SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Child with PR bleeding

The concerned parents of a 4-year-old boy have presented to your urban district hospital with their son who complains of a 2-day history of abdominal pain and bloody stools. His pain was crampy, intermittent and mainly left-sided. The stools themselves were bright red with clots evident – approx. 5 episodes in total. He denies vomiting. He had been afebrile and had no sick contacts. There was no significant travel Hx. He had seen his GP the previous day after the first episode and bloods were done – Hb 119 On examination, he was well hydrated but pale. His vitals are as follows

  • Temp 38.1
  • HR 120 → increasing to 140 on standing
  • BP 102/42
  • RR 24
O2 sats 96% RA Cap refill 4-5s Soft – non distended abdomen with very tender LLQ

1. Give (5) possible differential diagnoses. (5 marks) 5 marks

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2. In addition to VBG, what tests/ investigations would you perform? List (4) and justify. (4 marks) 4 marks

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3. State (3) priorities of your management. (3 marks) 3 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

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Your personal results and updated model answers become available the day after the tutorial.

After the tutorial you can still do the case and self-mark your answers, but your answers will not be included in the group review.