If a child seems frightened or cries during the physical examination in a way that limits your ability to do a proper assessment, try this trick. Once you notice apprehension, finish a cursory exam and let the parents know you will be back later to recheck. If you are lucky, on the second visit to the bedside, the child will remember that you were not "dangerous." Often, with each subsequent visit, the child will warm up to you more and more, allowing for a more reliable examination and a better experience for all.
—D. Brady Pregerson, MD
Los Angeles
