Common Pediatric Complaints

Question 1

How do we best define an illness script?

Answer 1

Structured mental summary of a providers knowledge about a specific disease

Question 2

How does a novice, intermediate, and expert build illness scripts?

Answer 2

Novice: rely on biomedical knowledge to explain disease
Intermediate: organize biomedical knowledge using signs and symptoms to explain disease
Expert: use clinical features to rule in or rule out differential diagnosis

Question 3

3 areas of biomedical knowledge?

Answer 3

Pathophysiology, signs and symptoms, and epidemiological factors

Question 4

What are the 4 components of an illness script?

Answer 4

Epidemiology
Temporal course (how does the disease present with respect to time)
Pathophysiology
Clinical presentation (key differentiating features)

Question 5

3 items under epidemiology?

Answer 5

Demographics
Risk factors
Exposers

Question 6

What are the two items under temporal course?

Answer 6

Duration of symptoms (acute, subacute, chronic)

Pattern of symptoms: constant, episodic

Question 7

two things under pathophysiology?

Answer 7

Known biochemical, anatomical, physiological problem

Any environmental contributors

Question 8

1 thing under clinical presentation?

Answer 8

Key must have clinical features and key must have rejecting features