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Childs Health > Paediatric history > Flashcards

Paediatric history Flashcards

1
Q

History taking

A

Introduce yourself
Gain trust and cooperation
Explain what will happen
Observe child as take history

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2
Q

What to look for in history

A

Behaviour
If look unwell
Safeguarding - signs of neglect
Milestones

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3
Q

History taking

A

Presenting complaint
HPC
Birth and development history eg feeding
Immunisation
PMH
FH
SH
Drugs and allergy
Review of systems
Ask - what made you come in today
Summarise back to parents and check havent missed naything

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4
Q

What to ask around long term conditions eg asthma?

A

Hopsital admissions
admission to ITU previously

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5
Q

Questions to ask about birth

A

Neonatal admission
Premature
Vaginal or C section
Traumatic birth
Problems ith mum after birth
Weigth at birth

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6
Q

When does asking about birth become irrelevant?

A

Always ask about birth for exams - might seem silly but any problems when you were born
Older a child is less relevant it is - after age of 10 fairly irrelevant

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7
Q

Immunisations what to ask

A

Up to date
All received - anything missed

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8
Q

Nutrition questions

A

Bottle or breast - need to know normal - if breast then how long, if bottle then how many bottles of how much
Moving onto solids at 6 months
Varied diet
Appetite

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9
Q

What is projectile vomitting?

A

Reaches a distance
Can be forceful and not be projectile

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10
Q

How much will a helathy baby take of milk?

A

150ml/kg/day of milk

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10
Q

How much will a helathy baby take of milk?

A

150ml/kg/day of milk

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11
Q

Breast feeding timings

A

first 5-10 minutes - sweet fore milk
after that - high fat protein content milk that doesnt taste sweet
Normal feed is 20 minutes, ideally on one side

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12
Q

Chronic contipation how ling can go on for

A

4,5,6, weeks

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13
Q

Why issues with compliance ith constipation meds

A

Overflow diarrhoea - smell at school

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14
Q

Why issues with compliance ith constipation meds

A

Overflow diarrhoea - smell at school

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15
Q

Development Qs

A

Height and weight percentiles
Milestones

16
Q

Social

A

Whos looking after child
Pets
Travel
Social services input
Sex and relationships
Hobbies etc

17
Q

Systems review

A

General activity, tiredness
Sleep
School absence
Weight loss
Appetite

Resp systems

18
Q

Resp questions

A

Cough
Wheeze - noisy breathing
Colour change
SOB
Asthma
Prematurity

19
Q

Night cough

A

Asthma

20
Q

Causes of stridor

A

Foreign object
Croup
Anaphylaxis
etc

21
Q

Resp signs in paeds

A

Sternal/subcostal recession
Supraclavicular recession - tripod
Intercostal recession
Barrel chust
Grunting
Nasal flaring
Head bobbing
Tracheal tug

22
Q

What is a red flag sign for babies resp?

A

Grunting
Creating own positive respiratory pressure

23
Q

What be careful of when lsitening to babies chest?

A

Coryzal symptoms - snot and secretions etc sounds like in lungs because have no neck - sound spreads to lungs
Listen to crackles - shows acc chest infection problems

24
Q

Cardiovascular systems review

A

Faints
Cyanosis
Murmus
Oedema
Urine output

25
Q

Gi systems review

A

Diet
Vomitting, diarrhoea
Constipation
Abdo pain
Stool

26
Q

Comitting diarrhoea qs

A

Timeline
Frequency
What looks like - blood, mucus
Contacts
Travel

27
Q

Genitoruinary systems review

A

Enuresis
Dysuria
Frequency
Urine outout
Age of menarche
Dysmenorrhea

28
Q

Neuro

A

Fits, faints, funny turns
Headahces, weakness, hearing and vision

29
Q

What is an irritable baby a sign of?

A

inconsolabel - meningitis, encephalitis etc

30
Q

ENT

A

Earache
Hearing impairment
Recurrent sore throat
Enlarged glands

31
Q

When do you do an ENT exam?

A

End of any examination as often upsets child

32
Q

Skin

A

Lesions, rashes
Itchy
Eczema, dyr skin

33
Q

MSK qs

A

Joint pain, swelling
Limp
Restriction of movement
Paediatric gals

34
Q

Development

A

Gross motor
etc

35
Q

Growth charts consider

A

Height/length
weight
Head circumference

36
Q

What do first if child is quiet

A

Auscultate/listen to chest first

37
Q

TO DO

A

Spotting a sick child

Childs Health (82 decks)

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