Pediatric Examination

I
General examination
.-

Z - Respiratory &chest exa .

3 *
Abdominal examination -

4 -
Dehydration assessment .

5 -
CVS &precordial exa .

6 -
motor examination of lower&upper
limbs -

9- -
Head examination .

8 . Nutritional assessment .

9 -
Anthropometric measurements e

IO
e Neonatal exa ,primitive reflexes
&maturity assessment F

11
Examination related to Down
.

syndrome -related to skin rash A

12 -
Developmental assessment n

Pediatric specialist 2022 ‫د ﻋﺒﺪاﻟﺮﺣﻤﻦ اﻟﺠﻌﻜﻲ‬

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NEED

• Angular stomatitis • central cyanosis

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 D

B
.
E F
Radial collapsing Brachial Radio -
Radial Radio -
femoral
Artery
palpation
Artery
pulse palpation synchronicity synchronicity
① width # 0% of
.
midarmc circumference
• length 80 1061
-

,
a o
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i

f-
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. .

T "
T -
s ,
-

• carinated • pe#dTe¥atum a

pigeon funnel
chest Chest

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# jiff? %:{Ifj
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• other Deformities .
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same side
n#
 Percussion

-
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Egg SEE
•

nine
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x x
* xx

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,

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maxilla l l

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.

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x. B & X
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Imp
I Notes
Auscultation
• Respiratory system excl →
to General Related * chest
But
→ DI chest exa From Anta post
• Chest examination
13
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II
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⇐time
u
f .

15 Nj # If
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. .
.
.
I

NEED

16
 7¥
n

I7
18
Shifting
Dullness

NEED
Bowel Sounds
Fluid Thrill 19
20
 Sunken eyes

nine

Loss of Skin Turgor

401 t.ms
"

as
To IS
22
 iD

Midsternotomy scare
7. Thoracotomy scare Rt-Lt T

NEED

23
 401 !
ntD i .

24 Uj Is# If
25
26
 posting

I
as
n_①
AT
28
29
 so

30
 knee Reflex

so

Ankle Reflex

• nID Gas

SEE
Ankle clonus

a
*s⇐÷÷÷
 knee Reflex

Ankle Reflex

32
id

33
34
iD

401 t.ms
"
35 Nj % # If
36
37
 ( *
Larghetto

L
g

L y

L s

( s

Rachitic
Rosary

•
Broad wrist

¥?
Genu
Valgus Varus 38
' -
- Broad Ankle
-39
9- O
Measurement of wt .

at 4. Gm

40¥
At Igo # If
OFC
Height

Length

742
-

Bam
a

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r
$
!
. hthickness.
Fold
·°·
*

24.61 is...
,
8
13
44
 Ed
Lambdoid
suture

Sagittal
suture ÷
.
Coronal
.
Suture
Bd r

45
46
47
 J
-

48
Neck webbing
A

nine

Polydactyly OG Syndactyly sa

⇐o
Ig is# Is
-

49 202 2
g.
 •

( y

&

NEED

50
③ Palpation

① liver

② Spleen

③ kidneys

③ Auscultation

n D
o

SI
•

NEED

52
53
iD nine

Meningomyelocele

40¥
Mongolian spot Ig is# Em
-

54 2022 -
¥6 s
Primitive reflexes

55
 iD
god

ooo

-0g
Parachute reflex

¥÷÷
"

.
in:* ..

ago so n?D r
 ↑
F Absent
Moro reflex

↓ ↓
Unilateral Bilateral
"Asymmetrical
&I
⑪
movo reflex
1. Birth asphyxia
B. Erb's palsy
a. Sepsis
E. # clavicle
humerus ⑮_kirnictrus.
5. I

24.61 is...
SF Big i, :
 Maturity assessment
Physical signs
 ye
5 es
os
& @

smooth or Just
So
full E creases
Ant
cover
by
2 .
Neuromuscular signs
• posture

* ad
Edge

up egg

40¥
sq Is -16
,
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tf
Tse

-
ngT

It at

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GO Te
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iD

61
 small head
single crease wide gap
&
silky hair
-1
a

I
Hypertolirism
\ High
1- post
Depressed s hair
nasal
line

bridges
slanting
up
I
-

eyes J
L
small ear
micro gnathic
& t
protroted
Tongue \ flat occiput

Brachycephaly

|
Clirodactylyfinger
Small little

Brush field
spots

* Treatment of Down syndrome

0

IS Multidisciplinary
=
Team

40¥
Ago #
Eg
62
2022
figs
Ho -5 . P
'

