Paediatric History Flashcards
1
Q
Topics to ask in a general paediatric history
A
Presenting complaint
History of presenting complaint
ICE!!!
Past medical history
Growth and development
Drug/Allergy history
Family history
Social history
2
Q
Presenting complaint and History of presenting complaint
A
Open question
Obtain chronological order of the mode of presentation, sequence and duration of symptoms , management so far
Ask system specific questions e.g, SOCRATES for pain
Been anywhere recently?
3
Q
What are some symptoms to ask about in presenting complaint?
A
- General: Fever, Behaviour, Activity, Rashes, Growth and Weight, Sleeping, Feeding, Playing
- Cough, noisy breathing (stridor, croup, wheeze), dyspnoea,
- Vomiting, abdo pain/bloating, diarrhoea/constipation
- Wetting/nappies/toilet trained, dysuria, frequency
- Seizure/fits, headaches, abnormal movements
- Sore throat, earache
4
Q
Past medical history
A
- Medical illnesses - previous and present
- Previous hospital admissions
- Vaccinations
- Had anything like this before?
- Birth history - any problems?
- ALWAYS ASK ICE
5
Q
Drug & Allergy history
A
- Current medications - dose, frequency, route
- Relevant recent medications
- Over the counter
- Allergies - food or drug etc and what is the reaction
6
Q
Family history
A
- Any familial diseases?
- Anyone else ill?
- How are siblings doing if any?
7
Q
Social history
A
- Who else is at home? - parents, siblings etc
- How is school going?
- Hobbies/pets
- Recently travelled anywhere?
- Housing situation
- Parental smoking?
8
Q
Growth & Development
A
- Appropriate weight, height/length, head circumference for age
- Milestones -
- Gross motor
- Fine motor and vision
- Hearing, speech and language
- Social
- Developmental milestones to ask
- Smiling by 6 weeks
- Sitting by 9 months
- Turns to sounds by 6 months
- First words by 18 months
- Talking 3 word sentences by 3 years
