Video was of a term looking, 3 day old neonate notes to have signs of significant Hypotonia requiring tube feeding and under phototherapy. No obvious respiratory distress.
The signs demonstrated were picked up – baby was hypotonic – but important to mention each sign when describing your findings – supporting observation of hypotonia: frog like posture, complete head lag, rag doll ‘tone’ slipping through grip on holding under the arms / axilla.
Important o frame history question appropriately so as to help your differential diagnosis and same for targeted examination.
- Ask question – very specific – ideally a closed question.
- Differential diagnosis: BROAD brush to begin with – gives scope to expand
- MORE important – gives wriggle room in case your only diagnosis is not correct
- Investigations – again – start with basics – say what you EXPECT to find.
- How they will guide your differential
- Have a reasonable idea of the management plan.