Skip to main content
MedVellum
QuestionsVideosPricing

MedVellum

Fellowship exam preparation across every specialty: source-verified topics, questions in every format, and videos.

Product

  • Specialties
  • Questions
  • Videos
  • Exam tools
  • Pricing

Verification & policy

  • Verified register
  • Editorial policy
  • Privacy
  • Terms

Account

  • Sign in
  • Create account
  • Dashboard
  • Account & billing

© 2026 MedVellum. For education only — not a substitute for clinical judgement.

llms.txtPsychiatry LLM catalogSitemap

Paeds Casesinvestigations-procedures-and-technology

Paeds Cases · investigations-procedures-and-technology

Decide on neuroimaging after a paediatric head injury — OSCE

OSCE communication and decision-making station: apply the PECARN head injury prediction rule to a 3-year-old after a fall, decide on imaging, counsel the parent about the radiation risk of a head CT, and apply the ALARA principle.

communication and decision-making station3 min readVerification in progress

Target exams

RACP DCEMRCPCH ClinicalRCPSC PediatricsABP General Pediatrics
On this page
Study tools

Target exams

RACP DCEMRCPCH ClinicalRCPSC PediatricsABP General Pediatrics
Prompt
A 3-year-old boy is brought to the emergency department by his parent after a fall from a playground slide of approximately one metre onto a rubber surface. He cried immediately, did not lose consciousness, is alert and interactive with a Glasgow Coma Scale of 15, has not vomited, has no palpable skull fracture or signs of basilar skull fracture, no severe headache, and his parent feels he is acting normally. The parent is anxious and is asking whether he needs a brain scan, having read online that CT radiation causes cancer. You are the paediatric registrar asked to assess the child, decide on imaging, and counsel the parent.

Candidate brief

You have this station to assess a 3-year-old boy after a fall, decide whether he needs neuroimaging using the validated PECARN prediction rule, and counsel his anxious parent about the radiation risk of a head CT and the reasoning behind your decision. Treat this as a communication and decision-making encounter: take a focused history, apply the rule explicitly, communicate the decision and the safety-net clearly, and demonstrate radiation-aware reasoning. [1] [4]

Paediatrics Fellowship Pro

Continue reading

You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship library.

Sign in to continueSee pricing
References4ShowHide
  1. [1]Kuppermann N, Holmes JF, Dayan PS, et al Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study Lancet, 2009.PMID 19758692
  2. [2]Brenner D, Elliston C, Hall E, Berdon W Estimated risks of radiation-induced fatal cancer from pediatric CT AJR Am J Roentgenol, 2001.PMID 11159059
  3. [3]Pearce MS, Salotti JA, Little MP, et al Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study Lancet, 2012.PMID 22681860
  4. [4]Frush DP, Frush KS The ALARA concept in pediatric imaging: building bridges between radiology and emergency medicine Pediatr Radiol, 2008.PMID 18810422
Paediatrics Fellowship Pro

$29/ monthor $279 / year

The complete Paediatrics Fellowship library, every exam format, one subscription.

  • Complete library for one chosen specialty
  • Timed MCQ mock exams and spaced review
  • Clinical cases & cross-table vivas
See pricingSign in
PreviousCounsel a parent about radiation risk and consent for a paediatric CT — OSCEinvestigations-procedures-and-technologyNextDrain a paediatric skin abscess — OSCEinvestigations-procedures-and-technology