Learning guide Flashcards
What is a neonate?
Less than 4 weeks old
What is an infant?
Less than 1 year old
What is a toddler?
1-2 years old
What is pre school age
2-5 years old
What is school age
5 years and up
What is adolescent?
12-18 years
Should you see a child on your own as an undergraduate?
No!
What are the stages of a paediatric history?
Preparation and context- Read notes, observe child playing
Intro- Get to know patient and ask person present their relationship
PC- Main reason come in
HPC- Chronological
PMH- Similar previous issues, other current problems,operations, chickenpox
Birth hisotry- Gestation, mode of delivery, birth weight, mothers antenatal health, problems in labour, need for resus, neonatal care. Detail depends on age and problems
Immunisation
Development- Milestones
Drugs and allergies
FH- Parents and siblings age and health. Any one else who lives with them, Have other family members been unwell recently, conditions in family, genetic conditions, asthma, eczema, hayfever
SH- Nursery or school. What year any problems, Parents smoking, Housing, parents jobs, pets, social contacts,
General and systematic review:
ICE of parents or children if appropriate
Summary, further discussion, safety net
What are the 5 domains development is assessed in?
Gross motor
Fine motor
Speech and language
Social
Self help
What are some key milestones that are red flags if not reached by a certain age?
Not smiling at 2 moths
not sitting unsupported by 9 months
Not walking unsupported by 18 months
No words by 2 years
What are gross motor, fine motor, language, social and self help skills that should be reached by 3 months
What are gross motor, fine motor, language, social and self help skills that should be reached by 6 months?
What are gross motor, fine motor, language, social and self help skills that should be reached by 9 months
What are gross motor, fine motor, language, social and self help skills that should be reached by 12 months
What are gross motor, fine motor, language, social and self help skills that should be reached by 18 months