Toxic Shock and the Rapidly Deteriorating Child — Board-Style Questions

What this deck covers

Toxic Shock and the Rapidly Deteriorating Child in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. Twelve hours from well
2. Why so ill so fast
3. Two children, one picture
4. What the history hides
5. Adding a second drug
6. Skin coming off in sheets
7. Two things being waited for
8. Access is proving hard
9. After the third bolus
10. No central line yet
11. Two kinds of the same thing
12. A number moving upward
13. Waiting for the team
14. Numbers that were fine
15. The score did not trigger
16. Asking about next time
17. A second fever at home
18. Reviewing what went wrong

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Toxic shock syndrome, in, A toxin activating huge numbers of T cells at once, One child being iller than the other, The graze, It is a reaction to the antibiotics, Heart failure unrelated to the sepsis, Transfer the child in a private car, Recurrence depends entirely on, Invasive streptococcal infection.

Clinical pearls from this deck

• Count the systems. Three failing at once in a day is the diagnosis.
• A trivial-looking site can drive the whole illness. Go and find it.
• Negative cultures in this illness are a finding, not a reassurance.
• Ask what has been put into this child in the last week, and take it out.
• Stop the factory, not just the workers. That is the whole reason.
• Tell the family it will peel. Say it before it happens, not after.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all Infectious Disease case decks · pediatric reference values.