History Taking

Question 1

History taking in pediatric patients is unique and distinctive for the ff reasons:

Answer 1

1) Content variations:
a. Prenatal and birth history
b. Devn’tal hx
c. Social hx of the family-env’ntal risks
d. Immunization hx
e. Fedding Hx

2) Indirect source of clinical info (given by parents)

Question 2

6 basic concepts in obtaining a very good clinical hx of the patient

Answer 2

1. Pursue symptoms like a hound dog
2. Keep on track to avoid error in diagnosis and unnecessary lab procedures
3. Dont accept dx of the parents but pursue the clinical features that enable the parents to reach such conclusion
4. Keep an open mind and follow the scent
5. Be flexible in obtaining data
6. Start interview with a positive note

Question 3

General Data includes

Answer 3

Name
Age ( BDate)
Sex
Ethnicity (race)
Address
Religion
# and date of hospital admissions
Informant
Relation of informant
Relliability of the informant

Question 4

Reliability of the informant depends on

Answer 4

1. Relationship of the Ix to the Px
2. # of hours the Ix stays with Px
3. Educational attainment of the Ix
4. Involvement of the Ix in the care of the Px

Question 5

Answers the wuestion: Why was the px brought to the hospital

Answer 5

Chief complaint

Question 6

HPI

Answer 6

1. S/S Chronological order, from the start of the illness
2. Proper paragraphing and underlining
3. Use specific number of, hrs, days, weeks, months

Question 7

Elaborate symptoms as to:

Answer 7

OPQRST

Question 8

Of value in the differential diagnosis

Answer 8

Pertinent negatives

Question 9

Describes the course if the illness since the last admission

Answer 9

Interval History

Question 10

ROS: General

Answer 10

WAAG
Weight gain/loss
Activity level
Appetite
delay in Growth

Question 11

ROS

Answer 11

General
Cutaneous
Head
CV
Respi
Gastrointestinal
Gen/Uri
Endocrine
Nervous/Behaviour
Musculoskeletal 
Hematopoietic

Question 12

Components of the History

Answer 12

A. General data
B. Chief complaint
C. HPI
D. ROS
E. Personal Hx
F. Immunization Hx and Tuberculin Test
G. Family Hx
H. Socioeconomic Hx
I. Environmental Hx

Question 13

Components of Personal Hx

Answer 13

A. Gestational Hx
B. Birth Hx
C. Neonatal Hx
D. Feeding Hx
E. Development and Behavioural Hx
F. Past Illness

Question 14

Age to include Gestational birth and neonatal history

Answer 14

Less than 2

Question 15

Age of young children

Answer 15

1 to 5

Question 16

Age of middle childhood

Answer 16

6 to 11

Question 17

Age of adolescence

Answer 17

10 to 20

Question 18

HEADS/S FIRST

Answer 18

Home
Education
Abuse
Drugs
Safety
Sexuality
Family
Image
Recreation
Spirituality and connectedness
Threats and violence

Question 19

What is DDST and what age

Answer 19

Denver Developmental Stage Test

Young children

Question 20

Age for Tanner’s Maturity Rating

Answer 20

Middle Childhood (6 to 11)