SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Crashing neonate

A 6-day-old is brought to your ED, floppy and lethargic. The child was born at term by normal vaginal delivery. Birth weight 2900g. He was discharged on Day 2 of life and is being formula fed. He has had progressive lethargy and worsening feeding over 2-3 days. In the ED: Pale, RR 60, HR 170, poor cap refill, floppy, withdraws & cries with painful stimulus. Sepsis and congenital cardiac abnormalities are common causes of the “crashing neonate”.

1. List (5) OTHER differentials in (5) different categories (5 marks) 5 marks

★ ★ ★ ★ ★

2. Outline your initial empiric treatment steps for this child in the first hour. (5 marks) 5 marks

★ ★ ★ ★ ★

Based on your examination findings, you suspect a duct dependent abnormality like coarctation of the aorta.

3. Explain the clinical rationale of prostaglandin E1 infusions in this context. (2 marks) 2 marks

★ ★ ★ ★ ★
SAQ Home

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.

All responses are displayed anonymously or using anonymised avatars. You remain in full control of your answers and may withdraw them at any time.

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.