What this deck covers
Aspiration and the Child with Neurodisability in twelve illustrated clinical cases with worked explanations – case presentations built around clinical images, radiology, teaching illustrations and real laboratory data, with the reference range beside every value a case quotes. This visual, data-interpretation style of practice suits candidates preparing for MRCPCH AKP in particular, alongside the Saudi Prometric (SCFHS) exam, the Arab Board, DHA and OMSB. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.
The twelve cases, in order
- The third pneumonia this year
- The reassurance that is not
- The swallow, filmed
- What the history screens for
- Where gravity points
- The next step, in order
- Feed the child, protect the airway
- When the bridge must become a road
- The operation that is not routine
- Nil by mouth, still aspirating
- The chest has its own programme
- The label that would not come off
What this deck teaches
- Three routes into one airway. Swallow, reflux and saliva each need naming – the route decides the remedy.
- Silent aspiration is the rule here. Absent cough excludes nothing in neurodisability – watch the voice and the oximeter during feeds.
- Gravity writes the film. Recurring change in dependent segments – right upper lobe in the supine child – is aspiration until excluded.
- Film the swallow. Videofluoroscopy names the failing phase, the risky consistency and what remains safe to feed.
- Least restrictive that protects. Thicken and modify before tubes – and a nasogastric tube is a bridge measured in weeks.
- Gastrostomy when the swallow cannot recover. Unsafe across consistencies with faltering growth – keeping agreed tastes where safe.
Exam pearls from this deck
- The same dependent segments on film after film is not bad luck – it is gravity, and gravity is a diagnosis.
- In neurodisability the oximeter during a feed is a better witness than the cough.
The twelve worked cases in this deck, with the images and the full explanation of every option, are part of Pediatric Case Review membership. See what is included, or start with the free Prometric question sets.
More from this system: all respiratory illustrated case decks · respiratory board questions for bank-style drilling · the free Pediatric Prometric question sets · pediatric reference values.
