Skip to main content

Irritable Infant, Emergency Medicine

David H. Rubin Reviewed 06/2017
 


Basics

Description

  • Most children have some period of the day when they are most irritable, usually toward the evening:

    • Normal infant crying ranges from 1–4 hr by 6 wk of age.

    • During the 1st 6 mo of life,...

Diagnosis

Signs and Symptoms

  • Vital signs

  • Chief complaint

  • Chronology of events

History

Obtain complete history (including neonatal history) and information regarding routine feeding, crying. 

Physical Exam

  • As...

Treatment

Pre-Hospital

As determined by history, physical exam, and lab studies 

Initial Stabilization/Therapy

  • Manage underlying conditions; stabilize airway, breathing, and circulation (ABCs).

  • Immediate ...

Follow-Up

Disposition

Admission Criteria

  • Life-threatening underlying condition

  • Significant parental stress secondary to crying infant

Discharge Criteria

  • No serious condition

  • Functional and supportive family

  • ...

Pearls and Pitfalls

  • Address life-threatening/serious causes of irritability first:

    • Cardiovascular: Supraventricular tachycardia, congestive heart failure, endocarditis/myocarditis

    • Neurologic: Subdural/e...

Additional Reading

  • Benjamin  JS, Chong  E, Ramayya  MS. A preterm, female newborn with tachycardia, hypertension, poor weight gain, and irritability. Clin Pediatr (Phila).  2012;51(10):994–997.

  • Fr...

Codes

ICD9

  • 780.91 Fussy infant (baby)

  • 780.92 Excessive crying of infant (baby)

  • 789.7 Colic

ICD10

  • R10.83 Colic

  • R68.11 Excessive crying of infant (baby)

  • R68.12 Fussy infant (baby)

SNOMED

  • 444951002 fussy infant (...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×