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Prepared by...
Pimlak Charoenkwan, M.D. |
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Department of Pediatrics,
Chiang Mai University
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| Physical examination |
| Vital signs: T 38.8C PR 152/min RR 48/min |
| GA: A boy, alert, active, thin, moderately pale, no jaundice |
| Weight 6.04 kg Lenght 60 cm (U/L 1.6:1) OFC 46 cm AF 6x6 cm PF 1x1 cm |
| Head: tense anterior fontanel, separation of coronal and sagittal sutures, mild proptosis both eyes |
| LN: no lymphadenopathy |
| Heart: normal S1, S2, no murmur |
| Lungs: equal chest movement, no adventitious sounds |
| Abdomen: soft, active bowel sounds, moderately
distended, liver 3 cm below right costal margin, spleen 6 cm below left costal margin, firm to hard consistency |
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Extremities: no deformities, no edema |
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Skin: no petechiae, no purpura |
| Neurological examination: motor: grade V all,
no spasticity, reflex +2 all, pupil 2 mm react to light both eyes, full EOM, no stiff neck, no Brudzinski's sign, no Babinski's sign |
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What are you choices of investigations? |
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