Haemolytic Uraemic Syndrome – Board-Style Questions

What this deck covers

Haemolytic Uraemic Syndrome 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. Fluid in the first days
2. The result that decides admission
3. The well sibling
4. The falling haemoglobin
5. Cover before a procedure
6. The indication that cannot wait
7. The sodium that fell
8. Protein and the urea
9. The child with pneumonia
10. The work-up that changes the label
11. The child who fits
12. The abdomen that changes
13. The transplant question
14. What the pancreas did
15. Going back to nursery
16. The first sign of turning
17. Who can be discharged
18. What to tell the family

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Intravenous fluid to keep him well expanded from now, A white cell count at the upper limit of normal, Give a course of azithromycin to clear any carriage, Transfuse red cells now, slowly and in a small volume, Transfuse one pool before the procedure as routine cover, A fluid challenge followed by a loop diuretic, Correct it with hypertonic saline to normal within six hours, Feed him fully, increasing dialysis to take the fluid, Avoid plasma-containing products and use washed red cells, Repeat stool testing on three consecutive days, Hyponatraemia severe enough to be the cause, Increase his analgesia and continue hourly observation, The disease cannot recur, as the new kidney is genetically different, A fasting glucose and glycated haemoglobin.

Clinical pearls from this deck

• In bloody diarrhoea, fill the tank before the kidney fails.
• Watch the platelet count fall; it moves first.
• Screen the contact; treat nobody.
• Transfuse small and slow, and make room by dialysing.
• In this illness, platelets are for bleeding, not for numbers.
• Anuric, overloaded and climbing: the line goes in now.

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 nephrology case decks · pediatric reference values.