MEMORIZE H&P Flashcards
PEDS HX short & Long
I will perform a comprehensive HPI, PMHx, meds, allergies, developmental, peripartum, vaccination, social history
I would perform a comprehensive history of presenting complaint, as well as Pmhx including previous admissions and surgical history, medications, allergies and vaccinations. I would ask about any challenges around pregnancy, birth and peripartum history, developmental history and difficulties with milestones. I would obtain a social history and inquire about home setting, hx of abuse in the home, available supports, parental occupation and exposure to cigarette smoke
neonatal P/E
I would perform a thorough head to toe general examination looking for features of dysmorphism or congenital abnormalities, signs of spinal dysraphism, and neonatal
reflexes (Moro, grasp, etc).
From an orthopedic perspective I will check the cervical spine, upper and lower
extremities for any congenital abnormalities, ranging each joint, ensuring the hips are
reduced and stable, checking leg lengths.
Details:
General: height, weight, general nutritional status, nevi, hemangiomas, rashes, petechiae,
jaundice, obvious areas of bruising, or deformity
Head: head size and shape, fontanelles (should be present and soft)
Eyes: hyper/hypotelorism, slant of palpebral fissures, EOM, sclera, corea, red reflex
Ears: position of ears, tympanic membranes
Nose: discharge, nasal septum
Mouth and throat: lips for fissures, buccal mucosa, tongue teeth and gums
Neck: trachea midline, thyroid
Chest: heart sounds, breath sounds, pectus deformities
Abdomen: inspection, shape, distension, hernias
MSK:
UE: number of fingers, mobile supple joints, deformity, edema, symmetry, ROM
shoulder elbow wrist
LE: Hips in joint /barlow ortolani Galeazzi, knee ROM, supple joint, ankles and foot
deformities, IR/ER hips
Sacral dimpling
Pediatric reflexes (moro, grasping, etc)
