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Richardson, B. (2013). Pediatric Primary Care (second
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Resources
Editor's Notes
Rule of 3 Crying for 3 hours a day3 days a weekDuring first 3 mos of lifeDx Criteria:Fussy, irritability, or crying that starts and stops without obvious causeEpisode lasting 3 or more hours/day and occuring at least 3 days/week for at least 1weekNo Failure to thrive (Richardson, 2012)Etiology unknown, rate 25% on infantsMales = females, all socioeconomic levels, breastfed and bottlefeedThis is the baby that: crying incosolabe rule of 3s, cyring more intesnts, ask prents about other symptosm such as vomiting regurg, , detailed dietPE: Anthroprometrics normal, belly mild distension, check baby for incarcerated hernia, testicular torsion, hair tourniquet. Dx: noneMgmt: 2 week trial of hypoallergeric formula ( isomilsenstive, Gerber sensitive) White nose, soft music, avoid over stimmulation, swaddling, *reassurance