Pediatric Decision-Making Strategies

"I would recommend it for students because it demonstrates a way of thinking about medicine that is useful in paediatrics and in all other specialties. I would also recommend it to junior doctors working in an assessment unit or emergency department; a quick glance at an algorithm before seeing a patient is much faster than leafing through pages of text." --Reviewed by Seminars in Fetal and Neonatal Medicine , Apr 2015

• HEAD NECK and EYES 1. Ear Pain2. Rhinorrhea3. Sore Throat 4. Neck Masses 5. Abnormal Head Size, Shape, and Fontanels 6. Red Eye 7. Strabismus 8. Visual Impairment and Leukocoria 9. Abnormal Eye Movements RESPIRATORY SYSTEM 10. Cough 11. Hoarseness 12. Stridor 13. Wheezing 14. Cyanosis 15. Hemoptysis 16. Apnea CARDIOLOGY 17. Chest Pain 18. Syncope 19. Palpitations 20. Heart Murmurs GASTROINTESTINAL SYSTEM 21. Abdominal Pain 22. Vomiting 23. Diarrhea 24. Constipation 25. Gastrointestinal Bleeding 26. Jaundice 27. Hepatomegaly 28. Splenomegaly 29. Abdominal Masses GENITOURINARY SYSTEM 30. Dysuria 31. Enuresis 32. Red Urine and Hematuria33. Proteinuria 34. Edema 35. Hypertension 36. Scrotal Pain 37. Scrotal Swelling (Painless) 38. Dysmenorrhea 39. Amenorrhea 40. Abnormal Vaginal Bleeding 41. Vaginal Discharge MUSCULOSKELETAL SYSTEM 42. Limp 43. Arthritis 44. Knee Pain 45. Extremity Pain 46. Back Pain 47. Stiff or Painful Neck 48. In-Toeing, Out-Toeing, and Toe-Walking 49. Bowlegs and Knock-Knees NEUROLOGY 50. Headaches 51. Seizures and Other Paroxysmal Disorders 52. Involuntary Movements 53. Hypotonia and Weakness 54. Ataxia 55. Altered Mental Status 56. Hearing Loss DERMATOLOGY 57. Alopecia 58. Vesicles and Bullae 59. Fever and Rash HEMATOLOGY 60. Lymphadenopathy 61. Anemia 62. Bleeding 63. Petechiae/Purpura 64. Neutropenia 65. Pancytopenia 66. Eosinophilia ENDOCRINE SYSTEM 67. Short Stature 68. Pubertal Delay 69. Precocious Puberty in the Male 70. Precocious Puberty in the Female 71. Atypical or Ambiguous Genitalia 72. Hirsutism 73. Gynecomastia 74. Obesity 75. Polyuria GENERAL 76. Fever without a Source 77. Fever of Unknown Origin 78. Recurrent Infections 79. Irritable Infant (Fussy or Excessively Crying Infant) 80. Failure to Thrive 81. Sleep Disturbances FLUIDS AND ELECTROLYTES 82. Acidemia 83. Alkalemia 84. Hypernatremia 85. Hyponatremia 86. Hypokalemia 87. Hyperkalemia 88. Hypocalcemia 89. Hypercalcemia