Practical Paediatrics by South Michael & Isaacs David

Author:South, Michael & Isaacs, David [South, Michael]
Language: eng
Format: mobi
ISBN: 9780702051265
Publisher: Elsevier Health Sciences UK
Published: 2012-06-06T14:00:00+00:00

Box 12.4.1 Diagnostic classifications and clinical signs for referral to hospital

Young infants (0–2 months)

1. Possible serious bacterial infection – seizures, tachypnoea (≥ 60 breaths/min), severe chest indrawing, nasal flaring, grunting, bulging fontanel, perforated eardrum, omphalitis, fever or hypothermia (≥ 38 °C or < 30 °C), many or severe skin pustules, difficult to wake up or cannot be calmed within 1 hour

2. Diarrhoea with severe dehydration – lethargic or unconscious, sunken eyes and skin pinch goes back very slowly

3. Severe persistent diarrhoea (≥ 14 days)

4. Not able to feed

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