The Importance of a Physical Exam

The first and most important thing is the exam of the child. It's important to see if this is a tired appearing child in bed who get their hydration status or their mucus membranes moist. Are they alert and interactive? Are they able to focus on you? Or are they so tired that they can't really focus on what's happening around them? So, let me tell you about our patient's exam. He has a sinus tachycardia with intermittent premature ventricular contractions noted on the monitor. There's no cardiac murmur. Looking at him, he's the kipnik with increased work or breathing. He's using accessory muscles in the subcostal,

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