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#ir #peds
Do
not forget that a negative lung auscultation
is not suffi cient to rule out signifi cant
pulmonary disease; the appearance of the
patient (tachypnea, respiratory distress) is
much more predictive.
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After observation, it is important to begin the exam with auscultation of the heart and lungs as this is usually when the child is calm, quiet and most cooperative. Do not forget that a negative lung auscultation is not suffi cient to rule out signifi cant pulmonary disease; the appearance of the patient (tachypnea, respiratory distress) is much more predictive.

Original toplevel document

Tricking Kids into the Perfect Exam: Tips for Evaluating the Pediatric Patient
t initial diagnostic tool. The degree of alertness and interaction, responsiveness to parents and respiratory status are all valuable measures of illness that may either suggest or eliminate concerns of toxicity. <span>After observation, it is important to begin the exam with auscultation of the heart and lungs as this is usually when the child is calm, quiet and most cooperative. Do not forget that a negative lung auscultation is not suffi cient to rule out signifi cant pulmonary disease; the appearance of the patient (tachypnea, respiratory distress) is much more predictive. Finally, always save the worst for last. The last items to perform in the physical exam should always be those things that are most threatening to the child, includi


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