Integrated management of neonatal and childhood illness



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module 5

ASSESS
(Circle all signs present)
CLASSIFY

CHECK FOR GENERAL DANGER SIGNS

NOT ABLE TO DRINK OR BREASTFEED LETHARGIC OR UNCONSCIOUS General danger signs present VOMITS EVERYTHING Yes No
CONVULSIONS
Remember to use danger sign
when selecting classifications
THEN ASK ABOUT MAIN SYMPTOMS
:

Does the child have cough or difficult breathing Yes- Nob ib
IF YES, ASK LOOK, LISTEN, FEEL
• For how long ? _ Days
• Count the breaths in one minute
__ breaths per minute Fast breathing
• Look for chest indrawing.
• Look and listen for stridor.

DOES THE CHILD HAVE DIARRHOEA ? Yes No____
• For how long ? ------ Days
• Look at the child’s general condition. Is the child Lethargic or unconscious
• Is there any blood in the stool ? Restless and irritable
• Look for sunken eyes.
• Offer the child fluid. Is the child Notable to drink or drinking poorly Drinking eagerly, thirsty Pinch the skin of the abdomen. Does it go back Very slowly (longer than 2 seconds
Slowly?


DOES THE CHILD HAVE FEVER ? Yes No____


( by history feels hot or temperature 37.5
O
C or above) Decide Malaria Risk high or low For how long Days Look or feel for stiff neck. If more than 7 days, has fever Look or feel for bulging fontanelle. been present everyday Look for runny nose
• Has the child had measles now Look for signs of MEASLES or within the last 3 months
• Generalized rash One of these cough, runny nose, or red eyes

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If the child has MEASLES

Look for mouth ulcers

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