🩺 Clinical Approach to Irritable Infant: Step-by-Step Algorithm
🔹 Step 1: Triage for life-threatening causes
• ABCs: respiratory distress, shock, altered mental status.
• Signs of increased ICP (bulging fontanel, vomiting, sunset sign).
• Surgical abdomen: bilious vomiting, abdominal distention, absent bowel sounds, irreducible hernia.
🔹 Step 2: Identify red flags for serious illness
• Fever → consider UTI (most common serious bacterial infection in febrile infant), meningitis, sepsis, pneumonia.
• Poor feeding, lethargy, dehydration.
• Trauma: bruising in non-mobile infant, retinal hemorrhages, unexplained fractures.
• Scrotal swelling (testicular torsion), inguinal mass (incarcerated hernia).
🔹 Step 3: Evaluate for common non-emergent causes
• Colic: infant well otherwise, normal growth, crying predictable (Wessel criteria).
• GERD: arching, postprandial, poor weight gain, respiratory symptoms.
• Cow's milk protein allergy: vomiting, diarrhea, blood in stool, eczema, poor weight gain.
• Constipation: hard stools, abdominal distention.
• Otitis media: ear tugging, fever.
• Hair tourniquet: inspect digits, penis, clitoris.
🔹 Step 4: Diagnostic testing (if red flags)
• Febrile infant <3 months: CBC, blood culture, UA/UC, LP (if indicated).
• Suspected intussusception: abdominal ultrasound.
• Suspected abusive head trauma: CT head, skeletal survey, retinal exam.
• Suspected UTI: urinalysis and culture (catheter specimen).
🔹 Step 5: Management of colic and caregiver support
• Reassurance: normal crying curve, resolves by 3-4 months.
• Soothing techniques: swaddling, white noise, rocking, pacifier.
• If suspected milk protein allergy: trial of extensively hydrolyzed or amino acid formula (2 weeks).
• Avoid medications: simethicone, anticholinergics, sedatives not effective/harmful.
• Educate: Never shake a baby. Safe place (crib) and walk away if frustrated.