Crying infant: Difference between revisions

m (Rossdonaldson1 moved page Crying Infant to Crying infant)
Line 1: Line 1:
==DDx==
==Differential Diagnosis==
# occult UTI (consider in excessive crying)
{{Crying infant DDX}}
# 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)
##Crying peaks in afternoon & night age 1-3 mo, cows milk allergy? Ends 4-5 mo old


==Work-Up==
==Work-Up==

Revision as of 21:00, 2 February 2015

Differential Diagnosis

Crying Infant

Work-Up

  1. rule out badness above including shaken baby
  2. flourescein staining to r/o corneal abrasions
  3. fundoscopic exam
  4. r/o otitis
  5. examine all bones/joints to r/o fx, osteo or septic joint
  6. inspect GU area
  7. Skeletal survey & head CT in suspected child abuse
  8. 4% benefit from change to soy formula
  9. rocking, warm compresses to belly feeding, frequent burping, diaper changes

Source

C. 243 Harwood

Retrieved from "https://www.wikem.org/w/index.php?title=Crying_infant&oldid=30606"