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Assess:
• how long?
• blood in stool
• signs of dehydration
7. Assess Fever:
Look for signs of Measles: generalized rash and any one of the following: cough,
runny nose, or red eyes. Measles rash: begins behind the ears and on the neck,
spreads to the face, and to the rest of the body; does not have vesicles or pustules;
does not itch.
If the child has measles now or within the last 3 months, assess for:
- mouth ulcers – painful open sore on the inside of the mouth and lips or tongue
- pus draining from the eye
- clouding of the cornea – hazy area in the cornea
Assess for Dengue Hemorrhagic Fever all children two months of age or older.-
Look and feel for signs of bleeding and shock:
- bleeding from the nose and gums
- skin petechiae – small hemorrhages in the skin; look like small dark red spots
or patches in the skin; not raised, not tender; if you stretch the skin they do not
lose their color.
- Cold and clammy extremities
- If with cold and clammy extremities, check for slow capillary refill ( longer
than 3 seconds
- Perform the tourniquet test if: there are no signs in the ASK or LOOK and
FEEL, the child is 6 months or older, and the fever is present for more than 3
days.
CLASSIFY FEVER
Look and feel for edema of both feet – the child may have kwashiorkor, a form of severe
malnutrition.
Very low weight for age – child’s weight is below the bottom curve of a weight for age chart.
Assess Diarrhea
CLASSIFY DIARRHEA
Assess Breastfeeding.
Suckling effectively – the infant suckles with slow, deep sucks and sometimes pauses.
You may see or hear the infant swallowing.
Not suckling effectively – he is taking only rapid, shallow sucks. You may see
indrawing of the cheeks. You do not see or hear swallowing.
Not suckling at all – not able to suck breastmilk into his mouth and swallow.
Look for ulcers or white patches in the mouth (thrush). Thrush looks like milk cuds
on the inside of the cheek, or thick white coating of the tongue. Try to wipe it off.
Milk curds will be removed but thrush will remain.