Examine her

Its the 16th February 2004, its 22.00.

You decide to quickly examine Sarah-Jane to evaluate this cough.She appears to be asleep, but wakes and cries when you disturb her. You notice that her cry is high pitched.She is wearing a blue babygro that appears to be a little too small. There is a small vomit stain on the front.She is pink centrally.

Before taking her out of the bouncer, you count her respiratory rate. It is 55. You take off her clothes. She is a thin baby. She has a capillary filling time of 3 seconds on her fingers.She has mild nasal flaring, tracheal tug and subcostal recession.She has normal heart sounds and expiratory crackles all over the chest.Her abdomen is soft. Her liver is at 3 cm below the costal margin.Her nappy area is fairly red. Her nappy is slightly wet.

What would you like to do?

Review in the morning
Ask more questions
Examine her comprehensively
Treat her
Send to hospital

Map: Sarah-Jane Pritchard (272)
Node: 8848
Score:

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