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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