HERMES Paediatric Respiratory case studies
HERMES Paediatric Respiratory · Put your knowledge to work in context.
The HERMES Examination in Paediatric Respiratory Medicine is the paediatric sitting of the ERS HERMES online examinations, which the European Respiratory Society describes as setting a common, high standard of knowledge among respiratory specialists and trainees in Europe. The examinations date from 2008 and are described by ERS as based on European syllabi in respiratory medicine, accredited by the European Board for Accreditation in Pneumology (EBAP) and approved by the European Union of Medical Specialists (UEMS) and the European Academy of Paediatrics (EAP); the Swiss societies of pulmonology and paediatric pulmonology have adopted HERMES exams as their mandatory written exit exam for final-year trainees. The HERMES Paediatric Respiratory case studies are 5 cases and about 2,125 words.
1Recurrent wheeze in a preschooler: when to start a preventer
A 3-year-old boy attends with his mother because of recurrent wheeze. He has had seven episodes in the past 12 months, each beginning with a coryza and lasting 5–7 days.
454 words, about 2 min2Weight faltering and new cough in an infant with cystic fibrosis
An 8-month-old girl with cystic fibrosis, diagnosed on newborn screening and homozygous for F508del, attends the CF clinic. She was breastfed and has been on pancreatic enzymes since diagnosis.
434 words, about 2 min3Acute severe asthma in the emergency department: next steps after initial bronchodilators
A 9-year-old girl with known asthma presents to the emergency department with a 2-day history of coryza and worsening wheeze. She has been using her salbutamol inhaler every 2 hours overnight.
431 words, about 2 min4Term neonate with tachypnoea at 6 hours: infection or transition?
A 6-hour-old term boy is reviewed on the postnatal ward because of grunting. He was born by spontaneous vaginal delivery at 39 weeks, birth weight 3.4 kg, Apgar scores 8 and 9.
407 words, about 2 min5Persistent wheeze in a toddler: is a foreign body still possible?
A 22-month-old boy is referred with a 4-week history of cough and wheeze. The illness began with a coryza, but the cough has persisted and is worse at night and after running.
399 words, about 2 min