Do GPE and relevant of 6 Yr old child with jaundice.
jaundice
hepatosplenomegaly
no stigmata of CLD
no pallor
I have examined 6yr old Laiba who remained active, conscious and co-operative during my examination .She has obvious scleral icterus , having normal facies, pink in room air with no respiratory distress.
Her Right radial pulse rate is 80/min which is regular , good in volume ,BP is 100/70 mmHg, RR is 19/min and she is afebrile with temperature of 99 degF.
Her OFC is 52 cm , Height is 110 cm and weight is 17 Kg ,i would like to plot these on percentile charts. Her SMR are prepubertal.
She has jaundice with no evidence of pallor, petechiae ,bruises, clubbing,palmer erythema, asterixis, xanthoma, spider angioma,scratch marks on skin, eye signs of Vit A deficiency, rickerty rosary, abnormal GAIT, or edema, BCG scar is present, oral cavity examination is normal.There is no lymphadeopathy, KF rings, examination of JOINTS is normal.
Abdomen is distended with a central , everted umbilicus with a horizontal slit , there are no prominent veins, pulsations or scar marks. abdomen is nontender, liver is palpable 4cm below RCM e upper border in 4th ics in MCL e total span of 8 cm,it is nontender firm in consistency ,regular margins, left lobe is not palpable.Spleen is enlarged 4cm below LCM towards Lt Iliac fossa,it is firm in consistency and splenic notch is palpable, and hand cannot be instituted beneath LCM, it is not balotable. There is no other visceromegaly and no masses are palpable.There is no evidence of free fluid in the abdomen.BS are audible and of normal intensity.
hernial orifices are intact , genitalia exam and examination of back is normal.
jaundice
hepatosplenomegaly
no stigmata of CLD
no pallor
I have examined 6yr old Laiba who remained active, conscious and co-operative during my examination .She has obvious scleral icterus , having normal facies, pink in room air with no respiratory distress.
Her Right radial pulse rate is 80/min which is regular , good in volume ,BP is 100/70 mmHg, RR is 19/min and she is afebrile with temperature of 99 degF.
Her OFC is 52 cm , Height is 110 cm and weight is 17 Kg ,i would like to plot these on percentile charts. Her SMR are prepubertal.
She has jaundice with no evidence of pallor, petechiae ,bruises, clubbing,palmer erythema, asterixis, xanthoma, spider angioma,scratch marks on skin, eye signs of Vit A deficiency, rickerty rosary, abnormal GAIT, or edema, BCG scar is present, oral cavity examination is normal.There is no lymphadeopathy, KF rings, examination of JOINTS is normal.
Abdomen is distended with a central , everted umbilicus with a horizontal slit , there are no prominent veins, pulsations or scar marks. abdomen is nontender, liver is palpable 4cm below RCM e upper border in 4th ics in MCL e total span of 8 cm,it is nontender firm in consistency ,regular margins, left lobe is not palpable.Spleen is enlarged 4cm below LCM towards Lt Iliac fossa,it is firm in consistency and splenic notch is palpable, and hand cannot be instituted beneath LCM, it is not balotable. There is no other visceromegaly and no masses are palpable.There is no evidence of free fluid in the abdomen.BS are audible and of normal intensity.
hernial orifices are intact , genitalia exam and examination of back is normal.
No comments:
Post a Comment