Pediatrics Exam

Mnemonic: ABCDEF Appearance * The ‘A’ in the pediatric assessment triangle* Interactive vs distant* Good tone vs floppy* Calm and happy vs inconsolable Breathing * The ‘B’ in the pediatric assessment triangle* Signs of respiratory distress* Nasal flaring* Retractions* Abnormal respiratory sounds Color/Circulation * The ‘C’ in the pediatric assessment triangle* Pink = good* Abnormalities* Pallor* Cyanosis* Mottling Distraction * Almost impossible to do a good peds exam in a crying kid* Easiest ways to keep kids distracted* Let parents hold/play with them* Toys* Stethoscope* Funny sounds/noises ENT * Many times the kids don’t localize the symptoms* May present with vomiting, fever, irritability, etc* If difficulty examining pharynx, consider triggering a gag reflex Fully Undress * Look for bruising, rash, blisters* Signs of non-accidental trauma* GU exam (especially in boys, check the testes!) Additional Reading * Peds Respiratory Disorders (EM Clerkship)* Pediatric Assessment Triangle (Wikipedia)