History - paediatric presenting complaints Flashcards
1
Q
Soiling/enuresis
A
- Primary or secondary
- Toilet training
- School toilet behaviour
- Protest behaviour
- If soiling - consistency, painful anal conditions
- If enureis - ever had dry night
- If secondary - urinary, GI, spinal compression symptoms
2
Q
Failure to thrive/weight loss
A
- Growth chart
- Input - diet, hunger
- Use - energy, activity level
- Output - wet nappies, stools
- Others - chronic cought (CF), recurrent infection (CF), sweating/breathlessnes when feeding (cardiac), behaviour
- GI symptoms
3
Q
Weight gain
A
- Same as failure to thrive - growth chart, input, output
- Hypothyroid - growth impairment, delayed puberty, cold intolerance
- Cushings - central obesity, proximal weakness
- Syndromic features
4
Q
Walking/siting delay
A
- Milestones
- Mobility
- Hand dominance
- Balance problems
- Behaviour problems
- Neuro symptoms
5
Q
Speech delay
A
- Milestones
- Senses
- Communication - understanding, social, non-verbal
6
Q
Early/late puberty, primary amenorrhoea
A
- Pubertal development review
- ICP - visual problems, headache
- Family puberty status
- CF, thyroid, Crohns, anorexia
7
Q
Behaviour problems
A
- ADHD - poor concentration, hyperactivity
- Conduct disorder - hostile, aggresive, cruel
- Autism - social interaction, rituals, restricted interests
8
Q
Allergies
A
- Pattern
- Reaction - wheeze, rash, sneezing, pain, swelling
- Anaphylaxis symptoms
- Triggers/associations
- Family atopy
- Home - heating, damp, pets
- Social - smoking, pollutants
