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    Paediatric Symptoms Sorter

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    Prasetya Ismail Permadi
    This document provides lists of common pediatric presentations according to whether they would present in the emergency room, acute pediatric unit, or outpatient clinic. It includes potential causes for each presentation that are highlighted in bold, while rare causes are in italics. Conditions flagged in red could be easily missed but have serious consequences. Page numbers direct the reader to where in the reference text more information can be found.

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    Paediatric Symptoms Sorter

    Uploaded by

    Prasetya Ismail Permadi
    173 views3 pages
    This document provides lists of common pediatric presentations according to whether they would present in the emergency room, acute pediatric unit, or outpatient clinic. It includes potential causes for each presentation that are highlighted in bold, while rare causes are in italics. Conditions flagged in red could be easily missed but have serious consequences. Page numbers direct the reader to where in the reference text more information can be found.

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    This document provides lists of common pediatric presentations according to whether they would present in the emergency room, acute pediatric unit, or outpatient clinic. It includes potential causes for each presentation that are highlighted in bold, while rare causes are in italics. Conditions flagged in red could be easily missed but have serious consequences. Page numbers direct the reader to where in the reference text more information can be found.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    173 views3 pages

    Paediatric Symptoms Sorter

    Uploaded by

    Prasetya Ismail Permadi
    This document provides lists of common pediatric presentations according to whether they would present in the emergency room, acute pediatric unit, or outpatient clinic. It includes potential causes for each presentation that are highlighted in bold, while rare causes are in italics. Conditions flagged in red could be easily missed but have serious consequences. Page numbers direct the reader to where in the reference text more information can be found.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Paediatric symptom

    sorter
    I am about to see a child with
    This section lists common presentations and their causes, according to whether you would
    see them in the resuscitation room (emergencies), acute paediatric unit, or out-patient clinic.
    The lists are not comprehensive, and often will vary with age, or if there is a pre-existing
    diagnosis. However, they give you a quick starting point as to what conditions should
    feature in your differential diagnoses when you start your history and examination.
    Conditions commonly causing that presentation are given in bold, while rare causes are
    in italics. Conditions highlighed with a red flag ( ) are easy to miss, and may have serious
    consequences if you do.
    There is some overlap between acute and clinic presentations, so check both lists. Page
    numbers direct you to where to find main relevant information in the book. Check the index
    for a complete listing.

    Respiratory
    failure43, 178

    Asthma182; pneumonia180; bronchiolitis180; croup175;


    pneumothorax 186; foreign body 45, 181; neurological (e.g. head
    injury140, raised intracranial pressure163); poisoning142

    Circulatory
    failure/shock43

    D&V207; sepsis133; DKA262; cardiac failure262; anaphylaxis 128;


    haemorrhage/trauma (including NAI143), burns141, poisoning142

    Emergencies
    Collapse/
    Prolonged febrile convulsion157; epilepsy158; meningitis162;
    43,
    158
    convulsions
    encephalitis163; brain tumour258; raised intra-cranial pressure163;
    head injury140; hypoglycaemia 263; hypocalcaemia 116;
    poisoning142; inborn error 265

    Child death4

    SIDS146; any of the above

    Paediatrics Lecture Notes, Ninth edition. Simon J. Newell and Jonathan C. Darling. 2014 John Wiley & Sons, Ltd. Published 2014 by John Wiley
    & Sons, Ltd.

    309

    Paediatric symptom sorter

    Abdo pain205

    Bleeding

    Breathless/
    noisy
    breathing/
    cough178
    Bruising/
    non-blanching
    rash248
    Fever46

    Acute
    presentations

    Fit, faint,
    funny do,
    collapse157
    Headache167

    Joint pain/
    swelling/limp/
    off legs237
    Lethargy

    Rash244

    Swelling or
    oedema
    Vomiting204

    Constipation207; mesenteric adenitis205; gastroenteritis213;


    pyelonephritis226; appendicitis206; intussusception 212; recurrent
    benign206; migraine206; stress-related103; Henoch Schonlein238;
    pneumonia 180; DKA 262
    Low platelets254; other bleeding diathesis253; NAI 143
    - in vomit (haematemesis)205
    Mallory-Weiss205; cracked nipple205; oesophagitis205; varices205
    - in stool208
    
