Paediatric history Flashcards
What would you ask about on general systems review of a child?
- Fever
- Behaviour
- ACtivity/apathy/alertness
- Rashes
- Growth and Weight
What would you ask about when assessing cardiovascular and respiratory system in a child?
- Cough
- Noisy Breathing - stridor etc
- SOB
- Cyanosis
What would you ask about when enquiring about the GI system in a child?
- Vomiting
- Abdo Pain/distention
- Diarrhoea/cpnstipation
- Feeding
- Reflux
- Jaundice
What would you ask abot in addition to your standard history questions in a paediatric history?
REMEMBER PIG FEED
- Pregnancy/Birth
- Immunisations
- Growth
- Feeding
- Development
What would you want to ask about the Pregnancy/birth in a child?
- Pregnancy - any problems/scan anomalies
-
Birth history
- Location, MOD, gestation, birth weight
- Birth Complications
- Neonatal complications
What would you want to ask about growth in a child?
- Weight - ask to see red book
- Pubertal developemtn
What would you want to ask about feeding in a child?
Think in and out
IN - Diet/appetite - normal diet?
- Bottle/breast fed? - type, volume, frequency, difficulties
- Weaning
- Solid meals and cow’s nilk
OUT - Toileting
- Toilet training
- Frequency - wet nappies
What would you want to ask about development in a child?
- Any concerns
- School progress
- Developmental screen if <5 years
What would you screen for in terms of developmental milestones?
- SMiling - 6 weeks
- Turns to sound - 6 months
- Siting - 9 months
- First word - 18 months
- Walking - 18 months
- Short sentences - 3 years
What developmental red flags would you look out for in a paediatric history?
- Loss of skills
- Not fixing/following objects
- HEaring loss
- Low muscle tone/floppy
- Can’t hold objects by 5 months
- Can’t sit unsupproted at 12 monts
- Can’t walk - 18-24 months
- Persistent toe walking
- No speech 18 months
What would you wak about in the social history of a full paediatric history?
- Family unit - draw a family tree if possible
- Smokers in the family
- Housing situation
- Social services/safeguarding concerns
- Playgroup/school/nursery?
- Hobbies/travel/pets
What is always important to do at the end of apaediatric history?
- ICE
- Safety netting
What would you ask about GU on systems exam in a child?
- Wet nappies/toilet trained
- Dysuria
- Frequency
What neuromuscular features would you ask about on systems exam in a paediatric history?
- Fits/seizures
- Headaches
- Abnormal movmeents
What features would you ask about for systemic enuiry about ENT in a paediatric history?
- Sore throat
- Snoring
- Earache
