Crying Infant: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps:

  • General physical examination – including blood pressure, pulse, body temperature, body weight, body height; further:
    • Inspection (viewing).
      • Skin, mucous membranes and sclerae (white part of the eye).
      • Abdomen (abdomen)
        • Shape of the abdomen?
        • Skin color? Skin texture?
        • Efflorescences (skin changes)?
        • Pulsations? Bowel movements?
        • Visible vessels?
        • Scars? Hernias (fractures)?
    • Functional testing of the cervical spine (due toDD. Pseudomeningism!) [Meningismus?/painful neck stiffness).
    • Auscultation (listening) of the heart.
    • Examination of the lungs
      • Auscultation (listening) of the lungs
      • Percussion (tapping) of the lungs [e.g., in emphysema; box sound in pneumothorax].
    • Palpation (palpation) of the abdomen (abdomen) (tenderness?, knocking pain?, coughing pain?, defensive tension?, hernial orifices?, renal bearing knocking pain?) [if appendicitis/induced appendicitis is suspected, see also under appendicitis/physical examination; protrusion in the groin region (visible or palpable)? → think of: Inguinal hernia (inguinal hernia), possibly incarcerated hernia (hernia with critical entrapment of hernia contents in the hernial orifice)]
  • Neurological examination [if meningitis (meningitis) is suspected; persistent stiffness as well as flaccidity]
  • Pediatric examination

Square brackets [ ] indicate possible pathological (pathological) physical findings.