Paediatric History Flashcards
1
Q
Preparation and context?
A
- Reasons for consultation before starting
- Check child’s name, age and gender before
- Observe child if playing before consultation
2
Q
Introduction
A
- Introduce and confirm child’s details
- Identify everyone in the room and how they relate to child
- Make eye contact
3
Q
Presenting complaint
A
Main reason child is there
4
Q
History of Presenting Complaint
A
- Usually parents’ observation
- Onset, progression, variability, timings, new symptoms, effects on the child, treatment so far?
- Descriptive and Inquisitorial
5
Q
Past Medical History
A
- Similar previous issue?
- Other current problems
- Previous hospital attendance, operations or procedures
- Specific infections e.g. chicken pox
6
Q
Birth History
A
- Gestation, mode of delivery, place of birth, birth weight, mothers antenatal health, any neonatal care after birth?
7
Q
Immunisations
A
Had? Missed? Additional?
8
Q
Development
A
- Basic enquiry for all
- Check key milestones
- Any involvement of development team
9
Q
Drug history and Allergies
A
- For this illness
- Any previous regular medication
- Any current regular medication
- Any allergies
- Liquid form ml (mg/mcg)
10
Q
Family History
A
- Family dynamic
- Parents. siblings, others at home
- Any family members been unwell recently?
- Any relevant conditions in the family? e.g. Asthma, eczema in a child presenting with breathing difficulties
11
Q
Social History
A
- Nursery or school?
- Social history factors of parents
- Housing, parental occupation, smoking contacts, pets and social stresses
12
Q
General enquiry and systems review
A
- Similar to adults
- Consider how to ask in younger children
- Many symptoms are non-specific in children
13
Q
Addressing parents’ (and child’s concerns)
A
- What made them come today?
- What concerns do they have
- What were they hoping for or looking to understand
14
Q
Summary and closure?
A
- Further discussion as required and repeat key points
- Check understanding and ensure good safety netting
