📘 AAP-informed · Quick reference

Pediatric clinical companion

Evidence-based differentials, physical exam clues, red flags, and weight-based dosing — derived from American Academy of Pediatrics quick reference guides

📋 Step 1 Patient encounter + exam

Age

Weight (kg) – for drug dosing

Sex (for syndrome context)

🩺 Chief complaint (primary)

🩺 Physical exam findings (select key signs)

Toxic / ill appearance

Petechiae / purpura

Nuchal rigidity / meningismus

Bulging fontanel

Wheezing (auscultation)

Retractions / nasal flaring

Guarding / rebound

Limp / refusal to bear weight

Periungual desquamation

⚠️ Associated symptoms (history)

Poor feeding / dehydration

Lethargy / irritability

Fever >3 days

Weight loss / FTT

Cough / tachypnea

Vomiting

Seizure activity

Dyspnea / hypoxemia

⏱️ Symptom evolution

📖 Based on AAP Quick Reference Guide & Pediatric Care Online – educational tool, always verify locally.

📌 Step 2 Decision support & dosing

🩺

Complete assessment, add weight and exam findings, then click “Generate decision support” for differentials, red flags, management, and weight-based drug doses.