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Thus, taking a thorough history relating to all those parameters is essential when evaluating a child or an adolescent with primary headaches.
Additional historical factors useful in evaluating a child with chest pain include symptoms such as shortness of breath, diaphoresis, and nausea.
Emergency physicians may choose to consider bedside ultrasound examination of the hip as an adjunct to plain radiography when evaluating a child with a limp.
Clinicians should be careful to consider migraine when evaluating a child with headache and associated ocular or nasal symptoms in order to avoid a misdiagnosis of sinus headache (nearly 40% of pediatric migraineurs) [3, 28].
Although meningococcemia remains an important concern when evaluating a child with fever and a rash, the resurgence of measles, the emergence of invasive group A streptococcal disease and antibiotic-resistant Staphylococcus aureus, as well as the fear of agents of bioterrorism (anthrax, smallpox) have changed the landscape of fever and rash in the 21st century.
The ERB is one more piece of a complicated puzzle to use when evaluating a child.
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"There are plenty of methods we can use to evaluate a child," he said.
Finally, the Legislature should reconsider the way it has turned over the program to private companies, which not only provide the services but often evaluate a child to see what care is needed.
The health of a newborn is judged based on the APGAR scoring system, which evaluates a child's appearance, pulse, grimace, activity and respiration.
The Dutch healthcare system is organized such that a general practitioner first evaluates a child.
The COMFORT score consists of eight categories and can evaluate a child's behaviour and physiological responses to discomfort, fear and pain in approximately 2 min. The COMFORT score is age independent because age-adapted physiological parameters are used.
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