Examination

• Full ABCDE assessment – consider differential diagnoses. Remember to test a capillary blood glucose.
• Fully expose the child to check for bruising, bleeding from nose/mouth, torn frenulum and subconjunctival haemorrhage
• Plot weight, length and head circumference
• Note any dysmorphic features that might indicate underlying congenital abnormalities

Learning bite

Always document examination findings clearly, including important negatives and normal variants such as mongolian blue spots. This documentation can be important as a point of reference if any concerns are raised in the future.