63
Vesicular rash

Maculopapular rash

Purpuric -petechial rash

not

HSP
64
 Tbwa
"
5
. .
%
Is
..
@ *Gta Dr Abdurahman Juki .pediatric specialist
'
Gross motor Fine motor and vision Hearing ,speech &language Social development
• Head tag pull to sit . Fix & follow . Cries Coos
Smiles
-
,
•
900 Startle to loud
objects o -
spontaneously
Noises
6weeks
•
0¥ Raigefohead
•
at same
Level Recognize mother
•
Face 2M
• Head control ← Follow objects 188 ←
Vocalize Social
. '
Hold objects smile
←
hands ← Turn head to
in
3 months placed Level to
sound ,
the ear
- React For objects
lie
Hand Regards In
.
①
o.o se
•
x BB i loud Lun )
• coughs
4M
 ← got e- support • Palmer grasp so Burbling .
• Puts food
6 months e- Round back in the mouth
•
Transfer hand
c. 7- m "
to hand In
•
Finger Feeds
AHH
⑧ Rolls From prone earing ft.mg)
• Mouthing •
to supine c5#
^ Distraction
from sup 're
⑨ Rolls Test
to prone 7--812
ii.
#
off
tagged
-
#
Sit e-out support • ( mama -
Baba)
8months •
Sounds used In • Strange -
To
e-striagkt back . -
Anxiety
. .
ndiscrenentely
•
• understand NO . Strange
crawling
-
9months • 9 • Release objects Anxiety
( Baba )
• Diener grip • mama
• Fingers feeds
10months • Stand e- sounds Used bye
• wave bye
gpnnaiure ,
support discrenentely boo
• play peek .
a.
•
wcrauiksess .
• Banging 4
casting cubes
"
around • index Finger
.
together
'
Furniture approach
ten . .
0% ,
Saif
 pincer
walking unsteadily Drink
• • mature •
°
2-3 words other • from
hands grip than baba mama
Cup with two
Broad gaff
12months
-
hands
apart • knows
name
• Points by index
Finger
Stops • Finds hidden
2 •
mouthing object
•
walking alone Imitate mother
15months
steadily (Donweosrtif)
I
• ape downstairs •Turn 2-3 pages at
• 6 - 10 Words a. Feed from
rail ( 2 Feet
) time
holding a spoon
18months I.Tower OF 3 3 parts
•
Points to
of the body on
heftiest
• Climbs into Adult • To & Fro scribbles
sits
chair and
aoeosympo Lic
play
⑧
play
alone
saint's
€#pD
 Runs stiffly • Draw vertical line
•
a-

• Joins 2 -
3 words •
Dry by day
⇐ to make
• Jumps in place
• Tower of G • pulls off some
2years -8 Sentences
24months Stairs
r clothing .
page singly
o
.
•
Turns
up a Down
r
child manner
Picture cards (5)
• • parallel solitary
• Ball
*
Names (3) play
• kick a ball
• Throw Ft
Outstretched ch -
i
.
hands ( 21g , Tower of 8)
• Runs smoothly ⑨ Draw circle • 3 - 4 word sentences • Dry by night
Colors
8
Recognize 3
Parallel play
3years • Walking
•
•
interactive
36months Tiptoe
% side
• Bridge
• Jump Forward
knows
Stairs
•
⑧ Full name
-
manner
Up Adult threads sex
;D child manner • Lace large
.ae,
Lang hole beads
in
name
• Ball • MIST & last
undress
•
chest
Throw infront the
Eat E Fork
Catch it outstretched
•
•
•
hands
• Tricycle "
mouth
 Runs
•
Draw cross
Io knows address
• Count upto
a • ②
Tiptoe →
&#
NEW
4years Dress supervision
Identify several
.
• e-
•
48months
• walking colors a. Points
Tell
off request • story
Tandem →
•
Square +
on
Foreword " "
4424
t
•
Shares Toys
• tops
on one
→ •
Brushes teeth
awash and
Foot
in place dry
2- hands
Stairs
• Steps
•
l
Bufo.tt?wnnnsEarirs
o Ball 8
•
kick Running
Catch over the headed
•
i'ngle hands
-
• count
choose Friends
,
by I
• walking • Draw
•
Preposition
5years •
-
Tandem
.
Backward under infront Role play
on
-
•
- .
"
60months of Play
skips ? Dramatic
• -10ps II
when newby
"
↳, is
ask
,
Forwatd
•
e- peers
knife
Opposites
• use
Ball •
) e- out
•
Dress
cold / Hot •
Tharboowuethehead supervision
-
.
•
the chest
Catch
infront
•
Bounces
TATA . .
f
"
• .- s
@ # ftp.
r
'
'
•
f
Bicycle -7