History taking

Question 1

What general questions should be asked in paeds system review?

Answer 1

Weight gain
Appetite
Sleep
Fatigue
milestones

Question 2

What are the cardiorespiratory system review questions to ask in paeds?

Answer 2

Tachypnoea
Grunting
Wheeze
Smoking in house
Cough
Sputum
Exertional dyspnoea

Question 3

What gastro system review questions should be asked in paeds?

Answer 3

Appetite
D and V
Feeding problems
Jaundice
Bleeding
Weight gain

Question 4

What genitourinary questions should be asked in system review for paeds?

Answer 4

Wet nappies (how often)
Haematuria
Dysuria
Discharge
Sexual development
Bedwetting
Menarche
Polydipsia/polyuria

Question 5

What neuro system review questions should be asked in paeds?

Answer 5

Seizures
Drowsy
Headaches
Fits
vision/hearing

Question 6

What ENT questions should be asked in paeds system review?

Answer 6

Noisy breathing
Problems with balance
Ear infections?
Nasal discharge

Question 7

What are the GRUNTING signs of an ill child?

Answer 7

Grunting or high pitched cry
Rib recession - wheeze, stridor, nasal flaring
Unequal or unresponsive pupils
Not using limbs/odd posture
Temp >38 degrees if less than 6 months or >39
I have a bad feeling about this baby
Neck rigidity - meningism, non blanching rash, bulging fontanelle
Green bile in vomit (obstruction)