Intro to Paeds

Question 1

What additional features are asked about in a paediatric history?

Answer 1

Immunisation history
Developmental history
More detailed SH/FH
Prenatal Hx / Birth Hx / Neonatal Hx

Question 2

What information is in a child’s red book?

Answer 2

Baby check
Immunisations
Growth
Development

Question 3

What additional questions are added to a paeds FH/SH?

Answer 3

Consanguinity of parents 
Family structure
Age of siblings / parents 
Schooling 
Death in family 
Pets 
Any social services support

Question 4

What prenatal Hx questions should be asked in a paeds Hx?

Answer 4

Length of pregnancy
How many pregnancies / outcomes
Complications
Meds during pregnancy

Question 5

What birth Hx questions should be asked in a paeds Hx?

Answer 5

Weight
How long was labour & complications / infections
Apgar score
Intervention needed in delivery

Question 6

What neonatal Hx questions should be asked in a paeds Hx?

Answer 6

Jaundice / cyanosis / resp distress /
Vit K given – otherwise vulnerable to bleeding
Special care baby unit ?
When did the mother and baby go home ?

Question 7

What behavioural Hx questions should be asked in a paeds Hx?

Answer 7

Parental concerns?
Age of milestones – walk, talk, toilet train, sleep
Relationships with siblings / adults / peers
School grades / performance
Behaviour problems

Question 8

What is dysmorphology?

Answer 8

When body parts are in the wrong place / configuration