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Cheatography

Paeds physical exam Cheat Sheet (DRAFT) by

Paeds physical exam and prodecures

This is a draft cheat sheet. It is a work in progress and is not finished yet.

Overview

Observ­ation
Spinal screen, hip screen
Neurol­ogical exam
Develo­pmental screen
Vital signs

Observ­ation

General appearance
Tone - floppy?
Physical activity - moving upper/­lower limbs?
Posture - should be flexed
Level of consci­ousness

Congenital hand disorders

Syndactyly - webbed fingers
Radial club hand ( hand flexed)
Campto­dactyly - clynod­actyly - little fingers deviated + flexed
Congenital trigger finer - gripping hands - open finger­s/hands
Aplasia, duplic­ations and hypoplasia

Skin

Milia
Salmon patch - erythema
Angel kisses - back of head
Mongolian spots
Erthema toxicum neonatorum
Cafe au lait spots
Harman­giomas - strawberry naevi
Texture
Colour
Turgor -fluid in tissue, firm
Lunago - "­fur­"
Nails
Jaundice
Scars
Lymphnodes

Head

Appearance - moulding of the head
Shape
Sutures
Fontan­elles - size, shape
 

Eyes

Pupils, conjun­ctiva, red reflex - red when you shine an opthal­mascope
Strabi­smus, slant of palpebral fissures (DOwn syndrome), teleca­nthus
Plugging of lacrimal ducts (swollen under eyes)
Visual fields

Nose and mouth

Nose: Nasal septum for symmetry, discharge
Lips
Mucosa
Palate - high/low
Tongue - frenulum, tongue tie
Suck blisters

Ears

Position ( from eyes to occiput)
Hearing - rubber duck

Lungs/­chest