Pediatric Physical Exam Video

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• [GET] Pediatric Physical Exam Video | HOT!

  National Institutes of Health Go to source You may also ask the patient if they have noticed any hearing loss. If the patient has asked you to repeat yourself multiple times or if they are turning their head or leaning in to hear you better, then...

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• [FREE] Pediatric Physical Exam Video

  If they have hearing loss in 1 ear, they will report not hearing it as loudly in the affected ear. The Rinne test uses a tuning fork to check for hearing loss in 1 ear. Then, take the fork away from the mastoid bone and bring it up and over the ear....

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• Pediatric Head-to-Toe Physical Exam

  National Institutes of Health Go to source Signs of problems with the salivary glands or lymph nodes may include pain when you palpate them, hard spots on the glands, or swelling. This is a potential sign of gastric cancer and it requires further evaluation. The gland is shaped like a butterfly with its wings outspread, and it is located at the front, center of the neck, just above the collar bone.

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• Physical Examination And Clinical Skills

  A series of streaming videos demonstrating techniques used to perform patient assessment. Outlines the approaches to assessment used for a specific body system and provides a visual demonstration of appropriate assessment technique. License Information: There are no restrictions to the number of simultaneous users. Access is restricted to current students, faculty, and staff of the University of Saskatchewan, and to "walk-in" users of the University of Saskatchewan Library for educational, research, and non-commercial personal use. It is accessible in the library, on campus, and remotely. Systematic copying or downloading of electronic resource content is not permitted by Canadian and International Copyright law. Exisitng users will be asked to update their accounts by siging this new agreement, effective March Provides a large "online collection of video available for the study of social work, psychotherapy, psychology, and psychiatric counselling: hours and more than videos on completion.

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  Access is restricted to current students, faculty, and staff of the University of Saskatchewan, and to "walk-in" users of the University of Saskatchewan Library for their occasional use, for educational, research, and non-commercial personal use. Systematic copying or downloading of electronic resource content, including the downloading of a full issue, is not permitted by Canadian and International Copyright law.

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• Bates' Visual Guide

  Contact Us Christina Master, MD , a sports medicine pediatrician and concussion expert at The Children's Hospital of Philadelphia, demonstrates how to perform a concussion evaluation on a child or teen. She reviews how to take a history, elicit information about the incident, and perform a physical exam in patients who may have a concussion. Christina Master. She plays ice hockey. All right Ava, so tell me about your last concussion.

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• Atrium Health Levine Children's Pediatric Medical Associates

  Ava, Patient: It happened about a month ago. Ava, Patient: I was going into a corner with a kid that who bigger than me and he hit me from behind. Ava, Patient: No. Christina Master, MD: OK, when did you start to have symptoms and start to wonder that maybe you had a concussion? Ava, Patient: The next day. Ava, Patient: I was feeling nausea. I had a headache and sensitivity to light. Ava, Patient: Yes. Christina Master, MD: When did you start to think that you had a concussion? Ava, Patient: That night. Ava, Patient: My mom. All right, and were you continuing to do homework? Christina Master, MD: And how about spending time on your cell phone or a desktop computer? Christina Master, MD: And how did those make you feel?

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• Common Pediatric Medical Procedures Videos

  Ava, Patient: They made my head hurt. Christina Master, MD: OK, and then after resting for a bit at home, did that help you symptoms a little? What were her grades before her injury? We also like to find out in her history, or in her family, does anybody have ADHD, dyslexia, or a learning disability. Because these are some factors that can sometimes complicate the recover. Whether or not she wears glasses, and is nearsighted or farsighted. And a sign of motion sickness in the car may indicate they may have more of those symptoms after a concussion. All right, so Ava I want you to take a look at my finger. Follow my finger with your eyes. All right. As you can see Ava is doing a great job following my finger. This is the smooth pursuit portion of the exam. Now Ava, I want you to hold your head still. I want you to look at my fingers left right, left right as fast as you can until it gives you symptoms or I tell you to stop, OK?

