Paediatric Examination BW3 Flashcards by keenin stone

Q

What are major differences in Paediatric examination vs adults:

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Paed exam outline and what you need? (differences e.g chaperone)

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Outline a thorough paediatric history with relevant additions specific for paeds:

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

General paed examination process: outline:

General inspection? Dysmorphic features? Anthropometry? Vs? Examine painful system last

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Outline paediatric respiratory examination:

General appearance? Abnormal breathing? Cyanosis? Character of cough? Hands? Face? Trachea?

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Respiratory examination:

Chest continued:

Inspection, palpation, percussion, auscultation, abdomne, other special (resp-pembertons)

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

What side of the bed must you always examine from?

A

Right side

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

General inspection: Outline all finding? Examination

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

General observation of conciousness: AVPU:

A

V

P

U

What does it mean?

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

What comes after vitals on all paed exams?

Anthropometry: Outline what needs to be measured

A

Weight
height
head circumference
Always plot on percentiles!!!

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

What are bedside respiratory tests that can be completed in children:

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Outline the procudre of weighing a baby?

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Outline how to correctly take height (paed exam)

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Taking a paediatric patients (length) Usually patients under 2

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Guide to accuratley take length: Paed

(some children can never take height, e.g cerebal palsy children always need length)

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Head cirumference: Done routine until 2 years: Outline how to be completed

Outline causes of increased HC (outside percentile)

Need to do every case

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Outline paediatric examination:

General appearance:

Hands:

VS/Pulse:

Face, Neck

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

How and where do you plot paediatric anthropometry?

What do you need to do if patient was born premature?

What charts are used in QLD for under 2? over 2 years?

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Continued: CVS examination: OUtline praecordium examination:

Inspection, palpation, percussion, auscultation:

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Plot the following:

Gender?

Full term, dob, weight measurements

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Plot the following: Read

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

How to plot for premature birth and percentile charts:

A

Premature charts- when become normal age 0- can use normal

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

WHO charts premature charts

What must you do?

A

Always need to write on bottom, born at 34 weeks corrected for 6 weeks prematurity:

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Example plot: Premature child:

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Vital signs in paediatrics:

What is a CEWT? (childrens early warning tool)

Early warning pick up: Age corrected VS ranges: Gives score when VS outside normal: Then gives management - needs to be reviewed RR 02 Temp HR Bp

CRT central and peripheral?

How do we measure temperature in children

What is a different with VS - Especially Pulse: Feels for femoral also!!!!rate, rhytmn

Paeds CVS examination:

Vital signs: BP in paeds: RCH hypertension guidelines for boys: \> 90th percentile =HTN!

Systems examination: Paediatrics: We usually examine all systems: CVS, Abdo, ENT (last) always include LN examine in any infection!

Outline General approach to all system examinations: General:

PAediatrics respiratory examination: Outline: Whats different? General inspection? WOB? Use of accessory muscles) (nasal flaring, head bobbing, tracheal tug) LOC? Irratability, breathing pattern?

Read resp examination PAG:

Respiratory history: Paediatrics: Outline important areas to cover

Paed resp exam: General observations? Audible noises? Paed hands exam resp: Outline:

Respiratory exam: Face- Outline: + ENT+LN (infections)

Respiratory examination: General observation outline what looking for:

Whats Harrisons sulcus?

Flaring of the lower edge of the rib cage seen in poorly controlled asthma

Paeds resp: Palpation: Outline Assess: Tracheal tug, expansion, vocal fremitus (only if can speak+cooperate)

Resp examination: Percussion: Outline findings:

Paeds Resp examination: Auscultation: Outline- How do you outline your findings? WHat three things must be explained?

Note need to examine abdomen for liver/ent/cervical lymph nodes in resp paed exam!

Paediatric respiratory history key questionsPAG:

CVS examination: Paeds: Outline General inspection on CVS: What will you look for? VS, Anthro

PAed CVS exam: What must you always do! Hands? Skin? Face, mouth? Neck?

Paeds resp exam: outline

Paed CVS exam: Inspection of chest wall? Palpation of chest? outline

Praecordial examination: Outline steps: (lecture)

Paeds: CVS examination: Auscultation: Outline how to expain:

How to define and explain murmur? Outline "CARDIO"

Murmurs: Types? Grading? Examination of back? Examination for PVD

CVS: Signs of heart failure: Signs list 6?

CVS: Examination PAG

Key systematic CVS history questions: Breathlessness HX keypoints read

Paediatric GI examination: Preamble? General inspection: List key findings to look for

Paed Abdo exam: Lecture: General inspection: Continued read

Paeds GI: VS+anthropometry Hands? Outline what your looking for

GI Paeds: Arms Skin FAce Outline findings:

GI exam: Observation of abdomen: Outline what your looking for?

4 quadrants used in paeds:

Paed GI: Palpation: Outline How to make it successful?

Palpation of GI system in paeds continued: What are you looking for on deep palpation?

**If you find tenderness in GI paed exam:** How do you further work out tenderness and location? Could ask to cough? Or to Jump?

Paed GI exam: Deep palpation of organs: Examine which organs? Start where? What are you looking for?

GI Exam: Percussion: What is different? WHat looking for?

Percussion Paeds GI exam: key points and bowel sounds?

GIT: Special feature: Always look under the nappy! What else is important? List? Testes? Hypospadias, hernias

GI Exam: Legs, buttocks, peripheries? What are buttoc signs:

Question MCQs; read

MCQ read

FALSE

MCQ

Fals: Central better

MCQ

MCQ BP: What 3 things affect BP

Age, height, male/female (on charts)

How is HTN defined in children?

GI Exam assessment: PAG read

GI Exam: key questions on history: Read PAG

Paediatric ENT: examination: Most important is safety

Get mother to hold pts head Turn baby around, one arm secures head against parents chest to examine ear:

Throat examination: Of child key tips: Have child sitting on parents lap Have tongue depressor ready Tell parent to hold across chest, and across forhead, examine throat quickly

Summary hx and examination of ENT: and all system:

In summary: Writing up your findings: What must always be done in paed exam" Whats important in acute presentation:

Development overview: