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How to examine a Child in pediatrics | parameters for General physical exam #mbbs #mbbsskills #pedia
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NOTE:- content in this video is just for medical and clinical education, & should not be considered beyond.
STANDARD COMPONENT OF MEDICAL EXAMINATION ARE AS FOLLOWS
INTRODUCTION
CONSENT( important at every step)
ANTHROPOMETRY( in pediatrics)
INSPECTION
PERCUSSION
PALPATION
AUSCULTATION
[[ take consent before start of any procedure & most importantly before exposing the body part that need to be examined ]]
For Anthropometry we will measure height, weight, Mid Arm Circumference(up to required age) and for GENERAL PHYSICAL EXAM need VITALS like blood pressure and pulse, respiratory rate & body temperature. SYSTEMIC findings like Dysmorphic features
Work of breathing, Colour (pallor, cyanosis, mottling), lymphadenopathy, edema, jaundice, etc.
The abdominal examination consists of four basic components: inspection, palpation, percussion, and auscultation. It is important to begin with the general examination of the abdomen with the patient in a completely supine position.
Assessing your patient's abdomen can provide critical information about his internal organs. Always follow this sequence: inspection, auscultation, percussion, and palpation. Changing the order of these assessment techniques could alter the frequency of bowel sounds and make your findings less accurate.
for PALPAPTION only expose the area under consideration for proper examination, appropriate medically, ethically, socially & culturally. Start in the right iliac fossa and move gently up towards the right hypochondrium. The examining hand should be flat on the abdomen and the fingers should be pointing upwards so that the fingertips are on a line parallel to the expected liver edge. Palpation should be gentle but deep if there is no pain. Examine liver, spleen, kidney, urinary bladder & signs for appendicitis etc.
Examination of the abdomen in children will be reviewed here. Other aspects of the pediatric physical examination are discussed
"Normal findings might be documented as: “Abdomen soft to touch with no masses, swelling, pain, and rigidity.” Abnormal findings might be documented as: “Client noted generalized pain all over abdomen upon palpation, rating it 5/10. Abdomen firm to touch in all quadrants."
STANDARD COMPONENT OF MEDICAL EXAMINATION ARE AS FOLLOWS
INTRODUCTION
CONSENT( important at every step)
ANTHROPOMETRY( in pediatrics)
INSPECTION
PERCUSSION
PALPATION
AUSCULTATION
[[ take consent before start of any procedure & most importantly before exposing the body part that need to be examined ]]
For Anthropometry we will measure height, weight, Mid Arm Circumference(up to required age) and for GENERAL PHYSICAL EXAM need VITALS like blood pressure and pulse, respiratory rate & body temperature. SYSTEMIC findings like Dysmorphic features
Work of breathing, Colour (pallor, cyanosis, mottling), lymphadenopathy, edema, jaundice, etc.
The abdominal examination consists of four basic components: inspection, palpation, percussion, and auscultation. It is important to begin with the general examination of the abdomen with the patient in a completely supine position.
Assessing your patient's abdomen can provide critical information about his internal organs. Always follow this sequence: inspection, auscultation, percussion, and palpation. Changing the order of these assessment techniques could alter the frequency of bowel sounds and make your findings less accurate.
for PALPAPTION only expose the area under consideration for proper examination, appropriate medically, ethically, socially & culturally. Start in the right iliac fossa and move gently up towards the right hypochondrium. The examining hand should be flat on the abdomen and the fingers should be pointing upwards so that the fingertips are on a line parallel to the expected liver edge. Palpation should be gentle but deep if there is no pain. Examine liver, spleen, kidney, urinary bladder & signs for appendicitis etc.
Examination of the abdomen in children will be reviewed here. Other aspects of the pediatric physical examination are discussed
"Normal findings might be documented as: “Abdomen soft to touch with no masses, swelling, pain, and rigidity.” Abnormal findings might be documented as: “Client noted generalized pain all over abdomen upon palpation, rating it 5/10. Abdomen firm to touch in all quadrants."
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