1. Weight 3.45kg Length 52.02cm
V.S. Temperature: 37.2 degree Celsius (Axillary), Pulse 150bpm,
Respiration 47, SAO298
Head Circumference: 34cm (13in) Chest Circumference: 32cm
2. General Appearance and Activity Level: A Baby K. F. move when touched otherwise was quiet and cries when blood was drawn on her or when she was hungry. Sleeps often and not easily aroused. She response well to stimuli and uncomfortable when her limbs are extended. She prefer them flex and folded.
3. Skin:color consistent with ethnicity, dry, smooth, soft and warm to touch. No rashes or bruises present, nailbeds were pink. Temperature was 99.0F. No edema, jaundice or milia on her nose but a little peeling off her legs. No abnormal moisture or turgor
4. Head:K.F.
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Back:Gluteal folds symmetrically and spinal column is intact with no openings and also symmetrical
15. Abdomen: abdomen round, soft and symmetrical. No visible bowel loops or masses. Active bowel sound, umbilical cord and periumbilical site intact and dry. No swelling, redness, drainage or foul odor present.
16. Rectum: symmetrical and patent. Green stool was present with normal odor
17. Genitalia (Female) labia majora larger than labia minora; perineum smooth; erethral meatus patent and below clitoris; vaginal opening present. No discharge, urine color yellow with no foul odor
18. Extremities: equal movement of all extremities, absence of any deformity. Joint symmetrical, thigh folds symmetrical, hip abduction normal, equal length of limbs.No hip dislocation present.
19. Muscles: muscle tone was good and muscles move and flex well
20. Reflexes:Plantar grasp is the flexion of the toes when the sole of the foot is stroke gently. It disappear after 6 weeks but present in infants. Babinski is a reflex action in which the big toe remains extended or extends itself when the sole or foot is stimulated, abnormal except in infants. Automatic walkis the act of lifting infants up and making their feet touch a hard surface and the process move one foot ahead of the other. Moro/startleis a reflex in which infant from new born to 5 months spread out their arms or abduct it in response to a sudden feel of fall. Tonic neckis characterized by the positioning of the infant’s arms and head which resembles that of a classically trained
DIAGNOSTIC DATA: White count was 13.4, hemoglobin and hematocrit 15.4 and 45.8, platelets 206, with an 89% shift. Sodium 133, potassium 3.7, chloride 99, bicarb 24, BUN and creatinine are 18 and 1.1, respectively. Glucose 146, albumin 4.3, total bilirubin 1.7. The remainder of the LFTs is within normal limits. Urinalysis reveals trace ketones with 100mg per decilitre protein and a small amount of blood. CT scan was performed revealing evidence of acute appendicitis with pericecal inflammation, as well as, dilatation of the appendix and
Breasts: no masses, no nipple retraction, no discharge. Heart: S1 and S2, no gallops, rubs, or murmurs appreciated. Abdomen is scaphoid, soft and non-tender with positive bubble sounds. Pelvic/ Rectal: deferred as patient has recently visited her GYN for a routine Pap smear. Neurologic exam reveals normal motor strength in all muscle
Physical Examination: General: The patient is an alert, oriented male appearing his stated age. He appears to be in moderate distress. Vital signs: blood pressure 132/78 and pulse 68 and regular. Temperature is 38.56 oC (101.4 oF). HEENT:Normocephalic, atraumatic. Pupils were equal, round, and reactive to light. Ears are clear. Throat is normal. Neck: The neck is supple with no carotid bruits. Lungs: The lungs are clear to auscultation and percussion. Heart: Regular rate and rhythm. Abdomen:Bowel sounds are normal. There is rebound tenderness with maximal discomfort on palpation in the right lower quadrant. Extremities: No clubbing, cyanosis, or edema.
weight loss. Her physician noted small patchy areas of vitiligo and a scaly rash across her nose, cheeks, back,
Babies at birth – most are born at 40 week and premature babies more often need a little more time to reach the same level of development as babies born in and after the 40th week. Most are born with just reflexes for survival at first. These would be swallowing, sucking reflexes to help feed. Rooting reflex baby will move its head if the cheek is touched to find a nipple or teat. Grasp reflex babies will grip objects touching their palm. Startle reflex they will often move arms outwards and clench fists is a sound movement or light suddenly startles them. Walking reflex when babies are held upright with their feet on a
Patient was in the ER room when first seen. PT was with her family members and family states that she speaks little English and that she has had abdominal pain for the past day along with bloody stools. Family states that she is on calcium supplements and no other medications. Last oral intake is 24 hours ago. Family states no known past medical history. Pt is in the hospital bed in the fetal position and towards the right side. Patient's airway is clear and breathing is normal. Skin is warm and dry. Patent is AAOx4. Assessment of head, neck, and chest show no signs of deformities. Abdominal area not assessed due to severe pain. Back is without deformity. The upper extremity shows no sign of deformities or trauma. The lower extremity shows
The physical development of a baby in its first six months of life shows limited range of movement but the beginnings of an ability to respond to stimulus around them. They show their reaction to people, sounds and movement by turning their head toward whatever attracts their attention. They will watch an adult’s face whilst feeding, but have already begun to shows signs of recognition as they will smile when familiar people are around them either because they can see them
Skin- she has some mild equimosis on her skin and some anathema. She has patches but no obvious skin breakdown. She has no fissuring in the buttocks crease.
He is now 3 years of age, and was born to healthy non-consanguineous parents by ventouse delivery at 36+ 2 weeks gestation in a good condition. Mum's antenatal scans showed polyhydramnios, ventriculomegaly and nuchal fold thickening. His weight at birth was 3404 grams (91st-98th centile) and head circumference was 37 cm at birth(>99.6th centile). Initial Cranial ultrasound at 6 days of age had showed a small germinolytic cyst, which resolved on repeat ultrasound at 3 months of age.
No history of skin disease. Skin is pink, dry, and void of bruising, rashes, or lesions. No recent hair loss; head is normocephalic. Pupils equally reactive to light; no history of glaucoma or cataracts. Ears are in normal alignment; no history of chronic infections, hearing loss, tinnitus, or discharge. Nose and sinus history includes clear nasal discharge “since last October”, and occasional nose bleeds; states she use to get nose bleeds often as a child. Mouth and throat are absent of lesions; no bleeding gums, sore throat, dysphagia, hoarseness, or altered taste. Neck is void of pain, swelling,
No known allergies, no sinus, tenderness, no epistaxis, no bleeding gums, patient has partial dentures, one dental carrier noted, tongue is slightly coated, no swelling, lumps or tenderness noted in throat,
ABDOMEN: The lung basis appeared unremarkable. The liver, spleen, gallbladder, adrenals, kidneys and pancreas and abdominal aorta appeared unremarkable. The bowels seen on the study appeared thickened. Dilated appendix seen constant with acute appendicitis. Osseous structures of the abdomen appeared unremarkable. No free air was seen.
General Appearance: The patient is 36-year-old Caucasian woman who is in no apparent distress. Patient is alert and oriented to person, place, time and situation, cooperative, well-nourished, well-groomed, and dressed appropriately for the weather. Hygiene is excellent
Reflexes are responses that occur when the body receives a certain stimulus. Although there is a specific reflex that could be a sign that a child over the age of two or an adult could have a central nervous system disorder and it's call the Babinski reflex. The Babinski reflex is one of the normal reflexes found in infants. It occurs when the sole of the foot has been firmly stroked. The big toe then moves upward or toward the top surface of the foot and the other toes fan out. It's normal for children up to two years old and could disappear as early as 12 months.