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• Exams 2021, Tests & Answers

  Go ahead. Often times when kids are acutely symptomatic, they will have trouble with this movement. Up and down, keep your head still, look at both of my fingers as fast as you can. So again, as you can see, Ava is not having any symptoms. Her eyes are not fatiguing. Did that cause any dizziness or headache, Ava? Christina Master, MD: Great, wonderful, all right. Take a look at my thumb. I want you to focus on my thumb. And then I want you to bounce, and keep bouncing and let me know when that starts to give you any headache or dizziness, or bother you at all. This is the vertical vestibulo-ocular reflex, or gaze stability testing. All right you can stop, Ava. That looks great. Focus on my finger. Shake your head side to side, and keep going until I tell you to stop or if it gives you symptoms. Great, did that give you any symptoms at all, headache or dizziness? Ava, Patient: Nope. Christina Master, MD: Great, wonderful.

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• Pediatric Head-to-Toe Assessment

  And this ruler is called a convergence rule. And that will give us a sense of where her convergence point is. Ava take a look at the letters on the card, are they clear? Ava, Patient: Yep. Christina Master, MD: Great, tell me when they get blurry. Ava, Patient: Blurry. Christina Master, MD: Tell me when they become double. Ava, Patient: Double. Ava, Patient: Single. Ava, Patient: Clear. Cover your left eye, this is single eye accommodation. Are those letters clear? Christina Master, MD: Tell me when they get blurry. Christina Master, MD: And then cover your right eye. Are those letter clear? Christina Master, MD: Great, so we would record all of those numbers for convergence and accommodation and track that over time as she recovers. In general kids should be able to converge less than 6 cm, and we would expect that to be normal.

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• Bates Physical Examination Videos

  All right great. We like to challenge their balance by having them do a tandem gait forwards and backwards with their eyes open and their eyes closed. Each step of the way gets a little bit more challenging, and is able to provoke more problems with kids who have concussion. Please note that kids with concussion, may have very poor balance. Now close your eyes. She has no sway. Open your eyes and stop. And this is a little bit more difficult than going forwards. And then closing your eyes is the most difficult part of all. Great, you can stop. So a lot of our kids, when they have an acute concussion will have trouble with any of these maneuvers. So that concludes the pediatric history and physical for the concussion. Thanks for joining us, and thanks to Ava for contributing and participating with us on this.

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• Everything You Need To Know About Pediatric Virtual Visits

  Empty Use: setheader no en,rooturl,roottopic,subtopic,emailcontact,telephone Physical examination and clinical skills General examination skills - The links below will take you to teaching videos which will illustrate the approach to physical examination of children from the newborn to the teenager. Newborn examination 1 - The video "Examination of the newborn" has been divided into task-specific clips. The text below the video screen explains the particulars of the segment shown. A note to students in Oslo - the complete video is available on loan from Ferdighetssenteret 'The Skills Center' at Rikshospitalet. The one-year-old - A visit to the health station - Here you will find the video "Examination of the one-year-old" divided into task-specific clips.

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• Make The Most Of Your Child’s Telemedicine Visit

  Examination of children - From UpToDate — very useful graphics which contain growth charts that you may need for plotting weight, length, and head circumference as part of your well child examination and assessment. Thor W. Hansen, MD, PhD, shares some thoughts and ideas on how you can approach the task of examining your smallest patients. From the University of Oslo. Examination for child abuse Clinical approach to evaluating suspected physical abuse in children - Pediatrician Torkild Aas at the Sosialpediatric department, Oslo University Hospital is demonstrating clinical examination of children who may have been victims of abuse or neglect. Please note that the film is staged by professional actors. Abdominal examination in children 2 - This video was made by medical students in Canada. From "Learn. Cardiological examination 2 - This video was made by medical students in Canada.

