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Year 6 > Paeds Hx > Flashcards

Paeds Hx Flashcards

1
Q

What are the paediatric symptoms to ask about? (9)

A
  1. Diarrhoea and Vomiting
  2. Soiling/Enuresis
  3. Failure to thrive/weight loss
  4. Weight gain
  5. Walking/sitting delay
  6. Speech delay
  7. Early puberty/late puberty/prirmary amenorrhoea/short stature
  8. Behavioural disorder
  9. Allergies
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2
Q

What features do you want to consider in the paeds diarrhoea and vomiting Hx? (7)

A
  1. How much, how often, any at night?
  2. Colour, consistency and contents? (mucous, blood (diarrhoea), bile (vomiting) )
  3. Weight loss/appetite
  4. Associaciated feature: abdominal pain
    Paeds specific (checking for hydration):
  5. Wet nappies
  6. Fluid intake
  7. Drowsiness
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3
Q

What features do you want to consider in the paeds soling/enuersis Hx? (7)

A
  1. Primary or Secondary
  2. Full account of toilet training
  3. School toileting behaviours
  4. Protest behaviour (stressful/chaotic life)
  5. If soiling - faeces consistency (constipation/ diarrhoea)
  6. Any painful anal conditions? e.g. anal fissure
  7. If enuresis: have they ever had a dry night? (then you can determine if primary or secondary)
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4
Q

What features do you want to consider in the paeds failure to thrive/weight loss Hx? (12)

A
  1. Ask to see growth chart
  2. Input: Detailed dietary Hx, Feeding history, hunger
  3. Use: Energy/Activity level
  4. Output: Wet nappies, Stools
  5. Chronic cough- think of CF
  6. Recurrent infections - think of CF, primary ciliary dyskinesia, immunological
  7. Sweating/breathless when feeding - think of cardiac
  8. Behaviour
  9. General Health
  10. Happiness
  11. Parents health
  12. Ask about associated GI symptoms
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5
Q

What features do you want to consider in the paeds weight gain Hx? (4)

A
  1. Ask to see growth chart
  2. Input: Detailed dietary Hx, feeding Hx, hunger
  3. Use: Energy/Activity levels
  4. Output: Wet nappies, stools
  5. Hypothyroidism symptoms
  6. Cushing’s syndrome symptoms
  7. Syndromic symptoms e.g. Laurence-Moon, Prader Willi
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6
Q

What are the paeds Hypothyroidism symptoms? (5)

A
  1. Growth impairment
  2. Delayed puberty
  3. Mental slowness
  4. Constipation
  5. Cold intolerance
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7
Q

What are the paeds Cushing’s syndrome features? (3)

A
  1. Growth impairment
  2. Proximal weakness
  3. Central obesity
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8
Q

What are the features of Prader Willi? (3)

A
  1. Poor muscle tone
  2. Distinct facial-features
  3. Lack of eye coordination
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9
Q

What features do you want to consider in the paeds Walking/sitting Hx? (6)

A
  1. Age of milestones
  2. Mobility
  3. Balance problems
  4. Hand dominance
  5. Behavioural problems
  6. Associated neurological symptoms
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10
Q

What features do you want to consider in the paeds Speech delay Hx? (3)

A
  1. Ages of milestones
  2. Senses: hearing, vision, vocals
    Communication:
  3. Comprehension
  4. Non-verbal communication (pointing, gestures, facies)
  5. Social responses: (how acts in new situation, tantrums, playing, gestures)
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11
Q

What do you look out for when checking comprehension communication skills? (2)

A

Follows commands, responds to voice

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12
Q

What do you look out for when checking non-verbal communication skills? (3)

A
  1. Pointing
  2. Gestures
  3. Facies
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13
Q

What do you look out for when checking social communication skills? (4)

A
  1. How they act in new situations
  2. Playing
  3. Tantrums
  4. Gestures
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14
Q

What features do you want to consider in the paeds early puberty/late puberty/ primary ammenorrhoea/ short stature Hx? (4)

A
  1. Pubertal development review
  2. Intracranial pressure symptoms
  3. Family pubertal/stature Hx
  4. Symptoms of other systemic diseases (thyroid disorder, CF, anorexia, Crohn’s)
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15
Q

What questions do you ask in pubertal review? (7)

A
  1. Testes
  2. Breast development
  3. Menarche
  4. Pubic/axillary hair
  5. Height
  6. Acne
  7. Mood changes
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16
Q

What features do you want to consider in the paeds Behavioural disorder Hx? (3)

A
  1. ADHD symptoms
  2. Conduct disorder symptoms
  3. Autism symptoms
17
Q

What are the ADHD symptoms? (3)

A
  1. Poor concentration (inattentiveness)
  2. Hyperactivity
  3. Impulsivity
18
Q

What are the Conduct disorder symptoms? (3)

A
  1. Hostile
  2. Aggressive
  3. Cruel
19
Q

What are the Autism symptoms? (5)

A
  1. Repetitive behaviours
  2. Poor social interaction
  3. Restricted interests
  4. Difficulties recognising/responding to emotions
  5. Reciprocal communication behaviour
20
Q

What features do you want to consider in the paeds Allergy Hx? (9)

A
  1. Pattern
  2. Frequency
  3. Persistent/Intermittent
  4. Reaction: wheeze, rash, sneezing/itchy eyes, abdo pain/diarrhoea, swelling of eyes/eyelids/tongue
  5. Specifically ask about anaphylaxis symptoms
  6. Triggers/assocaitions: pollen/season, dust, grass, food, chemical, pets, latex
  7. Atopy in childhood and family (asthma, hayfever, eczema)
  8. Home feature: pets, heating, dampness
  9. Social: smokers in the family, exposure to pollutants
21
Q

What foods typically cause allergy in children? (6)

A
  1. Milk
  2. Eggs
  3. Wheat
  4. Peanuts
  5. Fish
  6. Shellfish
22
Q

What questions do you ask in a paeds rash Hx?

A
  1. Duration, Progression, Frequency
  2. Sites, size, shape
  3. What does it look like?
  4. Blisters/ raised areas?
  5. What colour?
  6. Does it blanch?
  7. Exacerbating/relieving factors: heat, sunlight, cold, treatment, allergies
  8. Associated rheumatological symptoms?

Year 6 (18 decks)

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