History and PE Flashcards
Part of history with basic info
General Data
Part of history with informant’s name, relationship and reliability
General data
Part of history with initial impression and DDx
HPI
Part of history where must not use medical term
Chief Complaint
Part of history that helps uncover related symptoms in other organ system
ROS
Part of history that further elicit relevant data
ROS
included in Past Personal History if <2yo
gestational, birth and neonatal history
where to write APGAR in history?
Neonatal History, under Past Personal History
Hx Parts in Sequence
General Data Chief Complaint HPI ROS Past Personal Hx Immunization Hx Family Medical Hx Socioeconomic Hx Environmental Hx
Contents of Immunization Hx
vaccines and tuberculin test
growth chart that measures whether underweight or not
wt for age
growth chart that measures whether stunted or not
ht for age
growth chart that measures whether wasted or not
wt for ht
wt for age measures…
whether underweight or not
ht for age measures…
whether stunted or not
wt for ht measures…
whether wasted or not
growth chart used for CHRONIC malnutrition
ht for age
growth chart used for ACUTE malnutrition
wt for ht
growth chart used for ACUTE or CHRONIC malnutrition
wt for age
normal RR of newborn
30-60/min
normal RR of 2-12 months old
50/min
normal RR of 1-5 y.o.
40/min
most reliable parameter for growth
Growth Chart
when to compute for BMI
if wt for ht is +1 or +2
-2 wt for age
underweight
-3 for ht for age
severely stunted
-3 for wt for ht
severely wasted
BMI formula
kg/m2
APGAR components
heart rate resp effort muscle tone reflex irritability color
APGAR heart rate scoring
0 = absent 1 = <100 2 = >100
APGAR resp effort scoring
0 = absent 1 = slow and irreg 2= good and strong
APGAR muscle tone scoring
0 = flaccid 1 = some flexion of arms and legs 2= active movement
APGAR reflex irritability scoring
0 = no response 1 = grimace 2 = crying vigorously, sneeze, or cough
APGAR color scoring
0 = blue, pale 1 = pink body, blue extremities, 2 = pink all over
how to measure reflex irritability
reaction to suction of nares with bulb syringe
1 min APGAR scoring
8-10 normal
5-7 some nervous depression
0-4 severe depression, requiring immediate resuscitation
5 min APGAR scoring
8-10 normal
0-7 high risk for subsequent CNS and other organ system dysfunction
Skin color. yung kamay at paa bluish. hypothermia.
acrocyanosis
skin color. yung half of the body with diff color secondary to hypothalamic immaturity
Harlequin sign
skin color. lattice-like appearance
mottling
skin color. bluish mottled appearance
cutis marmorata
skin color. icteric
jaundice