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• What To Expect From A Child's Physical Exam

  Genitourinary examination - This video was made by medical students in Canada. Neurological examination - In the folders below you will find a number of video clips which give you a thorough introduction to pediatric neurological examination in age groups from newborn to 2. At the source site there is a question quiz which you make take follow the link to the source site for these videos.

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• Physical Examination Resources: Pediatric

  All rights reserved. Gynecologic examination of the prepubertal girl March 1, A gentle, patient approach is important when examining a prepubertal girl. Pay special attention to anatomic and pathophysiologic differences in the child. Emphasize setting the stage to make the examination a positive experience for your young patient. Gynecologic examination of the prepubertal girl Jump to: Choose article section Jean Emans, MD A gentle, patient approach is important when examininga prepubertal girl. Pay special attention to anatomic and pathophysiologicdifferences in the child. Emphasize setting the stage to make the examinationa positive experience for your young patient. Gynecologic assessment of the prepubertal girl is an essential componentof preventive and diagnostic pediatric care. Routine gynecologic examinationof infants and children can help prevent future health problems such asvulvovaginitis by giving the clinician the opportunity to educate parentsabout perineal hygiene.

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• What Telemedicine Means For Pediatric Health Care

  A more thorough gynecologic examination is warranted for the evaluationof vaginal bleeding, vaginal discharge, trauma, or pelvic pain. It is importantto be aware that the gynecologic examination can influence her future attitudetoward gynecologic care. Making the examination a positive experience, ifpossible, therefore is critical. Thepediatrician may have the additional advantage of already having built arelationship with the child who requires a gynecologic examination. Thisarticle focuses on setting the stage so that the examination is a positiveexperience for the patient and her family, describes specific techniquesand strategies for performing an appropriate and non-traumatic examination,and reviews diagnosis of disorders commonly found in prepubertal children.

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• Lindsey Physical Exam - Pediatric Physical Exam

  Principles of gynecologic assessment One of the most important principles to keep in mind when examining ayoung girl is to maintain her sense of control over the process. This canbe accomplished by establishing rapport with the child, keeping the paceunhurried, proceeding from less to more intrusive examinations and askingfor consent before proceeding, and allowing the child to be an active participantin the process as much as possible.

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• Videos | Learn Pediatrics

  You canmodel for parents appropriate ways to discuss gynecologic issues with theirchild, and help parents and children understand the importance of discussingissues related to reproductive healthand sexuality during the prepubertalyears. Most young children will prefer to have aparent--usually their mother--in the room at all times. In some cases, however,it is helpful to spend time alone with the child during the interview, andto ask whether she prefers to be alone for the examination. When alone withan examiner, a child may disclose abuse or other concerns, and allowingher to be interviewed or examined alone may give her a greater sense ofcontrol and responsibility for her own health.

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• Pediatric Head-to-Toe Physical Exam - Video Dailymotion

  Taking the history The history is critical in terms of making a diagnosis, but it also providestime for you to establish rapport with the patient and elicit her understandingof her symptoms and expectationsof the visit. Whenever possible, addressquestions directly to the child. You can establish rapport by asking about psychosocial issues that mayimpact on the child's presenting gynecologic complaint, including familydynamics and peer relationships. Opening questions can include inquiriesabout the family structure and recent changes, school, friends such aswhether she has a best friend , and the types of activities she enjoys. It is important to assess who cares for the child and to uncover--both fromthe parent and from the child--information about any history of sexual abuseor current concerns in that regard.

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• Physical Diagnosis: Sounds, Videos, And Images

  Asking the child whether anyone hasever touched her in a way that made her feel uncomfortable often is helpfulin drawing out this information. The medical history should be guided by the presenting complaint anddifferential diagnosis. If the issue is vaginal discomfort, pruritus, ordischarge, the differential diagnosis includes nonspecific or infectiousvulvovaginitis, vulvar skin disease, lichen sclerosis, and presence of aforeign body. Your questions should address the onset of symptoms; the type,frequency and timing of discharge; associated bleeding, pain, or pruritus;foreign body insertion; perineal hygiene; recent infections in the patientor her family such as streptococcal pharyngitis or pinworms ; recent antibiotictherapy; masturbation; and a history of sexual abuse.

