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  • Cerebellar-Paaediatrics Examination

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    SHAMENI VINOD
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    This document provides guidance for conducting a simplified physical examination for a paediatric thalassaemia patient. The exam involves: [1] Introducing yourself and preparing the patient. [2] General inspection of alertness, attachments, nutrition, color, and facial features. [3] Examining the hands, pulse, and measuring blood pressure of the upper limbs. The exam also includes inspection and auscultation of the heart, assessment of the abdomen for organomegaly or surgical scars, and examination of the lower limbs and Tanner staging if the patient is older than 9 years.

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    This document provides guidance for conducting a simplified physical examination for a paediatric thalassaemia patient. The exam involves: [1] Introducing yourself and preparing the patient. [2] General inspection of alertness, attachments, nutrition, color, and facial features. [3] Examining the hands, pulse, and measuring blood pressure of the upper limbs. The exam also includes inspection and auscultation of the heart, assessment of the abdomen for organomegaly or surgical scars, and examination of the lower limbs and Tanner staging if the patient is older than 9 years.

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    Cerebellar-Paaediatrics Examination

    Uploaded by

    SHAMENI VINOD
    This document provides guidance for conducting a simplified physical examination for a paediatric thalassaemia patient. The exam involves: [1] Introducing yourself and preparing the patient. [2] General inspection of alertness, attachments, nutrition, color, and facial features. [3] Examining the hands, pulse, and measuring blood pressure of the upper limbs. The exam also includes inspection and auscultation of the heart, assessment of the abdomen for organomegaly or surgical scars, and examination of the lower limbs and Tanner staging if the patient is older than 9 years.

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    Simplified system based physical examination in Paediatrics

    THALASSAEMIA PATIENT

    1.INTRODUCE YOURSELF 4.HEAD AND NECK


    -Remove your watch/rings etc Face
    -Wash your hands -conjunctival pallor
    -Position the patient. -jaundice
    -Adequate exposure of patient. -cataract if on deferiprone
    -Dental malocclusion
    2.GENERAL INSPECTION
    Stand back and inspect for: 5.HEART
    -alertness Quick apex beat localisation
    -well or unwell -auscultate for murmur, gallop rhythm and basal
    -any attachments e.g IV canula (any IV drip), crepitations of heart failure
    pulse oximeter (mention the saturation), ECG
    electrodes 6.ABDOMEN
    -Nutritional status-offer that you want to Hepatomegaly/Splenomegaly
    measure the height and weight to plot on Splenectomy scar
    anthropometric chart Injection sites if on desferrioxamine
    -Colour
    -pigmentation LOWER LIMBS
    -pallor Edema
    -jaundice Bony tenderness due to osteoporosis

    Facial features Tanner staging-(in patient > 9 years old, offer to


    -frontal bossing do it last)
    -parietal bossing
    -dental malocclusion
    -prominent malar eminence
    -broadened nasal bridge
    -slanting eyes

    3.Upper limbs
    Hands
    -finger prick marks (if diabetic)
    -pale palmar crease

    Pulse
    -rate, volume, rhythm,
    -collapsing pulse
    -Offer to measure blood pressure

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