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Mnemonic: ABCDEF Appearance The ‘A’ in the pediatric assessment triangle Interactive vs distant Good tone vs floppy Calm and happy vs inconsolable Breathing The ‘B’ in the pediatric assessment triangle Signs of respiratory distress Nasal flaring Retractions Abnormal respiratory sounds Color/Circulation The ‘C’ in the pediatric assessment triangle Pink = good Abnormalities Pallor Cyanosis Mottling […]

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Always ask about pediatric patient’s ‘P-I-S-S’ status!!! Core Function Questions (P-I-S-S Status) Peeing Evaluates for dehydration Number of wet diapers per day? Same number as usual? Intake Rule of 3s Estimates how much milk/formula an average infant should be taking 3oz of milk or formula every 3 hours Sleeping Is the patient sleeping MORE than […]

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If a returning traveler has a fever, think malaria malaria malaria!!! Step 1: Ask your patient if they have traveled within the last year If yes… You should at least CONSIDER malaria Step 2: If patient says yes, take a travel history When did they go Where did they stay Where they exposed to anything […]

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If the patient is completely non-toxic and doesn’t have any red flags, they can usually go home without further testing!!! 3 Big (Non-Viral) Causes of Diarrhea The Icky ‘I’s Ischemia Frequently require surgery consult Infection Frequently require antibiotics Inflammatory bowel disease Frequently require GI consult, steroids, or salicylates 5 Red Flags Is it bloody? Consider […]