Crying infant: Difference between revisions

Revision as of 06:31, 6 June 2011

DDx

occult UTI (consider in excessive crying)
DPT (excessive crying > 3 hrs)
corneal abrasion
strangulation (hair tourniquets on extremities, penis)
diaper pin
insect bites
burns in mouth
otitis
physical abuse
anal fissures
intussusception
incarcerated hernias
testicular torsion
cocaine exposure or drug withdrawal
meningitis
SVT
PNA, rib fxs
GERD
ASA OD
colic (rule of 3s - healthy infant cry more than 3 hrs/day, > 3 days/wk, for more than 3 weeks)
1. Crying peaks in afternoon & night age 1-3 mo, cows milk allergy? Ends 4-5 mo old

Work-Up

rule out badness above including shaken baby
flourescein staining to r/o corneal abrasions
fundoscopic exam
r/o otitis
examine all bones/joints to r/o fx, osteo or septic joint
inspect GU area
Skeletal survey & head CT in suspected child abuse
4% benefit from change to soy formula
rocking, warm compresses to belly feeding, frequent burping, diaper changes

Source

C. 243 Harwood

Authors:

@@ Line 1: / Line 1: @@
 ==DDx==
+# occult UTI (consider in excessive crying)
+# DPT (excessive crying > 3 hrs)
-- occult UTI (consider in excessive crying)
+# corneal abrasion
+# strangulation (hair tourniquets on extremities, penis)
-- DPT (excessive crying > 3 hrs)
+# diaper pin
+# insect bites
-- corneal abrasion
+# burns in mouth
+# otitis
-- strangulation (hair tourniquets on extremities, penis)
+# physical abuse
+# anal fissures
-- diaper pin
+# intussusception
+# incarcerated hernias
-- insect bites
+# testicular torsion
+# cocaine exposure or drug withdrawal
-- burns in mouth
+# meningitis
+# SVT
-- otitis
+# PNA, rib fxs
+# GERD
-- physical abuse
+# ASA OD
+# colic (rule of 3s - healthy infant cry more than 3 hrs/day, > 3 days/wk, for more than 3 weeks)
-- anal fissures
+##Crying peaks in afternoon & night age 1-3 mo, cows milk allergy? Ends 4-5 mo old
-- intussusception
-- incarcerated hernias
-- testicular torsion
-- cocaine exposure or drug withdrawal
-- meningitis
-- SVT
-- PNA, rib fxs
-- GERD
-- ASA OD
-- colic (rule of 3s - healthy infant cry more than 3 hrs/day, > 3 days/wk, for more than 3 weeks).
-Crying peaks in afternoon & night age 1-3 mo, cows milk allergy? Ends 4-5 mo old
 ==Work-Up==
+# rule out badness above including shaken baby
+# flourescein staining to r/o corneal abrasions
-- rule out badness above including shaken baby
+# fundoscopic exam
+# r/o otitis
-- flourescein staining to r/o corneal abrasions
+# examine all bones/joints to r/o fx, osteo or septic joint
+# inspect GU area
-- fundoscopic exam
+# Skeletal survey & head CT in suspected child abuse
+# 4% benefit from change to soy formula
-- r/o otitis
+# rocking, warm compresses to belly feeding, frequent burping, diaper changes
-- examine all bones/joints to r/o fx, osteo or septic joint
-- inspect GU area
-- Skeletal survey & head CT in suspected child abuse
-- 4% benefit from change to soy formula
-- rocking, warm compresses to belly feeding, frequent burping, diaper changes
 ==Source==
 C. 243 Harwood
 [[Category:Peds]]