#ir #peds
Warning signs, Part One. If you walk into a room and a child is lying still on the exam table, she's either sound asleep or very ill. A child who is not moving much or is "looking very sick" is a child who needs to be examined and possibly worked up very carefully.
Warning signs, Part Two. Be very aware of a child who is so fearful that he will not leave his parent's side at all and spends the entire visit eyeing you nervously. If there is no history of possibly traumatic medical encounters (a child who has been hospitalized and subjected to repeated invasive tests, for example), you may need to delve deeper. One 2-year-old acted in precisely this manner, and after I diagnosed him with a minor viral upper respiratory infection, I asked his mother if he often behaved in this manner. After some discussion, it came out that he had witnessed numerous instances of domestic violence between her and his father, whom they still lived with. Given their lack of insurance and the fact that the mother didn't have a regular healthcare provider, the child's behavior was the only clue that led to his mother being referred to a women's shelter.
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Pediatrics for Dummies (Or Med Students) about the child's fine motor skills (placing an otoscope tip) and receptive language skills. It can surprise you that a shy 11-month-old can be grammatically sophisticated enough to understand "Can you put this on here?"
<span>Warning signs, Part One. If you walk into a room and a child is lying still on the exam table, she's either sound asleep or very ill. A child who is not moving much or is "looking very sick" is a child who needs to be examined and possibly worked up very carefully.
Warning signs, Part Two. Be very aware of a child who is so fearful that he will not leave his parent's side at all and spends the entire visit eyeing you nervously. If there is no history of possibly traumatic medical encounters (a child who has been hospitalized and subjected to repeated invasive tests, for example), you may need to delve deeper. One 2-year-old acted in precisely this manner, and after I diagnosed him with a minor viral upper respiratory infection, I asked his mother if he often behaved in this manner. After some discussion, it came out that he had witnessed numerous instances of domestic violence between her and his father, whom they still lived with. Given their lack of insurance and the fact that the mother didn't have a regular healthcare provider, the child's behavior was the only clue that led to his mother being referred to a women's shelter.
Finally, these tips won't necessarily work in every situation or with every child. Sometimes they won't work at all. Rather than focusing on the specifics, however, think abo Summary
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