Paediatrics - Exams Flashcards
Vital Signs
BP
RR
HR
Temperature
Saturations
Cap Refill
CVS - General Inspection
Growth, breathing pattern
CVS - Face
Dysmorphic features
Dental health
CVS - Pulses
Radial - Radial Delay
Radial - Femoral Delay
Carotid - volume and character
CVS - Palpation
Both sides of chest for apex beat (dextrocardia)
Abdomen for hepatomegaly
Hepatojugular reflex
CVS - Percussion
Liver Size
CVS - End Pieces
Lung bases
Peripheral Pulses
Murmur - Describe
Timing
Location
Shape
Grade
Pitch
Radiation
Resp - Inspection of Skin
Eczema e.g. atopy
Resp - Auscultation
Heart - and pulse
Resp - End Pieces
ENT Examination
Lymphnodes (neck/axilla)
PEFR (from age 7)
Respiratory Distress
Nasal flaring, recession, tracheal tug and accessory muscle use
GI - Inspection of Mouth
Dental caries, macroglossia, apthous ulcers
GI - Percuss
Liver and bladder
Shifting dullness/fluid thrill
GI - End Pieces
Assessment of nutritional state
Urinalysis
Neuro - Sensations
DO
- Proprioception
- Soft touch
MENTION
- Temperature
- Pain
- Vibration
Neuro - Screening Upper Limb
Pronator Drift
- Arms out in front
- Palms upward
- Eyes closed
Neuro - Screening Lower Limb
Gait
- Walk
- Heels
- Toes
- Tightrope
Neuro - Inspection
SWIFT
Scars Wasting Involuntary movements Fasiculations Tremor
Neuro - End Pieces
Cranial nerves
Head spine and joints
Assess higher cortical function
Assess growth, nutrition and development
pGALS - Arms
- Reach up and look to sky
pGALS - TMJ
Put 3 fingers inside mouth
pGALS - End Pieces
Examine joint above and below
X ray of affected joint
