Paeds Histories

Question 1

How would you characterise a fever?

Answer 1

Duration 
Recorded? Highest reading?
Progressive?
Anyone else had a fever?
When does it peak?
Responsive to medications?

Question 2

How would you characterise a convulsion?

Answer 2

Body Part
Duration
Witnessed?
Biting tongue?
Confusion after?
Aura?
Medicated?

Question 3

How would you characterise a rash/bruise?

Answer 3

Colour
Distribution 
Painful? Itchy?
History of trauma?
Bleeding elsewhere?

Question 4

How would you characterise cyanosis?

Answer 4

Site
Onset
Persistence
Aggravating/Relieving factors

Question 5

How would you conduct a paediatric systems review?

Answer 5

Skin - Bumps, rashes, bruises

Cardiorespiratory - chest pain, shortness of breath, cough, coryza

GI - D&V, Constipation, Abdominal pain

Urinary - Normal? Blood? Amount? Pain?

Musc - joint pains

General, Fevers, tiredness

Feeding

Question 6

BINDS

Answer 6

Birth
Immunisations
Nutrition
Development
Social History (School, home etc)

Question 7

How would you structure a paediatric history?

Answer 7

HPC
ICE
Systems Review
PMH
Drug Hx
BINDS (birth, immunisation, development, nutrition, social)
HEEADSSS (Home, education, eating, activities, drugs, sex, self harm, safety/social worker?)