Integrated management of neonatal and childhood illness

If the child has measles now

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module 5

If the child has measles now •
Look for mouth ulcers
or within the last
3 months:
. If Yes, are they deep and extensive
• Look for pus draining from the eye.
• Look for clouding of the cornea.
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

72
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

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