P year‎ > ‎Paediatrics‎ > ‎

12.08.29 Ward round notes

Assessing breathing in a child
  • Effort
    • Head bobbing indicates accessory muscles
    • Grunting
    • Nasal flaring
    • Recession
  • Efficacy
    • Colour
    • Sats
  • Effect
    • CVS (tachcardia)
    • Neuro (decreased consciousness)



  • Collapse or closure of alveoli resulting in reduced or absent gas exchange
  • May affect part or all of one lung
  • It is a condition where the alveoli are deflated, as distinct from pulmonary consolidation

Febrile neutropenia in an infant
  • Extremely serious
    • Neutrophils >2 => Probably OK, but give antibiotics
    • Neutrophils <1 => Definitely admit and treat aggressively
  • Treat with tazocin (piperacillin + tazobactam) and gentamycin
  • Beware introducing infections through Portacath

Erythema toxicum neonatorum
  • Common rash in neonates
    • Appears in up to half of newborns carried to term, usually between day 2-5 after birth
  • Characterized by blotchy red spots on the skin with overlying white or yellow papules or pustules
    • Lesions may be few or numerous
  • The eruption typically resolves within a few days

Random notes
  • A crying dehydrated child might make no tears
  • Measure CRT centrally (sternum) as well as peripherally