Objective examination of the child

The patient’s general condition is extremely grave, grave, moderately grave, satisfactory, good (the necessary underline).

The state of consciousness is clear, sopor, stupor, coma (the necessary underline).

The mental state is (not) adequate or not adequate (the necessary underline).

Position of the child in bed is active, passive, forced (attitude) (the necessary underline).

The patient is asthenic, hyposthenic, hypersthenic constitution (the necessary underline). The child is of regular, irregular body build (the necessary underline) _________________

______________________________________________________________________

Anthropometrical measurements

Evaluating of physical development according percentile tabl

Summery: _____________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

The skin and mucous membranes

Colour of a skin ________________________________________________________

______________________________________________________________________,

lip-nose triangle ___________________________________, cyanoses _____________

______________________________________________________________________.

Rashes (colour, characteristic lesions, localization, size, presence of warmth, itching, type of distribution) _____________________________________________________________

______________________________________________________________________

Surface of a skin is (smooth, velvety, rough, dry, moist)__________________________________. The elasticity of the skin is ________________________________________________.

Temperature of a skin ___________________________________________________.

The dermographism is ___________________________________________________

Sensitivity of the skin: temperature ___________, pain ______________, tactile _____. Nails: (shape, colour, thickness, quality) _____________________________________, ______________________________________________________________________.

Hair: (color texture, quality, distribution, and elasticity) _________________________

______________________________________________________________________

______________________________________________________________________

Mucous membranes of a mouth (colour, moisture, presents of lesions) ______________

______________________________________________________________________

Gums: (colour, presents of lesions, ability to bleeding) __________________________

___________________________. Conjunctiva and sclera of eyes _________________

______________________________________________________________________. The subcutaneous fat is distributed _________________________________________. The skin fold thickness is _____ cm on abdomen, _____ cm under the scapula, _____ cm on the shoulder, _____ cm on thigh. The oedema ___________________________

_____________________________________________________________________. The skin turgor is kept, decreased, flabby (the necessary underline).

Lymphatic system

Such groups of lymph nodes are palpable (describe each group according their localization, quantity, size, shape, mobility, consistency (elastic or dense), temperature, tenderness and visible change of enlarged nodes) ____________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

The tonsils. The stage of enlargement of the tonsils ____________________________ they are reddened, loose, and tender on palpation (the necessary underline). Presence of haemorrhages _______ , pus in the crypts _________, erosions ___________________ ulcers __________________, the tonsils are covered with a ___________ (colour) film in size ____ cm.

Date: 2015-01-02; view: 1452