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• Video Gallery Of The Stanford Medicine 25

  If the issue is "vaginal" bleeding, the differential diagnosisincludes condyloma acuminatum, urethral prolapse, vascular lesions, precociouspuberty, hormonal medications, and rarely sarcoma botryoides, in additionto vulvovaginitis, foreign body, and lichen sclerosus. The history shouldassess the child's growth and development; signs of puberty such as breastdevelopment, axillary hair, pubic hair, growth spurt, and leukorrhea; genitaltrauma; vaginal discharge; and a history of foreign body insertion. A historyof behavioral changes and somatic symptoms, including recurrent or chronicabdominal pain, headaches, and enuresis, may signal abuse.

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• Back Pediatric Orthopedic Exam | VuMedi

  Finally, it isimportant to remember that urethritis can cause dysuria or hematuria, whichmay be mistaken for vaginal bleeding. Urethritis can be caused by an infectiousagent, irritation, or trauma. Past medical history should include information about congenital anomalies,systemic disorders with dermatologic manifestations, and growth and development. Congenital anomalies, and particularly renal anomalies, may be associatedwith gynecologic anatomic abnormalities. Many dermatologic disorders, suchas atopic dermatitis, seborrhea, and psoriasis, can manifest as vulvitisor vulvovaginitis. Abnormalities of growth and development can be essentialclues to precocious puberty or other systemic or congenital disorders.

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• Elæring Fra Medicoguia.com UiO

  Beginning the examination After you have established a rapport with the child and taken her history,you should explain the gynecologic examination to both the child and herparent. This is an important step toward reinforcing the child's sense ofcontrol over the examination. Explain to the child that the most important part of the examinationis "looking," and that it is important for her to communicatewith you during the examination. Tell the child that the examination willnot hurt, and if you are going to use instruments, that these tools areall specially designed for little girls. When talking with parents, it is important to carefully explain that thechild's hymen will not be altered in any way by the examination, becausemany parents do not fully understand the anatomy of the vagina and hymen. Basic diagrams of the anatomy may be helpful. A parent or caretaker is usually present during the examination of ayoung child, and most children are comfortable with the parent sitting closeby or holding their hand.

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• Physical Diagnosis & Physical Exam: Tutorials & Videos

  An older child should be asked whom she prefersto have in the room during the examination. Using a hand mirror can be usefulto promote education, distract a child, and allow her to participate moreactivelyin the examination. Your job will be easier if you adopt a relaxedand unhurried approach, which can help prevent anxiety in a child. If thechild is anxious, you may need to leave the room and return when she feelsready to be examined; in some cases, the procedure may have to be postponedfor several days. However, if the reason for the visit is urgent, such assignificant vaginal bleeding, and a child is uncooperative, you may haveto perform the exam under anesthesia. Begin the procedure with relevant elements of the general pediatric exam,including height and weight and examination of the thyroid, neck, breasts,lungs, heart, and abdomen.

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• The Newborn Examination

  Inspect the child's breasts and palpate themfor signs of puberty. Palpate the abdomen for masses and the inguinal areasfor a hernia or gonad. Tailor your gynecologic examination to the presentingissue. A complete examination includes inspection of the external genitalia,visualization of the vagina and cervix, and rectoabdominal palpation. Examining the external genitalia Most young children can be examined in the frog-leg position; that is,supine with knees apart and feet touching in the midline.

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• Video Visits - Virtual Doctor Appointments

  Older childrencan be placed in adjustable stirrups Figures 1 and 2. For a small childwho is fearful of the exam, it may be best to have the mother sit on thetable in a semireclined position feet in or out of stirrups with the child'slegs straddling her thighs Figure 3. If you need to visualize the vagina and cervix and the child is olderthan 2 years, the knee-chest position may be useful.

