Examination
Vitals
Heart Rate- 120 beats per minute Blood Pressure- 80/50 Respiratory rate- 40 breaths per minute Temperature- 36.5°C
Anthropometry
Weight: 4.4kg (75% expected weight for age)
Length & head circumference: Normal
General
Marked pallor
No jaundice
No significant lymphadenopathy
No oedema
Subtle dysmorphic features:
- Biparietal prominence
- Epicanthic folds
- Almond shaped eyes
Subconjunctival haemorrhage right eye
No cataracts
No subaponeurotic haemorrhage or cephalhaematoma
Skin
Diffuse petechiae and purpura involving face, trunk and limbs
No ecchymosis
Abdomen
Mildly distended but soft & non tender
Hepatomegaly: 4-5cm firm, non tender
Splenomegaly: 2-3cm & firm
Bowel sounds present
Chest
Moderate respiratory distress
Clear on auscultation
Cardiovascular
Tachycardia & hypotensive
No evidence of congestive cardiac failure
Neurological
No focal neurological signs
Musculoskeletal
No abnormalities
