Pediatric Decision-Making Strategies

          HEAD NECK and EYES Ear Pain Rhinorrhea Sore Throat Neck Masses Abnormal Head Size, Shape, and Fontanels Red Eye Strabismus Visual Impairment and Leukocoria Abnormal Eye Movements RESPIRATORY SYSTEM Cough Hoarseness Stridor Wheezing Cyanosis Hemoptysis Apnea CARDIOLOGY Chest Pain Syncope Palpitations Heart Murmurs GASTROINTESTINAL SYSTEM Abdominal Pain Vomiting Diarrhea Constipation Gastrointestinal Bleeding Jaundice Hepatomegaly Splenomegaly Abdominal Masses GENITOURINARY SYSTEM Dysuria Enuresis Red Urine and Hematuria Proteinuria Edema Hypertension Scrotal Pain Scrotal Swelling (Painless) Dysmenorrhea Amenorrhea Abnormal Vaginal Bleeding Vaginal Discharge MUSCULOSKELETAL SYSTEM Limp Arthritis Knee Pain Extremity Pain Back Pain Stiff or Painful Neck In-Toeing, Out-Toeing, and Toe-Walking Bowlegs and Knock-Knees NEUROLOGY Headaches Seizures and Other Paroxysmal Disorders Involuntary Movements Hypotonia and Weakness Ataxia Altered Mental Status Hearing Loss DERMATOLOGY Alopecia Vesicles and Bullae Fever and Rash HEMATOLOGY Lymphadenopathy Anemia Bleeding Petechiae/Purpura Neutropenia Pancytopenia Eosinophilia ENDOCRINE SYSTEM Short Stature Pubertal Delay Precocious Puberty in the Male Precocious Puberty in the Female Atypical or Ambiguous Genitalia Hirsutism Gynecomastia Obesity Polyuria GENERAL Fever without a Source Fever of Unknown Origin Recurrent Infections Irritable Infant (Fussy or Excessively Crying Infant) Failure to Thrive Sleep Disturbances FLUIDS AND ELECTROLYTES Acidemia Alkalemia Hypernatremia Hyponatremia Hypokalemia Hyperkalemia Hypocalcemia Hypercalcemia