history taking

Question 1

what is classed as a neonate?

Answer 1

0-4 weeks

Question 2

what is classed as an infant?

Answer 2

1st year

Question 3

what is classed as preschool?

Answer 3

2-<5

Question 4

what is classed as a school kid?

Answer 4

5-15

Question 5

what is classed as childhood?

Answer 5

1-15 years

Question 6

what is classed as an adolescent?

Answer 6

13-19 years

Question 7

should presenting complaint be given in medical language or language given?

Answer 7

language given e.g. sore tummy

Question 8

what questions should be asked in PMH?

Answer 8

• have you been admitted to hospital overnight before?
• have you any other medical conditions?
• have you had operations in the past?
• drugs?
• allergies?
• immunisations?
• birth history?

Question 9

what questions should be asked about allergies?

Answer 9

• are you allergic to anything?
• allergic to any medicines?
• allergic to any foods?
• have you had an allergic reactions to anything else? (pets, pollen, other animals)

Question 10

what would be asked in birth history?

Answer 10

• account of pregnancy and birth
• where were they born?
• were they brown on time or were they premature?
• what did they weigh at birth?
• any antenatal problems? (exposures, drugs, etc)
• was it a normal delivery/birth? (forceps, ventouse, is a C section, was it planned or elective?)
• were they admitted to SCBU/NICU? If so, why? how long for? what treatment fit they receive? (ventilation, CPAP, antibiotics, oxygen phototherapy)
• any other postnatal issues for mum or baby?

Question 11

what is normal weight at birth?

Answer 11

7-8 lbs

Question 12

what should be asked about for feeding?

Answer 12

• were they breast fed or bottle fed? (if breast fed, for how long?)
• bottle fed (what product, what volume, what frequency?)
• for older children, ask them to run through a typical day to get a better picture

Question 13

what should be asked in developmental history?

Answer 13

• aim to establish the time of achievement of milestones of motor, vision fine motor, social/adaptive, and hearing/language skills
• document any delays or help received such as speech and language therapy
• for older children, find out about school attainment

Question 14

what age is a normal time to learn to walk?

Answer 14

roughly 1 year

-normal to be a bottom shuffler for up to 18 months