SAQ 405 – Paediatrics – pneumonia with parapneumonic effusion

Marked out of 12.00

You are working in an urban district emergency department. An 18-month-old Pasifika boy is brought in with worsening shortness of breath, poor oral intake, lethargy, and irritability. He has no past medical history and is fully immunised. His chest x-ray is shown below.

Observation	Result
AVPU	Responds to voice
Heart rate	180/min
Capillary refill	2 seconds
Respiratory rate	50/min
Oxygen saturation	90% on room air
Temperature	38.9 C

Paediatric chest x-ray showing left-sided pneumonia with a large effusion. — Chest x-ray

Describe and interpret the chest x-ray.

(Marked out of 5.0)

/ 5

List four (4) investigations and justify each.

(Marked out of 4.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Investigation</th> <th>Justification</th> </tr> </thead> <tbody> <tr> <td>1.</td> <td></td> </tr> <tr> <td>2.</td> <td></td> </tr> <tr> <td>3.</td> <td></td> </tr> <tr> <td>4.</td> <td></td> </tr> </tbody> </table> <p>

/ 4

List three (3) key management elements.

(Marked out of 3.0)

/ 3

Total Score: 0 / 12

Percentage: 0%