Hello, med students. My name is Zach Olson and thank you for downloading this week's

episode of the EM Clerkship Podcast.

This week is a quick follow-up to last week's episode on the general approach to the pediatric

patient. Last week, we discussed how we need to be asking about peeing, intaking, sleeping, and

stooling, the pre-perry and post-birth peeds history, immunization status, taking a careful

look at those pediatric vitals, and then as step five, I briefly mentioned

the ABC-D-E-F-P's exam.

We're going to elaborate on that exam today.

Sick, not sick, whatever.

This is the same core, fundamental physical exam that you do every time on kids. And I promise that it won't let you

down. It's a great physical exam template to use. A quick overview. A stands for appearance. B stands for

breathing. C stands for color. D stands for distract, E stands for E and F stands for fully undress and

examine everything.

We're going to start from the top and go into detail on each one of these.

This is the ABCDEF P's exam.

Let's start with A, appearance.

These first three steps, A, B, and C, all comprised what is called the pediatric assessment triangle.

I've briefly mentioned this before.

The sick versus not sick assessment.

And A stands for appearance.

What you do, right when you walk into the room you look at that kid and what you want to see is good strong tone alert and calm that's appearance it's a

general feeling what you don't want to see is the opposite floppy and weak non-, non-interactive, and really irritable. That's bad pediatric

...