TABLE 1

Prevalence of Examination Findings by Primary Clinician

FindingPresence of Finding by Primary Assessor, n (%)
General examination
 General appearance
  Well35 (27)
  Mildly ill or distressed40 (31)
  Moderately ill or distressed49 (38)
  Severely ill or distressed4 (3)
 Behavior
  Playing and appropriate33 (26)
  Quiet but appropriate57 (45)
  Sleeping but easily arousable11 (9)
  Fussy but consolable20 (16)
  Irritable6 (5)
  Lethargic, confused, or reduced response to pain1 (1)
Respiratory examination
 Crackles49 (38)
 Decreased breath sounds55 (43)
 Wheezing41 (32)
 Retractions73 (57)
 Rhonchi43 (34)
 Tachypneic89 (70)
  If tachypneic, respiratory rate, mean breaths per minute (SD)46 (12)
 Nasal flaring30 (23)
 Pleuritic chest pain14 (27)
 Grunting14 (11)
 Head bobbing9 (7)
 Observed cough68 (53)
Cardiovascular and perfusion examination
 Cool extremities4 (3)
 Skin color
  Pink and/or normal109 (85)
  Pale or dusky18 (14)
  Mottled1 (1)
 Capillary refill time (s)
  1–2 109 (85)
  3 19 (15)
  4 0 (0)
  ≥5 0 (0)
 Peripheral pulses
  Normal124 (98)
  Bounding3 (2)
Abdominal examination
 Abdominal pain or tenderness14 (11)
Overall impression
 Mild55 (43)
 Moderate63 (50)
 Severe9 (7)