Doctor, my child crying continuously since last 4 hours.

FIRST OBSERVE FOR THE COMMON CAUSE –

Is it hungry?

Is it constipated?

Is it taking its hand repeatedly to any spot.  (Ear/Abdomen/Limbs)?

Palpate the anterior fontanelle. (Bulging fontanelle =  ?Meningitis)

Test for Neck stiffness.

(Neck stiffness =  ?Meningitis, ?Tetanus

With a good torch, inspect both eardrums carefully.

If the eardrum is bulging or inflamed:

Put nasal drops of Xylometazolin in nose, Give antibiotic injection, and refer to a pediatrician.

Palpate all the limbs, chest and back – for signs of injury, swelling or deformity.

Look for marks of insect bite.

Examine the Genitalia for Phimosis and infection

Key points for  Crying infant: Hunger, constipation, infection,/Injury/pain anywhere, Eardrums, Bulging fontanelles, neck stiffness.

Action: 

Feed the baby, if it is hungry.

Give soap stick to empty the rectum.

Give carmicide and spasmindon drops