    constipation207; invasive gastroenteritis213; inflammatory
    bowel disease216; Meckels208
    - in urine (haematuria)224
    UTI226, glomerulonephritis224, recurrent224; trauma; stone226;
    tumour224
    Asthma182; URTI178; bronchiolitis180; pneumonia180;
    croup175; foreign body 181; epiglottitis 175; cardiac failure201;
    DKA 262
    Trauma144; viral; meningococcal 133; Henoch-Schonlein238; low
    platelets 254; other bleeding diathesis253
    Viral infection131; bacterial infection (ENT172, chest180, urine226,
    blood133, brain162, joint236, other abscess).
    If prolonged: Kawasaki 135; occult abscess; TB134;
    malignancy257; systemic arthritis237
    Syncope161; febrile convulsion157; epilepsy158; reflex anoxic
    seizure160; breath-holding161; meningitis162; encephalitis163;
    tics160; night terrors105; behavioural100; hypoglycaemia 263;
    cardiac arrhythmia 201
    Migraine168; meningitis162; trauma140; stress-related103; poor
    visual acuity95; dental209; brain tumour 258; brain abscess168;
    hypertension 202; carbon monoxide poisoning
    Trauma; reactive arthritis237; irritable hip237; arthritis237;
    septic arthritis 237; slipped upper femoral epiphysis 240;
    Perthes239; fracture; NAI 143; rickets115; Henoch Schonlein238;
    malignancy 259; haemophilia 253
    Viral infection131; UTI226; gastroenteritis213; meningitis 162;
    septicaemia133; DKA262; hypoglycaemia 263; brain tumour 258;
    hypothyroid263
    Infection130 (any viral or some bacterial (esp strep and
    staph); impetigo246; drug-related; urticaria/allergic246;
    eczema245; meningococcal infection 133; Henoch Schonlein 238;
    low platelets254; eczema herpeticum 246; bruising/NAI143;
    erythema nodosum247; erythema multiforme247; scabies248
    Nephrotic syndrome224; congestive cardiac failure201;
    malnutrition115
    Overfeeding; GO-reflux; gastroenteritis213; protein
    intolerance216; appendicitis206; bowel obstruction 210; pyloric
    stenosis 212; viral infection131; acute otitis172; UTI226; sepsis 133;
    meningitis 162; poisioning142; space-occupying brain lesion 168

    310

    Paediatric symptom sorter

    Clinic
    presentations

    Abdo pains
    recurrent205

    Constipation207; stress-related103; recurrent abdo


    pain of childhood206; migraine206; UTIs226; GO-reflux
    oesophagitis205; irritable bowel206; inflammatory bowel
    disease216

    Abnormal skin243

    Birthmarks (inc strawberry naevus)161; eczema245;


    neonatal lesions66; other rashes244; infestations248;
    bruises144; purpura 248; NAI 143; neurodermatoses161

    Development/
    learning delayed
    or abnormal89

    Normal variation81; specific learning problem91;


    Down Syndrome92; cerebral palsy165; hip dysplasia 235;
    neurodegenerative disorders169; Duchenne 169; autism
    spectrum106

    Fits, faints and


    funny dos157

    see under acute

    Growth
    excessive118

    Obesity114; precocious puberty122; syndromes


    (Klinefelter121, Marfan121); cushingoid (steroids)264;
    Cushings264

    Growth poor118

    Failure to thrive123; constitutional small stature120;


    delayed puberty122; chronic illness; coeliac disease 215;
    genetic sydromes (Turner121, Down92); renal failure226;
    hypothyroid263; neglect142; malnutrition115

    Headaches167

    Migraine168; stress-related103; dental; poor vision;


    sinusitis173; hypertension 202; brain tumour 258

    Head shape/size
    abnormal168

    Plagiocephaly168; familial large head;


    craniosynostosis 168; microcephaly94; hydrocephalus164

    Infections
    frequent128

    Normal frequency for age129; immunodeficiency129;


    cystic fibrosis186; HIV132; malnutrition115

    Loose stools207

    Constipation with overflow207; toddler diarrhoea207;


    food allergy216; coeliac disease215; inflammatory bowel
    disease 216; malabsorption214

    Musculoskeletal
    problems234

    Intoeing235; genu valgum/varum235; rickets115;


    arthritis237; scoliosis235; club feet235; cerebral palsy165; hip
    dysplasia235; spina bifida165

    Respiratory
    symptoms
    recurrent177

    Asthma182; normal URTIs178; post-viral cough179; G-Oreflux205; cystic fibrosis186; inhaled foreign body 181;
    immunodeficiency129; congenital lung problem76

    Tired/pale/
    lethargic

    Behavioural100; anaemia251; post-viral; diabetes 261;


    chronic illness; coeliac215; hypothyroid 263, Crohns 216;
    renal failure 226; liver disease217; leukaemia 257;
    malignancy256; chronic fatigue151

    Vomiting204

    G-O-Reflux205; overfeeding205; cows milk protein


    intolerance216; food allergy216; behavioural103; coeliac
    disease215; recurrent obstruction210; space-occupying brain
    lesion 168

    Wetting
    problems229

    Delayed dryness but normal229; urine infections226;


    constipation207; overactive bladder230; primary
    nocturnal enuresis229; diabetes mellitus261; diabetes
    inspidus265

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