Which of the following will help to optimize yield from a pediatric examination?
A) Doing the examination out of order if necessary to take advantage of quiet periods for auscultation, etc.
B) Being very orderly, so as not to miss a portion of the examination
C) Using firmness as needed to make it through your examination
D) Making sure to place the infant on the table during the examination while mom watches close by
A) Doing the examination out of order if necessary to take advantage of quiet periods for auscultation, etc.
While order and routine are comforting to the examiner, children should be examined in an order which allows maximum yield. Many prefer to listen to the heart and lungs first while the child is quiet, in a parent's arms. Likewise, you may gain advantage to examining the mouth while the baby is crying. Most view the ENT examination as the most invasive for a child (especially the otoscopic examination), so many leave this for last.
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