Primary ciliary dyskinesia — structured clinical encounter

Station brief (candidate)

You are the paediatric registrar in a respiratory clinic. A 4-year-old girl is referred with a wet cough that has been present on most days since she was a few weeks old. She had unexplained respiratory distress as a term newborn, has a constantly runny nose, and has had recurrent glue ear needing two sets of grommets. A chest radiograph shows the heart on the right. The team asks you to establish the diagnosis, exclude the key alternative, plan the diagnostic pathway, and outline long-term management. You have 12 minutes with the team and 5 minutes for examiner discussion. ^{[4] [1]}