RED FLAGS IN CHEST EXAMINATION�
DR NAILA
MBBS, FCPS (PAEDS)
NEONATAL FELLOW
RED FLAGS
Asymmetry of chest wall
Respirtory distress
Stridor
Fracture of clavical and ribs
Abnormal or absent breath sound
Paradoxical movement of Chest
ABNORMAL SHAPE OF CHEST
MURMUR CHARACTERISTICS
Physiological murmur | Pathological murmur |
Grade or less | grade 3 or above |
systolic | Pansystolic, diastolic, continuous |
Minimal radiation | Radiation |
Normal 2nd heart sound | Abnormal 2nd heart sound |
No added sounds | Additional sounds |
Quiet precordium | Heave and thrill |
Normal four limb BP | Abnormal BP |
Pre and post ductal saturation normal | abnormal |
WHEN TO SUSPECT SKELETAL ABNORMALATIES
Antenatal SCAN
FAMILY HISTORY
DYSMORPHIC FEATURE
HISTORY OF HYPOTHYROIDISM