Pediatrics Systemic Examination Overview

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Questions and Answers

What information can be gathered during the inspection of a child without physical contact?

  • Indicators of mental health status
  • Respiratory rate changes
  • Operative scars or other significant signs (correct)
  • Presence of pain in joints

When should you ask a patient if palpation causes pain?

  • Only if the patient is an adult
  • Before starting the examination
  • After completing the examination
  • If there is any possibility of pain in the area being examined (correct)

What is an important method to detect organomegaly in children?

  • Percussion (correct)
  • Palpation of muscle strength
  • Checking temperature
  • Inspection of skin color

Which of the following should you NOT forget to comment on during inspection?

<p>Child's favorite toy (D)</p> Signup and view all the answers

What is a critical aspect of examining a child that should involve parent participation?

<p>Exposing relevant body areas for inspection (A)</p> Signup and view all the answers

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Study Notes

Systemic Examination

  • Systemic examination can yield significant information without physical contact; visual assessment is often sufficient.
  • Many children may exhibit distress through crying when touched, necessitating cautious handling.
  • Relevant body areas (chest, abdomen, legs) must be adequately exposed for thorough examination.
  • Involve parents in undressing the child to observe potential signs like operation scars, hydrocele, or muscle wasting.
  • Always assess the general condition of the patient, categorizing them as well or ill, noting any medical devices present (IV drips, nasogastric tubes, urinary catheters).
  • Observe any obvious dysmorphic features that could indicate underlying conditions.

Palpation

  • When palpating potentially painful areas, always inquire about discomfort to ensure the child's comfort.
  • Areas requiring particular caution include the abdomen, joints, and any lumps.

Percussion

  • Utilize percussion as a diagnostic tool, particularly effective in identifying organomegaly in young children.

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