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Clinical skills

Clinical skills. Dilip Nathan. aim. Overview of examination of infant. Birth/6 wk check. Pair up- what information do need? History (5 mins). history. Parental/midwife/HV concerns? Family history Feeding Vision/hearing concerns? Birth concerns? Contraception?. Birth/6 wk check.

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Clinical skills

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  1. Clinical skills Dilip Nathan

  2. aim • Overview of examination of infant

  3. Birth/6 wk check • Pair up- what information do need? • History (5 mins)

  4. history • Parental/midwife/HV concerns? • Family history • Feeding • Vision/hearing concerns? • Birth concerns? • Contraception?

  5. Birth/6 wk check • Pair up- what information do need? • History (5 mins) • Examination (10 mins)

  6. Top-toe exam • General observation -While undressed • Tone/movement • Colour (jaundice/cyanosis) • Dysmorphism? • Femoral artery palpation • Heart sounds

  7. head • Fontanelle • Head circumference? • Birth marks?

  8. What is this?

  9. What do you do? • Advice to mum? • When do you refer? • Affect ophthalmic/maxillary distribution (glaucoma) • Cosmetic • Overly spine • Increasing size of limb?

  10. Laser treatment

  11. What is this?

  12. What is this?

  13. eyes • Squint? • Red reflex? • Iris- is it abnormal?

  14. mouth Marcie Hamrick, MD Mike Purdon

  15. neck • Torticollis?

  16. arms • Check fingers( birth) • clavicle

  17. chest • Apex? • Heart sounds • Breath sounds equal?

  18. abdomen • Distension? • Umbilicus • palpation

  19. Umbilical hernia • When to refer? • Persist>3 years • If suprumbilical

  20. Undescended testes • Comment on scrotal sac • If not descended by 3 months, unlikely to descend • If retractile- check in ‘squatting’ position

  21. hydrocele • What do you do?

  22. genitalia

  23. hips

  24. back • Skin defect?

  25. Primitive Reflexes • Palmar grasp- birth-4 months • Moro- up to 12 months

  26. Questions?

  27. Summary • Overview of examination of infant

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