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Clinical skills - PowerPoint PPT Presentation


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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.

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clinical skills

Clinical skills

Dilip Nathan

slide2
aim
  • Overview of examination of infant
birth 6 wk check
Birth/6 wk check
  • Pair up- what information do need?
    • History (5 mins)
history
history
  • Parental/midwife/HV concerns?
  • Family history
  • Feeding
  • Vision/hearing concerns?
  • Birth concerns?
  • Contraception?
birth 6 wk check5
Birth/6 wk check
  • Pair up- what information do need?
    • History (5 mins)
    • Examination (10 mins)
top toe exam
Top-toe exam
  • General observation -While undressed
    • Tone/movement
    • Colour (jaundice/cyanosis)
    • Dysmorphism?
    • Femoral artery palpation
    • Heart sounds
slide7
head
  • Fontanelle
  • Head circumference?
  • Birth marks?
what do you do
What do you do?
  • Advice to mum?
  • When do you refer?
    • Affect ophthalmic/maxillary distribution (glaucoma)
    • Cosmetic
    • Overly spine
    • Increasing size of limb?
slide13
eyes
  • Squint?
  • Red reflex?
  • Iris- is it abnormal?
mouth
mouth

Marcie Hamrick, MD

Mike Purdon

slide15
neck
  • Torticollis?
slide16
arms
  • Check fingers( birth)
  • clavicle
chest
chest
  • Apex?
  • Heart sounds
  • Breath sounds equal?
abdomen
abdomen
  • Distension?
  • Umbilicus
  • palpation
umbilical hernia
Umbilical hernia
  • When to refer?
    • Persist>3 years
    • If suprumbilical
undescended testes
Undescended testes
  • Comment on scrotal sac
  • If not descended by 3 months, unlikely to descend
  • If retractile- check in ‘squatting’ position
hydrocele
hydrocele
  • What do you do?
slide24
back
  • Skin defect?
primitive reflexes
Primitive Reflexes
  • Palmar grasp- birth-4 months
  • Moro- up to 12 months
summary
Summary
  • Overview of examination of infant