Crying infant - Revision history

Danbot: Strip excess bold

2026-03-22T09:31:56Z

Strip excess bold

← Older revision		Revision as of 09:31, 22 March 2026
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	==Management==		==Management==
	*If no underlying cause is found attempt the "5 Ss"		*If no underlying cause is found attempt the "5 Ss"
	**~~'''S'''waddling~~		**Swaddling
	**~~'''S'''ide~~/~~'''S'''tomach~~ position while awake		**Side/Stomach position while awake
	**~~'''S'''hhhhing~~ to provide soothing sound		**Shhhhing to provide soothing sound
	**~~'''S'''winging~~ the baby in parent's arms		**Swinging the baby in parent's arms
	**~~'''S'''ucking~~ on breast or pacifier		**Sucking on breast or pacifier

	*4% benefit from change to soy formula		*4% benefit from change to soy formula

Rossdonaldson1: /* Clinical Features */

2022-05-14T13:05:47Z

Clinical Features

← Older revision		Revision as of 13:05, 14 May 2022
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	==Clinical Features==		==Clinical Features==
			[[File:Baby yelling.jpg\|thumb]]
	*Crying and inconsolable infant		*Crying and inconsolable infant

Rossdonaldson1: /* Disposition */

2022-05-14T13:01:23Z

Disposition

← Older revision		Revision as of 13:01, 14 May 2022
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	==Disposition==		==Disposition==
			*May discharge home with precautions if infant becomes consolable and has reassuring exam (and studies, if indicated)
			*Admit if infant is persistently inconsolable, will not tolerate POs, or has concern for specific pathology

	==See Also==		==See Also==

Rossdonaldson1: /* Work-Up */

2022-05-14T12:59:18Z

Work-Up

← Older revision		Revision as of 12:59, 14 May 2022
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	**Examine all bones/joints to rule out [[fracture]], [[osteomyelitis]] or [[septic joint]]		**Examine all bones/joints to rule out [[fracture]], [[osteomyelitis]] or [[septic joint]]
	**Consider skeletal survey & head CT in suspected [[child abuse]]		**Consider skeletal survey & head CT in suspected [[child abuse]]
	*Rule out badness above including [[shaken baby syndrome]]		**Rule out badness above including [[shaken baby syndrome]]
	*Infection		*Infection
	**Examine ears to rule out [[otitis media (peds)\|otitis]]		**Examine ears to rule out [[otitis media (peds)\|otitis]]

Rossdonaldson1: /* Work-Up */

2022-05-14T12:59:03Z

Work-Up

← Older revision		Revision as of 12:59, 14 May 2022
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	[[File:Crying Infant.png\|thumb\|Algorithm for the evaluation of the crying infant]]		[[File:Crying Infant.png\|thumb\|Algorithm for the evaluation of the crying infant]]
	===Work-Up===		===Work-Up===
			*Ocular
			**Flourescein staining to rule out [[corneal abrasions]]
			**Fundoscopic exam
			*Skin
			**Inspect digits for [[hair tourniquet]]
			**Inspect GU area
			*Muscluloskeletal
			**Examine all bones/joints to rule out [[fracture]], [[osteomyelitis]] or [[septic joint]]
			**Consider skeletal survey & head CT in suspected [[child abuse]]
	*Rule out badness above including [[shaken baby syndrome]]		*Rule out badness above including [[shaken baby syndrome]]
	*~~Flourescein staining to rule out [[corneal abrasions]]~~		*Infection
	*~~Fundoscopic exam~~		**Examine ears to rule out [[otitis media (peds)\|otitis]]
	*~~Rule~~ out [[otitis media (peds)\|otitis]]		**Consider occult sepsis
	*~~Examine all bones/joints~~ to rule out ~~[[fracture]], [[osteomyelitis]] or [[septic joint]]~~		**Evaluate abdomen to rule out surgical abdomen
	*Inspect GU area
	*Consider skeletal survey & head CT in suspected [[child abuse]]

	===Diagnosis===		===Diagnosis===

Rossdonaldson1: /* Evaluation */

2022-05-14T12:56:23Z

Evaluation

← Older revision		Revision as of 12:56, 14 May 2022
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	*Inspect GU area		*Inspect GU area
	*Consider skeletal survey & head CT in suspected [[child abuse]]		*Consider skeletal survey & head CT in suspected [[child abuse]]

