Clinical finding | Potential significance |
Growth parameters | |
Body weight |
|
Growth retardation |
|
Vital signs | |
Fever:
|
|
Rapid, weak, or absent pulse |
|
Decreased blood pressure |
|
Hypotension disproportionate to apparent illness |
|
HEENT | |
Sunken anterior fontanelle, sunken eyes |
|
Bulging anterior fontanelle |
|
Scleral icterus |
|
Bulging tympanic membrane |
|
Tacky, dry, or parched mucous membranes |
|
Fruity/ketotic breath |
|
Exudative tonsillitis/palatal petechiae |
|
Neck | |
Neck stiffness, nuchal rigidity, other meningeal signs |
|
Chest | |
Deep respirations |
|
Tachypnea, crackles, decreased breath sounds |
|
Abdomen | |
Severe, localized pain, rebound tenderness, marked abdominal distension |
|
Hypoactive/absent bowel sounds |
|
Flank pain or suprapubic tenderness |
|
Abdominal mass |
|
Skin | |
Cool, mottled, poor capillary refill, decreased turgor |
|
Nonblanching lesions (petechiae, purpura, bruises) |
|
Jaundice |
|
Neurologic | |
Altered consciousness or focal neurologic abnormalities |
|
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