1 / 27

Clinical skills

Clinical skills. Dilip Nathan. aim. Overview of examination of infant. Birth/6 wk check. Pair up- what information do need? History (5 mins). history. Parental/midwife/HV concerns? Family history Feeding Vision/hearing concerns? Birth concerns? Contraception?. Birth/6 wk check.

rhian
Télécharger la présentation

Clinical skills

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Clinical skills Dilip Nathan

  2. aim • Overview of examination of infant

  3. Birth/6 wk check • Pair up- what information do need? • History (5 mins)

  4. history • Parental/midwife/HV concerns? • Family history • Feeding • Vision/hearing concerns? • Birth concerns? • Contraception?

  5. Birth/6 wk check • Pair up- what information do need? • History (5 mins) • Examination (10 mins)

  6. Top-toe exam • General observation -While undressed • Tone/movement • Colour (jaundice/cyanosis) • Dysmorphism? • Femoral artery palpation • Heart sounds

  7. head • Fontanelle • Head circumference? • Birth marks?

  8. What is this?

  9. What do you do? • Advice to mum? • When do you refer? • Affect ophthalmic/maxillary distribution (glaucoma) • Cosmetic • Overly spine • Increasing size of limb?

  10. Laser treatment

  11. What is this?

  12. What is this?

  13. eyes • Squint? • Red reflex? • Iris- is it abnormal?

  14. mouth Marcie Hamrick, MD Mike Purdon

  15. neck • Torticollis?

  16. arms • Check fingers( birth) • clavicle

  17. chest • Apex? • Heart sounds • Breath sounds equal?

  18. abdomen • Distension? • Umbilicus • palpation

  19. Umbilical hernia • When to refer? • Persist>3 years • If suprumbilical

  20. Undescended testes • Comment on scrotal sac • If not descended by 3 months, unlikely to descend • If retractile- check in ‘squatting’ position

  21. hydrocele • What do you do?

  22. genitalia

  23. hips

  24. back • Skin defect?

  25. Primitive Reflexes • Palmar grasp- birth-4 months • Moro- up to 12 months

  26. Questions?

  27. Summary • Overview of examination of infant

More Related