The clinical examination of children involves some notable and very important parameters such as mean pulse rate at rest, blood pressure or upper and lower extremities, cardiac relative voiced boundary and cardiac absolute voiced boundary.

Average pulse rate (beats per minute) at rest

Neonatal 140-160

6 months 130-135

1 year 120-125

2 years 110

3 years 105

4 years 100

5 years 98-100

6-7 years old 90-85

10 years old 78-85

12 years old 70-75

In fact, the normal heart rate should not exceed 10% of the average pulse rate values ​​listed here.

Blood pressure (mmHg) (upper extremity)

newborn

� ½ systolic 70-76

� ½ diastolic 35

For children under 12 months

� ½ systolic 76+(2xn); where n the child’s age

� ½ diastolic to 1/3 systolic

1 year

� ½ systolic 90-100

� ½ diastolic 60

For children over 1 year old

� ½ Systolic minimum is 90+(2xn), where n is age in years; maximum is 100+(2xn), where n is age in years.

� ½ diastolic to 1/3 systolic

Blood pressure mmHg (lower extremities)

newborn

� ½ systolic 70-76

� ½ diastolic 35

For children under 9 months

� ½ systolic blood pressure 76+(2xn) where n is age in months

� ½ diastolic to 1/3 systolic

Children over 9-10 months

� ½ blood pressure 5-20 mmHg higher than upper extremity

Boundary of cardiac relative turbidity

right border

� ½ right parasternal line in children under 2 years of age

� ½ for children 2 to 7 years old on the right parasternal line or somewhere above the right parasternal line

� ½ between the right parasternal line and the right parasternal line, for children 7 to 12 years old

� ½ is suitable for the right sternum line in children over 12 years of age.

upper boundary

� ½ II rib for children under 2

� ½ II intercostal space for children 2 to 7 years old

� ½ rib III for 7-12 year olds

� ½ Intercostal space III for children over 12 years.

left border

� ½ 2 cm from left midclavicular line in children under 2 years

� ½ 2-7 year olds 1 cm outward from left midclavicular line

� ½ 0.5cm outward from left midclavicular line in children 7-12 years old

� ½ 0.5cm left medial midclavicular line for children 12+

Horizontal size

� ½ 6-9cm suitable for children under 2 years old

� ½ 8-12cm suitable for children 2-7 years old

� ½ 9-14 cm, suitable for children over 7 years old.

No distractions

right border

� ½ left sternum line for children under 2 years

� ½ 2- to 7-year-old left sternum line

� ½ III intercostal space for children aged 7-12

� ½ left sternum line for children over 12 years old

upper boundary

� ½ II intercostal space for children under 2

� ½ III rib for children 2 to 7 years old

� ½ III intercostal space for children aged 7-12

� ½ IV rib for children 12+

left border

� ½ in children under 2 years 1.0-0.5 cm from left midclavicular line

� ½ left clavicle line for 2-7 year olds

� ½ between left clavicle line and left parasternal line, for children 7-12 years old

� ½ Left parasternal line in children over 12 years of age.

Can you imagine how much fun it would be to diagnose a kid who can’t even complain to you?

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