Date of Visit:________
MANAGEMENT OF THE SICK CHILD AGE 2 MONTHS UP TO 5 YEARS

§ Name:
§ Age:
§ Weight: __kg
§ Temperature: __ °C
§ ASK: What are the child’s problems?
Initial visit?
Follow-up vist?
CHECK FOR GENERAL DANGER SIGNS
§ Not able to drink or breastfeed
§ Vomits everything
§ Convulsion during illness
§ Lethargic or unconscious
§ Convulsing now


DOES THE CHILD HAVE COUGH OR DIFFICULT BREATHING?
§ For how long? __ Days
§ Count the breaths in on minute. __ breaths per minute. Fast breathing?
§ Look for chest indrawing
§ Look and listen for stridor
§ Look and listen for wheeze


DOES THE CHILD HAVE DIARRHOEA?
§ For how long? __ Days
§ Is there blood in the stools?
§ Look at the child’s general condition.Is the child:
o Lethargic and unconscious
o Restless or irritable
§ Look for sunken eyes.
§ Offer the child fluid. Is the child:
o Not able to drink or drinking poorly?
o Drinking eagerly, thirsty?
§ Skin tugor:Pinch the skin of the abdomen. Does it go back:
o Very slowly (longer than 2 seconds)?
o Slowly?

DOES THE CHILD HAVE FEVER? (by history/temperature 37.5°C or above)
§ For how long? __ Days
§ If more than 7 days, has fever been present every day?
§ Has child had measles within the last three months?

BSMP Positive / Negative / Not done / Falciparum / Vivax
§ Look or feel for stiff neck
§ Look for runny nose
Look for signs of MEASLES:
§ Generalized rash and
§ One of these: cough, runny nose, or red eyes

If the child has measles now or within the last 3 months:
§ Look for mouth ulcers .
§ If yes, are they deep or extensive?
§ Look for pus draining from the eye.
§ Look for clouding of the cornea


DOES THE CHILD HAVE EAR PROBLEM?
§ Is there ear pain?
§ Is there ear discharge?
§ If Yes, for how long? __ Days

§ Pain in ear when touched.
§ Look for pus draining from the ear.
§ Feel for tender swelling behind the ear.


THEN CHECK FOR MALNUTRITION AND ANAEMIA

§ Look for visible severe wasting.
§ Look for palmar pallor
o Severe palmar pallor? Some palmar pallor?
§ Look and feel for oedema of both feet.
§ Determine weight for age.
§ Very Low? Not Very Low?

CHECK THE CHILD’S IMMUNIZATION STATUS
ASSESS CHILD’S FEEDING if child has ANAEMIA OR VERY LOW WEIGHT or is less than 2 years old.
§ Do you breastfeed your child? Yes__ No__
o If Yes, how many times in 24 hours? __ times.
§ Do you breastfeed during the night? Yes__ No__
o If Yes, what food or fluids? _________
§ How many times per day? __ time. What do you use to feed the child? _________
§ If very low weight for age: How large are servings? _________Does the child receive his own serving? __ Who feeds the child and how? _________During the illness, has the child’s feeding changed? Yes__ No__
o If Yes, how?


ASSESS OTHER PROBLEMS: