Pediatric Physical Assessment1
1. IPPA: - Inspection, Palpation, Percussion, Auscultation
sequence may need to be altered when assessing children
2. Review Chapters 9-13 in Duderstadt:
3. fontanel:
4. anterior fontanel signals this when it is sunken: full:
bulging:: dehydration
crying
ICP, will feel pulsations with heart beat.
5. craniosynostosis: premature or irregular closing of sutures, can be surgically
corrected.
results in craniostenosis (narrowness of skull)
6. Table 9-3 pg 111 Duderstadt: abnormal conditions of head, face, and neck
7. Development of neck: 4 month old should be to hold the head erect and in
midline
6 month old should have no significant
head lag when pulled to sitting position
head lag at this age one must
consider developmental delay -
?CP
8. abnormal observation physical assessment of neck: swelling
- mumps or throat infection
webbing - Turner's Syndrome excessive and lax skin - Down
syndrome
venous distention noted with
labored respirations palpate
, Pediatric Physical Assessment1
the trachea - should be at
midline or slightly to the right
9. thyroid gland assessment: gland should rise as a mass as the
child swallows have infant drink from a bottle and observe swallowing
the thyroid gland MAY NOT be felt in infants and young
children 10. Torticollis: may be observed through lateral
resistance (may be noted with plagiocephaly) turns one
way, contracted on other
11. Note Table 10-1 and Figure 10-1 on pg. 114 in
Duderstadt : Physiologic Variations of the
Lymphatic System:
12. Figure 10-1:
13. Are enlarged lymph nodes normal in children: yes, children have very
reactive lymph nodes
14. Children have discrete, movable, nontender nodes called: shotty
nodes
15. Immobile, tender, warm nodes indicate: infection 16. nodes are
usually nontender, fixed, hard, or variable size and matted indicate:
metastatic
17. normal palpable lymph nodes in infants:: post auricular and occipital
(cervical not normal)
1. IPPA: - Inspection, Palpation, Percussion, Auscultation
sequence may need to be altered when assessing children
2. Review Chapters 9-13 in Duderstadt:
3. fontanel:
4. anterior fontanel signals this when it is sunken: full:
bulging:: dehydration
crying
ICP, will feel pulsations with heart beat.
5. craniosynostosis: premature or irregular closing of sutures, can be surgically
corrected.
results in craniostenosis (narrowness of skull)
6. Table 9-3 pg 111 Duderstadt: abnormal conditions of head, face, and neck
7. Development of neck: 4 month old should be to hold the head erect and in
midline
6 month old should have no significant
head lag when pulled to sitting position
head lag at this age one must
consider developmental delay -
?CP
8. abnormal observation physical assessment of neck: swelling
- mumps or throat infection
webbing - Turner's Syndrome excessive and lax skin - Down
syndrome
venous distention noted with
labored respirations palpate
, Pediatric Physical Assessment1
the trachea - should be at
midline or slightly to the right
9. thyroid gland assessment: gland should rise as a mass as the
child swallows have infant drink from a bottle and observe swallowing
the thyroid gland MAY NOT be felt in infants and young
children 10. Torticollis: may be observed through lateral
resistance (may be noted with plagiocephaly) turns one
way, contracted on other
11. Note Table 10-1 and Figure 10-1 on pg. 114 in
Duderstadt : Physiologic Variations of the
Lymphatic System:
12. Figure 10-1:
13. Are enlarged lymph nodes normal in children: yes, children have very
reactive lymph nodes
14. Children have discrete, movable, nontender nodes called: shotty
nodes
15. Immobile, tender, warm nodes indicate: infection 16. nodes are
usually nontender, fixed, hard, or variable size and matted indicate:
metastatic
17. normal palpable lymph nodes in infants:: post auricular and occipital
(cervical not normal)
