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  • Thalassaemia-Paediatrics Examination

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    Praveen
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    This document provides a simplified guide for conducting a physical examination of a patient with thalassemia. The exam involves: 1) Introducing yourself and positioning the patient for examination. 2) General inspection of alertness, attachments, nutritional status by measuring height and weight. 3) Examining the upper limbs, including finger prick marks, pale palms, and pulse. 4) Examining the head and neck, including pallor, jaundice, cataracts, and dental issues. 5) Listening to the heart for murmurs or irregular rhythms. 6) Examining the abdomen for organomegaly or splenectomy scars.

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    This document provides a simplified guide for conducting a physical examination of a patient with thalassemia. The exam involves: 1) Introducing yourself and positioning the patient for examination. 2) General inspection of alertness, attachments, nutritional status by measuring height and weight. 3) Examining the upper limbs, including finger prick marks, pale palms, and pulse. 4) Examining the head and neck, including pallor, jaundice, cataracts, and dental issues. 5) Listening to the heart for murmurs or irregular rhythms. 6) Examining the abdomen for organomegaly or splenectomy scars.

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    Thalassaemia-Paediatrics Examination

    Uploaded by

    Praveen
    This document provides a simplified guide for conducting a physical examination of a patient with thalassemia. The exam involves: 1) Introducing yourself and positioning the patient for examination. 2) General inspection of alertness, attachments, nutritional status by measuring height and weight. 3) Examining the upper limbs, including finger prick marks, pale palms, and pulse. 4) Examining the head and neck, including pallor, jaundice, cataracts, and dental issues. 5) Listening to the heart for murmurs or irregular rhythms. 6) Examining the abdomen for organomegaly or splenectomy scars.

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    Simplified system based physical examination in Paediatrics

    THALASSAEMIA PATIENT

    1.INTRODUCE YOURSELF 3.Upper limbs


    -remove your watch/rings etc Hands
    -wash your hands -finger prick marks (if diabetic)
    -position the patient. -pale palmar crease
    -adequate exposure of patient.
    Pulse
    2.GENERAL INSPECTION -rate, volume, rhythm,
    Stand back and inspect for: -collapsing pulse
    -alertness -offer to measure blood pressure
    -well or unwell
    -any attachments e.g IV canula (any IV drip), 4.HEAD AND NECK
    pulse oximeter (mention the saturation), ECG Face
    electrodes -conjunctival pallor
    -nutritional status-offer that you want to -jaundice
    measure the height and weight to plot on -cataract if on deferiprone
    anthropometric chart -dental malocclusion
    -colour
    -pigmentation 5.HEART
    -pallor Quick apex beat localisation
    -jaundice -auscultate for murmur, gallop rhythm and basal
    crepitations of heart failure
    Facial features
    -frontal bossing 6.ABDOMEN
    -parietal bossing Hepatomegaly/Splenomegaly
    -dental malocclusion Splenectomy scar
    -prominent malar eminence Injection sites if on desferrioxamine
    -broadened nasal bridge
    -slanting eyes LOWER LIMBS
    Oedema
    Bony tenderness due to osteoporosis
    Tanner staging
    -in patient > 9 years old; offer to do it last

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