Fussy infant

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Exam presentChoose any

Exam absentChoose any

FeedingChoose any

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Counseling

Crying often peaks around 6 weeks and usually eases by 3-4 months. Recommended supportive care with an emphasis on swaddling, shushing, rocking, holding skin to skin, and taking turns with another caregiver. If crying feels overwhelming, it is safe to lay the baby on the back in the crib and step away for a few minutes. Return precautions given including fever, poor feeding, fewer wet diapers, persistent vomiting, blood in the stool, unusual sleepiness, breathing trouble, crying that cannot be consoled, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

Note when inserted as is

Fussy infant
• Crying pattern consistent with infantile colic in a thriving infant
• Exam without hair tourniquet, bruising or signs of injury, or hernia
• Feeding reviewed, including volumes, frequency, and burping
• No fever, poor feeding, persistent vomiting, blood in the stool, or poor weight gain
• Discussed the period of PURPLE crying, soothing techniques, and reassurance
• Discussed that it is safe to put the baby down and take a break, and never to shake a baby
• Follow up at the next well child check

Crying often peaks around 6 weeks and usually eases by 3-4 months. Recommended supportive care with an emphasis on swaddling, shushing, rocking, holding skin to skin, and taking turns with another caregiver. If crying feels overwhelming, it is safe to lay the baby on the back in the crib and step away for a few minutes. Return precautions given including fever, poor feeding, fewer wet diapers, persistent vomiting, blood in the stool, unusual sleepiness, breathing trouble, crying that cannot be consoled, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Colic vs fussiness
Exam (tourniquet, injury, fever)
PURPLE crying; never shake

Return precautions in the template

feverpoor feedingfewer wet diaperspersistent vomitingblood in the stoolunusual sleepinessbreathing troublecrying that cannot be consoled

Sources

Pediatric Care Online Key Points: Colic

Few formal guidelines cover this topic, so the template also leans on expert opinion.