History Flashcards
1
Q
What to ask in the presenting complaint?
A
When it started? How ---- How it developed? Were he/she well before now? Exacerbating/relieving symptoms? Any contact with infections? (coronavirus!!) Has the child been overseas recently? What Rx has been tried?
2
Q
What to ask when taking a history for an infant?
A
Wet and dirty nappies
Alertness
Weight gain
3
Q
PMH - What you’d ask in utero?
A
Any problems? (e.g. abnormal bleeding, infections, Rh disease) Medication Alcohol Recreational drug exposure Were scans normal Growth
4
Q
PMH - ——–at birth?
A
Gestation Mode of delivery Birthweight Resuscitation requried? Birth injury Malformations
5
Q
PMH - —– as a neonate?
A
Jaundice Fits Fever Bleeding Feeding problems Did they get vit K How long did the baby spend on SCBU? Operations accidents newborn screening tests drugs allergies immunization travel
6
Q
Development
A
Ask about the child learning to sit, crawl, walk and talk
Height and weight
Vision, behaviour, hearing
7
Q
Drugs Hx
A
Prescribed
Recreational
In utero and OTC
Drug intolerances and adverse reactions
8
Q
FH
A
Medical problems that run in the family
Wider family medical, psychiatric and learning difficulties
Child died at young age
9
Q
Social History
A
Whos at home Siblings Same father Play, eating, sleeping, school who looks after the child when the parent is at wor Occupaton
10
Q
Feeding
A
Breast/bottle
Frequency and voume in 24 hfs
Vomiting or posseting after feeds
