips since vomiting. She has never had any health problems before.
On arrival in the ED you are asked to see her urgently, as a now fully registered doctor (F2).
She has the following findings:
In order to get some prescribing resources out there we intend to publish a series of prescribing problems on the website. The problems will appear at least weekly with the "answers" appearing a couple of days later. We'll use the standard exam stationery available on the LSE, but also available below in case you haven't got access to the LSE.