Physical examination results:
The findings following physical examination of Felix are:
- Temperature: 39.5o C per axilla, pulse rate 100/min, respiratory rate 30/min
- O2 saturation in room air 97%
- Weight 11.5 kg (50th centile), HC 50 cm (10 to 50th centile)
- BP lying 85/45 mmHg
- Pink in room air, sitting up and reaching for toys that are offered to him
- Vocalising a little
- Anterior fontanelle closed
- No neck stiffness
- Fundoscopy shows normal disc margins
- No skin lesions aside from a few small scars which look like they are the result of previous varicella infection
- Deep tendon reflexes normal and symmetric, upper and lower limbs
- Plantar response bilaterally downgoing
- Clear rhinorrhoea
- Chest clear, HS dual, nil murmurs
- Ears - tympanic membranes peripherally injected bilaterally, light reflex intact
- Throat - pharynx and large tonsils injected, no exudate, palpable tonsillar nodes bilaterally
- Abdomen soft and non-tender, few small, pebbly probable faeces masses left iliac fossa