Paediatrics Fellowship Exam Atlas

Topics

Age-aware, exam-exhaustive general paediatrics topic guides.

SAQs

Written-answer practice mapped to Paediatrics board objectives.

Cases

Long-case, short-case, and clinical-station preparation.

Vivas

Structured oral examination scripts across the paediatric life course.

Live topics

Open a figure-rich spine

All topics

genetics-dysmorphology-and-metabolism

22q11.2 deletion syndrome

A fellowship approach to 22q11.2 deletion syndrome: recognise the multisystem fingerprint (conotruncal cardiac defect, cleft palate, neonatal hypocalcaemia, thymic and T-cell deficiency, characteristic facies) that earns a chromosomal microarray, confirm the deletion with a microarray rather than a karyotype, stage every organ system at diagnosis, defer live vaccines until T-cell deficiency is excluded, and run an age-based multidisciplinary surveillance plan through to adult transition.

acute-care-resuscitation-and-toxicology

ABCDE assessment and stabilisation of the acutely ill child

A fellowship approach to the systematic ABCDE assessment and immediate stabilisation of the acutely ill child. Treat each life threat as it is found, reassess from A after every action, use age- and weight-appropriate oxygen, ventilation, fluid, glucose and seizure interventions, escalate before local support is exceeded, and hand over safely.

investigations-procedures-and-technology

Abdominal radiograph and acute imaging decisions

Fellowship guide to the abdominal radiograph and the acute paediatric imaging decision. Covers when an abdominal radiograph answers the question (suspected perforation, obstruction, constipation burden, and the ingested foreign body or button battery) and when it does not, the low diagnostic yield of the radiograph in non-specific abdominal pain, the ALARA principle and the cancer-risk evidence that underpins it, the ultrasound-first pathway for appendicitis and intussusception, the role of the upper gastrointestinal contrast study for malrotation and midgut volvulus, and the careful, lowest-dose use of computed tomography when ultrasound is equivocal and the child is unstable or complex. Reproduces the radiographic signs of free air, obstruction, the intussusception target sign, and neonatal pneumatosis, and the regional guidelines that govern the choices.

gastroenterology-hepatology-and-nutrition

Abdominal wall and umbilical disorders

Fellowship guide to abdominal wall and umbilical disorders in children, built around the rule that gastroschisis sits to the right of a normally inserted cord with bare bowel and no sac, while an omphalocele sits in the midline with its contents covered by a sac and carries chromosomal and cardiac associations. The page covers the embryology of the two wall defects, the surgical versus expectant management of umbilical and inguinal herniae, the salt or silver nitrate treatment of the umbilical granuloma, and the red flag of omphalitis progressing to necrotising fasciitis.

preventive-and-community-paediatrics

Aboriginal and Torres Strait Islander child health

Fellowship-level culturally safe care for Aboriginal and Torres Strait Islander children: structural inequities, ACCHO partnership, ear lung skin and post-strep pathways, developmental vulnerability, racism as a health exposure, and regional distinctions from other Indigenous health systems.

investigations-procedures-and-technology

Abscess drainage and minor procedures

Fellowship guide to abscess drainage and minor surgical procedures in children. Covers the bedside decision between a drainable cutaneous abscess, cellulitis and a necrotising soft tissue infection that must never be loosely drained; the loop drainage technique and its superiority over classical incision and drainage with packing in larger abscesses; the safe maximum doses of plain lidocaine (3 mg/kg) and lidocaine with adrenaline (7 mg/kg) and of bupivacaine (2 mg/kg); the indications for adjuvant antibiotics after drainage and the empiric choice of cephalexin, clindamycin or trimethoprim-sulfamethoxazole for suspected MRSA; the red flags of necrotising fasciitis that mandate urgent surgical referral; and the common minor procedures of paediatrics including paronychia drainage, ingrown toenail wedge resection with phenolisation, foreign body removal and suture removal timing, with their analgesia, technique and aftercare.