Examination

Question 1

Hands - 2

Answer 1

Clubbing

Cyanosis

Question 2

Face - 2

Answer 2

Pallor

Tongue/perioral cyanosis

Question 3

Oedema - 2

Answer 3

Sacral (before they can stand)

Pedal (after the can stand)

Question 4

Abdo - what to palpate and why?

Answer 4

Palpate liver whether its cardio, resp or GI exam

• It can be enlarged in HF
• Displaced in hyperinflation (asthma, bronchiolitis)

Question 5

Cardio - which pulse do you feel?

- What to use for BP?

Answer 5

Palpate femoral pulse to check for coarctation

For BP, use Korotkoff 4 if <12 years

Question 6

GI - signs in Crohn’s disease

Answer 6

Perioral ulcers
Perianal tags 
Fistulas
----
Fissures from constipation

Question 7

APGAR score to assess the new born.

What does it consist of?

Answer 7

Appearance (skin color)
Pulse (heart rate)
Grimace response (reflexes)
Activity (muscle tone)
Respiration (breathing rate and effort)

https://kidshealth.org/en/parents/apgar.html