Paeds Cases · clinical-assessment-and-reasoning
‘Please just check her ears’ — structured PE OSCE
OSCE-style encounter testing age-adapted examination sequencing in a febrile infant, measurement technique, incomplete-exam honesty, red-flag conversion and caregiver communication.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
An 11-month-old with fever arrives fully dressed. The caregiver says, ‘Please just check her ears.’ The child is intermittently crying on the caregiver’s lap.
Candidate brief (8 minutes)
You are the paediatric doctor in a busy acute clinic. A caregiver says: “Please just check her ears — she has had fever since last night.” The child is 11 months old, sitting on the caregiver’s lap, intermittently crying, fully dressed. [15]
Tasks
- Prepare the encounter and explain your plan to the caregiver in plain language. [15]
- Demonstrate an age-adapted examination sequence. [15]
- Measure and interpret age-banded vital signs with correct caveats. [1]
- Respond if the examiner injects a deterioration cue. [15]
- Close with documentation of incomplete parts and safety-netting. [15]
References5ShowHide
- [1]Fleming S, Thompson M, Stevens R, et al. Normal ranges of heart rate and respiratory rate in children from birth to 18 years of age: a systematic review of observational studies. Lancet (London, England), 2011.PMID 21411136
- [3]Fleming S, Gill P, Jones C, et al. Validity and reliability of measurement of capillary refill time in children: a systematic review. Archives of disease in childhood, 2015.PMID 25260515
- [4]Fleming S, Gill P, Jones C, et al. The Diagnostic Value of Capillary Refill Time for Detecting Serious Illness in Children: A Systematic Review and Meta-Analysis. PloS one, 2015.PMID 26375953
- [11]Pierce MC, Kaczor K, Lorenz DJ, et al. Validation of a Clinical Decision Rule to Predict Abuse in Young Children Based on Bruising Characteristics. JAMA network open, 2021.PMID 33852003
- [15]Dieckmann RA, Brownstein D, Gausche-Hill M The pediatric assessment triangle: a novel approach for the rapid evaluation of children. Pediatric emergency care, 2010.PMID 20386420