Diagnostic Tests for Irritability
Diagnostic Test list for Irritability:
The list of diagnostic tests
mentioned in various sources as
used in the diagnosis of Irritability
- General inspection (if baby, infant or child)
- Current level of any distress
- Note character of cry
- Note presence of stridor or wheeze
- Note any peculiarity in appearance - e.g. dysmorphic.
- Note state of alertness
- Note general state of development
- Note scars, burns, bruises or rashes
- Physical examination (if baby, infant or child)
- Note: it may be difficult to thoroughly examine a crying irritable infant
- Weight, height and head circumference to assess centiles for growth
- Temperature - to assess chance of infection as cause of crying.
- Type and rate of breathing
- Examine abdomen for any obvious distention, tenderness, rigidity, masses, enlarged organs or hernias
- Examine heart and peripheral pulses - heart conditions can be the cause of miserable, irritable babies who are difficult feeders and who gain weight poorly.
- Examine the lungs and note breath sounds and added sounds that may be suggestive of lung disease
- Examine fontanelle (soft spots on babies skull) which may have increased tension with increased intracranial pressure or sunken with dehydration
- Examine neck lymph nodes which will be enlarged in upper respiratory tract infections
- Examine limbs and joints for deformity, tenderness and range of motion
- Examine nervous system including tone and reflexes - e.g. cerebral palsy can cause crying, unsettled babies.
- Examine ears, nose and throat for evidence of infection which can cause a cross, crying baby
- Blood tests (if warranted)
- Full blood count and ESR for evidence of infection and inflammation
- Electrolytes and renal function tests
- Blood sugar
- Liver function tests
- Blood cultures, if fever of unknown origin
- Viral serology tests
- Urine analysis
- Urine microscopy and culture - to rule out urinary tract infection.
- Stool microscopy and culture - may be suggested if diarrhea present.
- Radiological investigations
- Abdominal X-Ray may show signs of bowel obstruction
- Barium enema may be required to confirm intussusception of the bowel
- CT Scan Brain - to rule out brain cancer.
- Renal ultrasound and micturating cysturethrogram (MCU) - to diagnose possible vesicoureteric reflux if baby is diagnosed with urinary tract infection.
- Spinal tap may be necessary if fever present and unknown cause to rule out meningitis
- Mental state examination - including appearance, behavior, rate and continuity of speech, mood, affect, thought content, evidence of any hallucinations or abnormal beliefs, orientation to time, place and person, attention and concentration, short-term memory, insight and judgement.
Home Diagnostic Testing
These home medical tests may be relevant to Irritability causes:
- Child Behavior: Home Testing
- Mental Health (Adults): Home Testing
- Home Drug Tests
- Smoking-Related Disorders: Home Testing:
- Mental Health: Home Testing:
- Brain & Neurological Disorders: Related Home Testing:
Conditions listing medical symptoms: Irritability:
The following list of conditions
have 'Irritability' or similar
listed as a symptom in our database.
This computer-generated list may be inaccurate or incomplete.
Always seek prompt professional medical advice about the cause
of any symptom.
Select from the following alphabetical view of conditions which
include a symptom of Irritability or choose View All.
Conditions listing medical complications: Irritability:
The following list of medical conditions have 'Irritability'
or similar listed as a medical complication in our database.
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