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• Pediatric Physical Exam Video

  Have the child resther head to one side on her folded arms and support her weight on bent knees,which are six to eight inches apart. The child's buttocks will now be heldup in the air and her back and abdomen will fall downward Figure 4. The child can assist you by holding herlabia apart. Inspect her for pubic hair and note the condition of the urethra,size of the clitoris, any signs of estrogenization, configuration of thehymen, and perineal hygiene. Newborns will exhibit maternal estrogen effects:the labia majora, labia minora, and clitoris will be relatively large, theepithelium a dull pink color, and the hymen often thick and redundant.

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• Exam Demonstration Videos

  Afterthe newborn period, the average size of a normal clitoral glans in a premenarchalchild is 3 mm in length and 3 mm in transverse diameter. Visualizing the hymen. If you cannot fully visualize the hymen, ask thechild to cough or take a deep breath, or pull the labia gently forward anddown or laterally yourself so that you can see the hymen and the anteriorvagina. A hand lens or otoscope often is helpful. Classifications of hymenalconfiguration include posterior rim crescent , annular, or redundant Figures6 and 7. In a microperforate hymen, it may be difficult to identify an opening. To establish its presence, try squirting a small amount of warm water orsaline with a syringe or angiocath, placing the girl in the knee-chest position,or probing with a small urethral catheter, feeding tube, or nasopharyngealCalgiswab moistened with saline or vaginal lubricant Figure 8. If vaginalcultures are not needed, lidocaine jelly can be used to decrease the child'sdiscomfort.

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• Pediatric Health And Physical Assessment

  If you still cannot locate a hymenal opening, the child mayhave an imperforate hymen or vaginal agenesis. An imperforate hymen appearsas a thin membrane, and will bulge if hydromucocolpos is present. Vaginalagenesis is characterized by thick vestibular tissue, and often there isa dimple surrounded by a vulvar depression where the hymen should be. Signs of acute trauma from sexual abuse includehematomas, abrasions, lacerations, hymenal transections, and vulvar erythema. These conditions usually resolve within ten to fourteen days.

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• Video Gallery | Stanford Medicine 25 | Stanford Medicine

  Signs of priorabuse can include hymenal remnants, scars, and hymenal transections. Findingson genital examination are normal, however, in most girls with a historyof substantiated sexual abuse. The significance of the diameter of the hymenalorifice is controversial; a large orifice may be consistent with a historyof sexual abuse, but it is not an absolute criterion. Next, examine the child's vulva and anus, observingfor hygiene, erythema, excoriation, labial adhesions, signs of trauma, andanatomic abnormalities. If extensive labial adhesions are present, you maynot be able to adequately examine the hymen and vagina and will need toreexamine the child after she has successfully completed treatment withlocal hygiene measures and topical estrogen see Sidebar, "Common gynecologicfindings in the prepubertal girl". Vulvitis and vulvovaginitis usually are characterized by vulvar rednessand irritation, which may be associated with vulvar discomfort, vaginaldischarge and odor, vaginal bleeding, dysuria, or pruritus.

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• Pediatric Clerkship

  Common causesinclude dermatologic conditions, infections, irritants, and lichen sclerosis. The atrophic tissue of the prepubertal vulva is easily irritated, whichcan lead to nonspecific vulvitis. Harsh soaps, shampoos, bubblebath, poorhygiene, and tight or wet clothing bathing suits are common culprits. Chronic vaginal discharge, which can occur with a vaginal foreign bodyor vaginitis, also can lead to vulvitis, which is characterized by an erythematous,hyperpigmented, or hyperkeratotic line along the dependent portion of thelabia majora.

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• Pediatric Physical Assessment

  Treatment is the same as for labialadhesions. Lichen sclerosis also can present as vulvar discomfort or pruritus. It is characterized by atrophy of the vulvar skin, which may distort theanatomy of the labia and clitoris, producing ecchymoses and "bloodblisters. Viscous lidocaine and warmsaline for irrigation through an IV set-up may be helpful when examininga child who has an acute straddle injury and bleeding. Examining the vagina After you have examined the external genitalia, you should visualizethe vagina if the child complains of discharge or bleeding that may be vaginalin origin, or if you suspect a tumor, ectopic ureter, or vaginal foreignbody.

