#ir #peds
Toddler
Case 3: An 18-month-old male presents
with complaint of seizure witnessed at
home 20 minutes prior to arrival.
Many pediatric patients will present to
the emergency department after a seizure.
When evaluating this patient, it is crucial to
do a good neurological exam. The biggest
tip for the pediatric neurological exam is
to stop, look and listen. You will learn the
most from the child’s spontaneous activity,
including mental status, cranial nerves,
coordination, and motor status.
Assess patients based on developmental
milestones for their age group. If
age appropriate, make sure to watch
them walk. Also, watch the child sit
unsupported as truncal instability may be a
clue to vertiginous symptoms or cerebellar
pathology. Try to carry one thing that
could fake for a toy or draw a face on a
tongue depressor to help attract the child’s
attention.
Upon examination of this patient, he had
right-sided weakness which resolved
within an hour. The patient was diagnosed
with Todd’s paralysis and new-onset
seizure disorder.
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Tricking Kids into the Perfect Exam: Tips for Evaluating the Pediatric Patientelle was full and
tense. Throughout the exam, the patient
was irritable and diffi cult to console. The
infant was appropriately resuscitated and
underwent a full septic work-up, revealing
pneumococcal meningitis.
<span>Toddler
Case 3: An 18-month-old male presents
with complaint of seizure witnessed at
home 20 minutes prior to arrival.
Many pediatric patients will present to
the emergency department after a seizure.
When evaluating this patient, it is crucial to
do a good neurological exam. The biggest
tip for the pediatric neurological exam is
to stop, look and listen. You will learn the
most from the child’s spontaneous activity,
including mental status, cranial nerves,
coordination, and motor status.
Assess patients based on developmental
milestones for their age group. If
age appropriate, make sure to watch
them walk. Also, watch the child sit
unsupported as truncal instability may be a
clue to vertiginous symptoms or cerebellar
pathology. Try to carry one thing that
could fake for a toy or draw a face on a
tongue depressor to help attract the child’s
attention.
Upon examination of this patient, he had
right-sided weakness which resolved
within an hour. The patient was diagnosed
with Todd’s paralysis and new-onset
seizure disorder.
Preschooler
Case 4: A 3-year-old female presents
with abdominal pain and fever over the
past day. Patient has some vomiting
and diarrhea. Emesis is nonbilious&# Summary
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