Integrated management of neonatal and childhood illness


DOES THE CHILD HAVE AN EAR PROBLEM



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module 5
DOES THE CHILD HAVE AN EAR PROBLEM
Yes___ Nob


Is there ear pain Look for pus draining from the ear. Is there ear discharge Feel for tender swelling behind the ear. If Yes, for how long ____ Days
THEN CHECK FOR MALNUTRITION

Look for visible severe wasting. Look for oedema of both feet. Determine weight forage. Severely underweight Not Severely underweight

THEN CHECK FOR ANAEMIA

Look for palmar pallor. Severe palmar pallor Some palmar pallor No pallor
CHECK THE CHILD’S IMMUNIZATION, PROPHYLACTIC VITAMIN A & IRON-FOLIC ACID STATUS
Return for next immunization Circle immunizations and Vitamin A or IFA supplements needed today. or vitamin A or IFA
_______ ________ _______ ________ ___________ ____ supplement on
BCG DPT 1 DPT 2 DPT 3 DPT Booster DT
_______ ________ _______ ________ _________ __________________
OPV 0 OPV 1 OPV 2 OPV 3 OPV IFA (Date)
________ _______ ________ _________ _________
HEP-B 1 HEP-B 2 HEP-B 3 MEASLES VITAMIN Ab ASSESS OTHER PROBLEMS




69

MANAGEMENT OF THE SICK CHIlD AGE 2 MONTHS UP TO 5 YEARS

Name: Age ___ Sex M F Weight _______ kg Temperature _______ o
C
ASK:
What are the child’s problems Initial visit ___ Followup Visit ___
ASSESS
(Circle all signs present)
CLASSIFY


CHECK FOR GENERAL DANGER SIGNS
General danger sign

present ?

NOT ABLE TO DRINK OR BREASTFEED LETHARGIC OR UNCONSCIOUS
Yes Nob b
VOMITS EVERYTHING
Remember to use danger sign
CONVULSIONS
when selecting classifications

DOES THE CHILD HAVE COUGH OR DIFFICULT BREATHING
Yes___ No For how long ? ___ Days
• Count the breaths in one minute
_____ breaths per minute. Fast breathing
• Look for chest indrawing.
• Look and listen for stridor.

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