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Short Answer Questions for ED Fellowship Study

Case: Unwell neonate

An 8-day-old neonate is brought to the ED by concerned parents. Over the last 48 hours she has become increasingly drowsy with poor feeding. Today she had a pale, floppy episode following a small mucous vomit. She is now pale but crying and moving. She was born at term without complications. Two older siblings currently have a mild viral illness. Initial observations: HR 140, BP 102/90, Sats 100%, RR 80, BGL 7.5

1. List (3) most important diagnoses to consider in this neonate. 3 marks

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2. What initial bedside tests or investigations would you order to confirm the diagnosis. Provide justification for each. 5 marks

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3. Outline your key management steps for this condition. 4 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.

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.