PAEDIATRICS
UNSETTLED INFANT
PromptDDx unsettled infant
ResponseNAI
Sepsis
Occult trauma
Surgical
Congenital cardiac
Colic/reflux
Hair torniquet
Sepsis
Occult trauma
Surgical
Congenital cardiac
Colic/reflux
Hair torniquet
PromptRed flags on history of unsettled neonate
ResponseFailure to gain weight
History of fevers
Not waking for feeds
Bilious vomiting
Absences of normal bowel motions
Inability to feed effectively
History of fevers
Not waking for feeds
Bilious vomiting
Absences of normal bowel motions
Inability to feed effectively
PromptExamination in failure to thrive
ResponseBulging fontanelle - suggests raised ICP - Hydrocephalus/haemorrhage/infection
Hepatomegally - Congenital heart disease with CCF
Jaundicce - Metabolic disease/structural hepatobiliary disease
Hernia - ? bowel involvement
Bruising - Haematologic disorder or NAI
Fingers/toes/penis for hair tourniquet
Eyes - corneal injury
Hepatomegally - Congenital heart disease with CCF
Jaundicce - Metabolic disease/structural hepatobiliary disease
Hernia - ? bowel involvement
Bruising - Haematologic disorder or NAI
Fingers/toes/penis for hair tourniquet
Eyes - corneal injury