This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a simulated medical scenario involving a 3-week-old boy presenting with vigorous, forceful vomiting after feeding for two days. The primary goal of this exercise is to assess a candidate's ability to diagnose infantile pyloric stenosis and effectively communicate the diagnosis, management plan, and prognosis to an anxious parent. Key elements for the candidate include identifying the probable diagnosis, explaining the mechanism of the obstruction, detailing necessary investigations such as ultrasound, and outlining the surgical treatment (pyloromyotomy), which is typically curative. The case also emphasises the importance of early hospital admission for further assessment and correction of electrolyte imbalances.

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