Paediatric History

Question 1

List the 10 parameters found on under 5 clinic card.

Answer 1

-Child’s name and date of birth
-Immunization record
-Nutritional Satus
-Vitamin A supplementations for the mother
-Developmental milstones
-Growth charts
-Height /Length
-weight
-Mother/ Guardian details
-Deworming

Question 2

State the vaccines given and the ages at which they are given

Answer 2

-BCG vaccine (Bacillus Calmete Guerin)
*Type: Live attenuated
*Age : At birth
*Purpose : Protection against tuberculosis
*Dose: 0.05ml
*Number of doses: 1
*Route: Subcutaneous
*Site: Forearm

-Polio (OPV-0) vaccine
*Type: Live attenuated
*Age: At Birth to 13 weeks
*Purpose :Protection against poliomyelitis
*Dose: 0.5ml
*Number of doses : 1
*Route: Oral
*Site: Mouth

-Polio( OPV-1,2,3) Vaccine
*Type : Live attenuated
*Age: 6, 10, 14 weeks
*Dose: 0.5ml (1 dose)
*Route: oral
*Site: Mouth

DPT-HepB-Hib (Diphtheria, Pertussis, Tetanus, Hepatitis B, Haemophilus influenzae type b) Vaccine
Type: Killed fractions
DPT: Killed fractions
HepB: Killed fraction
Hib: Killed fraction
Purpose: Protects against diphtheria, pertussis, tetanus, hepatitis B, and Haemophilus influenzae type b infections.
Age of Immunization: At 6, 10, and 14 weeks
Dose: 0.5 ml
Number of Doses: 3
Route: Intramuscular (IM)
Site: Left thigh

-Measles Vaccine
Type: Live attenuated
Purpose: Protects against measles.
Age of Immunization: At 9 months and 18 months
Dose: 0.5 ml
Number of Doses: 2
Route: Intramuscular (IM)
Site: Left deltoid (shoulder)

-OPV-4, If OPV-0 was missed at birth
-Type: Live attenuated
-Age at immunization : 9 months
-Purpose : Protection against poliomyelitis
-Dose: 0.5ml (1)
-Route: Oral
-Site : Mouth

-Rotavirus ( 1 and 2):
-Type : Live attenuated
-purpose :Protection against Rotavirus infection
-Age at immunization : at 6 and 10 weeks
-Dose: 0.5 (2)
-Route: Oral
-Site: Mouth

-Pneumococcal conjugated vaccine (PCV 1, and PCV 2)
-Type: Killed fractions
-Purpose: Protection against Pneumococcal infection
-Age at immunization: At 6, 10 and 14 weeks
-Dose: 0.5ml (3)
-Route: Im
-Site: Right thigh

Question 3

What are the key developmental milestones?

Answer 3

-Social smile (4-6 Wks)
-Head holding /Control (1-3 months)
-Turns head toward sound of origin (2-3 months)
-Extend hand to grasp a toy (2-3months)
-Sitting (5-9 months)
-Standing (7-13 months)
-Walking (12-18 months)
-Talking (9-24 months)