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• Physical Exam Videos & Checklists

  In perimenarchal girls, the vagina is 8 cm long, andthe vaginal mucosa and hymen are thicker. Leukorrhea may be present. The hymen and vagina usually can be seen adequately when a child is inthe supine position, with her legs flexed on her abdomen. For girls olderthan 2 years, the knee-chest position also permits excellent visualizationof the vagina and cervix without instrumentation. These procedures are usually performed under anesthesia. Occasionally,a narrow vaginal speculum can be used in an older child who is well estrogenized.

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• Your Child's Checkup: 12 Years

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• Bates' Physical Examination Videos

  Information spoken by the child or family is called subjective data. Conducting the Client Interview Most subjective data are collected through interviewing the family caregiver and the child. Why interview? The interview helps establish relationships between the nurse, the child, and the family. Listen and communicate. Listening and using appropriate communication techniques help promote a good interview. Introduce and explain your purpose. The nurse should be introduced to the child and caregiver and the purpose of the interview stated. Establish rapport. A calm, reassuring manner is important to establish trust and comfort; the caregiver and the nurse should be comfortably seated, and the child should be included in the interview process. Interviewing Family Caregivers The family caregiver provides most of the information needed in caring for the child, especially the infant or toddler.

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• Physical Exam Videos & Checklists | Med Students Gateway

  Interviewing the Adolescent Adolescents can provide information about themselves. Interviewing them in private often encourages them to share information that they might not contribute in front of their caregivers. Biographical data. Chief Complaint. History of present health concern. Health history. Family health history. The caregiver can usually provide information regarding family health history; the nurse uses this information to do preventive teaching with the child and family. Review of systems for current health problem. While the nurse is collecting subjective data, the caregiver or child is asked questions about each body system; the body system involved in the chief complaint is reviewed in detail. Allergies, medications, and substance abuse. Allergic reactions to any foods, medications, or any other known allergies should be discussed to prevent the child being given any medications or substances that might cause an allergic reaction; medications the child is taking or has taken, whether prescribed by a care provider or over the counter, are recorded; it is important, especially in the adolescent, to assess the use of substances such as tobacco, alcohol, or illegal drugs.

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• Your Child's Checkup: 12 Years (for Parents) - Nemours KidsHealth

  This program reveals a way to combine exam techniques. Examining a Toddler Learn tips for performing a general inspection and taking measurements: vision, temperature, height, and weight. Toddler Examination: Extremities Use the parent's lap as an exam table. Assess arms including movement, size, radial pulses, reflexes, and blood pressure. Asses legs including movement, size, alignment;dorsalis pedis pulses, and reflexes. Toddler Examination: Head and Neck Assess shape, alignment, hairline, any depressions, voluntary movement, lymph nodes, and thyroid; hear tips for infant examination. Toddler Examination: Chest, Heart, and Lungs Assess respiratory movement, chest size and shape, breath sounds, heart sounds, and heart rate. Toddler Examination: Abdomen Assess abdominal sounds, bowel sounds, and abdominal organs. Percuss and palpate the abdomen, palpate femoral pulses, and inguinal lymph nodes.

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• Pediatric Head-to-Toe Physical Exam - Video Dailymotion

  Toddler Examination: Genital Area Assess external genitalia and be alert for signs of sexual abuse. For girls, spread the labia to examine deeper structures. For boys, palpate the scrotum. Toddler Examination: Body and Otorhinolaryngology Assess spinal alignment, posture, body part symmetry, extremities alignment, and gait. Examine eyes, ears, nose, and throat. After the Exam Discuss your findings with the parent, answer questions, and reinforce techniques for promoting health. Review the approach to examining a child discussed in this video.

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