Aquifer Pediatrics offers 32 immersive case studies that align with the Council on Medical Student Education in Pediatrics (COMSEP) clerkship curriculum. These case studies are designed to provide medical students with practical, real-world experience in diagnosing and managing pediatric conditions. They cover a wide range of Aquifer Pediatrics Case, from routine well-child visits to complex medical conditions like congenital hypothyroidism, neuroblastoma, and Kawasaki disease.
Table of Contents
Here’s an overview of how Aquifer Pediatrics cases can enhance learning, focusing on critical thinking, differential diagnosis, and final diagnosis.
Importance of Aquifer Pediatrics Case Studies
Aquifer Pediatrics case studies are designed to prepare medical students for clinical decision-making by simulating real-life scenarios in pediatric care. These virtual patient cases help students practice developing differential diagnoses, applying clinical reasoning, and making informed management decisions.
Each case includes:
- Patient history and presentation: Detailed information about the child’s symptoms, medical history, and physical examination findings.
- Differential diagnosis: An opportunity to consider multiple potential diagnoses based on the patient’s symptoms.
- Final diagnosis: A resolution that teaches students how to narrow down diagnoses and select appropriate treatments.
This approach ensures that students build a solid foundation in pediatric care, preparing them for their clinical rotations and beyond.
Aquifer Pediatrics Case Study Examples
Case | Differential Diagnosis | Final Diagnosis |
Pediatrics 01: Newborn male infant evaluation and care | Maternal tobacco use, fetal alcohol syndrome, chromosomal abnormalities, prematurity, congenital infection | SGA newborn due to poor maternal nutrition and tobacco use |
Pediatrics 02: Infant female well-child visits (2, 6, and 9 months) | Hepatic neoplasm, hydronephrosis, neuroblastoma, teratoma, Wilms tumor | Neuroblastoma |
Pediatrics 03: 3-year-old male well-child visit | N/A | Iron deficiency, eczema, dental caries |
Pediatrics 04: 8-year-old male well-child check | N/A | Obesity, elevated blood pressure, ADHD |
Pediatrics 05: 16-year-old female health maintenance visit | Hypothyroidism, infectious mononucleosis, depression, eating disorder, anemia, substance abuse | Anemia secondary to von Willebrand disease |
Pediatrics 06: 16-year-old male preparticipation evaluation | Vasovagal syncope, hypoglycemia, postural hypotension, seizure | Vasovagal syncope, precordial catch syndrome |
Pediatrics 07: 2-hour-old male newborn with respiratory distress | Respiratory distress syndrome, transient tachypnea of the newborn, pneumothorax, congenital heart disease | Transient tachypnea of the newborn (TTN) |
Pediatrics 08: 6-day-old female with jaundice | Physiologic jaundice, breast-feeding jaundice, neonatal sepsis | Breast-feeding associated jaundice |
Pediatrics 09: 2-week-old female with lethargy | Congenital hypothyroidism, genetic abnormality, congenital adrenal hyperplasia, inborn error of metabolism | Congenital hypothyroidism |
Pediatrics 10: 6-month-old female infant with a fever | Meningitis, urinary tract infection, acute otitis media, pneumonia | Febrile urinary tract infection |
Pediatrics 11: 4-year-old male with fever and adenopathy | Adenovirus, Kawasaki disease, meningococcemia, erythema infectiosum | Kawasaki disease |
Pediatrics 12: 10-month-old female with a cough | Upper respiratory infection, asthma, bronchiolitis, croup, foreign body aspiration | Airway foreign body |
Pediatrics 13: 6-year-old female with chronic cough | Asthma, allergic rhinitis, sinusitis, tuberculosis, atypical pneumonia | Moderate persistent asthma |
Pediatrics 14: 18-month-old female with congestion | Otitis media, pneumonia, sinusitis, upper respiratory infection | Recurrent acute otitis media with speech delay |
Pediatrics 15: Two siblings: 4-year-old male and 8-week-old male with vomiting | Viral gastroenteritis, gastroesophageal reflux, pyloric stenosis | Caleb – Acute gastroenteritis; Ben – Pyloric stenosis |
Pediatrics 16: 7-year-old female with abdominal pain and vomiting | Gastroenteritis, intestinal obstruction, appendicitis | Diabetic ketoacidosis (DKA) |
Pediatrics 17: 4-year-old female refusing to walk | Septic arthritis, Lyme disease, SCFE, JIA, leukemia | Transient synovitis of the hip |
Pediatrics 18: 6-week-old male with poor feeding | Congestive heart failure, respiratory infection, sepsis, hypotonia | Ventricular septal defect (VSD) |
Pediatrics 19: 16-month-old male with first seizure | Febrile seizure, syncope, intracranial hemorrhage, brain tumor | Febrile seizure, roseola |
Pediatrics 20: 7-year-old male with a headache | Migraine, tension headache, brain tumor | Cerebellar astrocytoma |
Pediatrics 21: 6-year-old male with bruising | Coagulation disorder, HSP, ITP, leukemia | Henoch-Schönlein purpura (HSP) |
Pediatrics 22: 16-year-old female with abdominal pain | Appendicitis, pregnancy, ovarian torsion, PID, UTI, pancreatitis | Pelvic inflammatory disease (PID) |
Pediatrics 23: 15-year-old female with lethargy and fever | CNS infection, meningococcal sepsis, toxic shock syndrome | Meningococcemia |
Pediatrics 24: 2-year-old female with altered mental status | CNS infection, toxic ingestion, intracranial mass | Accidental ingestion (nortriptyline, glipizide) |
Pediatrics 25: 2-month-old male with apnea | CNS infection, sepsis, respiratory infection, breath holding spell | Acute subdural hematoma secondary to nonaccidental trauma |
Pediatrics 26: 9-week-old male not gaining weight | Congestive heart failure, formula allergy, gastroenteritis, hypothyroidism | Cystic fibrosis |
Pediatrics 27: 8-year-old female with abdominal pain | Functional abdominal pain, inflammatory bowel disease, bacterial gastroenteritis | Crohn disease |
Pediatrics 28: 18-month-old male with developmental delay | Cerebral palsy, chromosomal/genetic abnormality, metabolic disorder | Cerebral palsy |
Pediatrics 29: Infant male with hypotonia | N/A | Down syndrome (trisomy 21) |
Pediatrics 30: 2-year-old male with sickle cell disease | Acute chest syndrome, congestive heart failure, rib infarction, sepsis | Sickle cell disease with acute chest syndrome |
Pediatrics 31: 5-year-old female with puffy eyes | Infectious conjunctivitis, allergic rhinitis, nephrotic syndrome | Nephrotic syndrome |
Pediatrics 32: 5-year-old female with rash | Erythema multiforme, urticaria, eczema, candida, acne, warts, tinea corporis | Acute urticaria, seborrheic dermatitis, tinea corporis |
This table summarizes the differential diagnoses and final diagnoses for each of the 32 Aquifer Pediatrics case studies. These cases provide medical students with a thorough, hands-on learning experience, helping them practice clinical reasoning skills and improve their diagnostic abilities in pediatric care.
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