, Neurologique : ? PC du jour : ? Percentile : ? Cassure : oui/ non ? Fontanelle antérieure : normotendu/ bombé/ déprimé ? Réflexes archaïques (succion/ grasping/ moro/ marche automatique) présent/ absent ? Suivi de la cible : correct, POM, couche de soleil, Examen physique standardisé : 1. Hémodynamique : ? Constantes à l'accueil : ? Stabilité : TRC , perfusion 2

. Symétrique-/-asymétrique,

?. Rot, oui/ non ? Pouce adductus: oui/ non Pulmonaire : ? FR : ? Travail respiratoire : ? Auscultation : 5. Digestif : Abdomen souple

, Cutanée/ ORL : ? Pas d'hématome ni pétéchies ni douleur élective osseuse ? Pas de muguet/ Irritation du siège. ? Sphère ORL libre

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