			===Diagnosis===

	==Management==		==Management==

Rossdonaldson1 at 12:56, 14 May 2022

2022-05-14T12:56:06Z

← Older revision		Revision as of 12:56, 14 May 2022
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	==Differential Diagnosis==		==Differential Diagnosis==
	~~[[File:Crying Infant.png\|thumb\|Algorithm for the evaluation of the crying infant]]~~
	{{Crying infant DDX}}		{{Crying infant DDX}}

	==Evaluation==		==Evaluation==
			[[File:Crying Infant.png\|thumb\|Algorithm for the evaluation of the crying infant]]
	===Work-Up===		===Work-Up===
	*Rule out badness above including [[shaken baby syndrome]]		*Rule out badness above including [[shaken baby syndrome]]

Rossdonaldson1 at 12:55, 14 May 2022

2022-05-14T12:55:31Z

← Older revision		Revision as of 12:55, 14 May 2022
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	*As many as 43% of infants experience excessive crying<ref>Reijneveld SA, et al. Excessive infant crying: the impact of varying definitions. Pediatrics. 2001; 108(4):893-897.</ref>		*As many as 43% of infants experience excessive crying<ref>Reijneveld SA, et al. Excessive infant crying: the impact of varying definitions. Pediatrics. 2001; 108(4):893-897.</ref>
	*5% of crying infants are found to have underlying disease<ref>Barr, RG. Colic and crying syndromes in infants. Pediatrics. 1998; 102(5):1282-1286.</ref>		*5% of crying infants are found to have underlying disease<ref>Barr, RG. Colic and crying syndromes in infants. Pediatrics. 1998; 102(5):1282-1286.</ref>

			==Clinical Features==
			*Crying and inconsolable infant

	==Differential Diagnosis==		==Differential Diagnosis==
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	{{Crying infant DDX}}		{{Crying infant DDX}}

	==Work-Up==		==Evaluation==
	~~#rule~~ out badness above including [[shaken baby syndrome]]		===Work-Up===
	~~#flourescein~~ staining to rule out [[corneal abrasions]]		*Rule out badness above including [[shaken baby syndrome]]
	~~#fundoscopic~~ exam		*Flourescein staining to rule out [[corneal abrasions]]
	~~#rule~~ out [[otitis media (peds)\|otitis]]		*Fundoscopic exam
	~~#examine~~ all bones/joints to rule out [[fracture]], [[osteomyelitis]] or [[septic joint]]		*Rule out [[otitis media (peds)\|otitis]]
	~~#inspect~~ GU area		*Examine all bones/joints to rule out [[fracture]], [[osteomyelitis]] or [[septic joint]]
	~~#Skeletal~~ survey & head CT in suspected [[child abuse]]		*Inspect GU area
			*Consider skeletal survey & head CT in suspected [[child abuse]]

	==Management==		==Management==
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	*4% benefit from change to soy formula		*4% benefit from change to soy formula
	*rocking, warm compresses to belly feeding, frequent burping, diaper changes		*rocking, warm compresses to belly feeding, frequent burping, diaper changes

			==Disposition==

	==See Also==		==See Also==
	*[[Colic]]		*[[Colic]]

			==External Links==

	==References==		==References==

ClaireLewis: /* Management */

2019-10-05T21:33:22Z

Management

← Older revision		Revision as of 21:33, 5 October 2019
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	**'''S'''ucking on breast or pacifier		**'''S'''ucking on breast or pacifier

	#4% benefit from change to soy formula		*4% benefit from change to soy formula
	#rocking, warm compresses to belly feeding, frequent burping, diaper changes		*rocking, warm compresses to belly feeding, frequent burping, diaper changes

	==See Also==		==See Also==

ClaireLewis: /* Management */

2019-10-05T21:33:01Z

Management

← Older revision		Revision as of 21:33, 5 October 2019
Line 25:		Line 25:
	**'''S'''winging the baby in parent's arms		**'''S'''winging the baby in parent's arms
	**'''S'''ucking on breast or pacifier		**'''S'''ucking on breast or pacifier

			#4% benefit from change to soy formula
			#rocking, warm compresses to belly feeding, frequent burping, diaper changes

	==See Also==		==See Also==