Pediatric Evaluation

Question 1

GOLD STAR - what is the purpose and importance of well child visits?

Answer 1

Prevention - immunizations, nutrition, safety
Tracking growth and development, milestones
Parent concerns/questions
Physician can perform and address any abnormal findings
Establishes a medical home :’)

Question 2

GOLD STAR- bright futures

Answer 2

a resource for well child exam, mile stones, etc

Question 3

If you see a new baby, what should you ask mom?

Answer 3

check in on her mental health and screen for postpartum depression

Question 4

GOLD STAR - What is a big difference w pediatric history gathering?

Answer 4

Comes from parents! parents could be hyper-vigiliant or trying to be blissfully unaware
Educate, reassure, explain

Question 5

GOLD STAR - PMH for a child <5 years old should include what?

Answer 5

Pregnancy history - medication, complications, and prenatal care, possibly Apgar score
Nursery history - NICU, well baby hx, if bb went home w mom, passed O2Stat test
Especially if chronic illness, developmental delay, resp issues, etc

Question 6

GOLD STAR - developmental history

Answer 6

Big difference between adults and kiddos

Discuss age appropriate milestones, starting with minimal age specific skills, moving to age appropriate, and then asking about some advanced skills

Question 7

GOLD STAR - PE for children needs to include…

Answer 7

Longitudinal assessment of height, weight, BP, and sexual maturity

Question 8

Anticipatory guidance for bb kiddos

Answer 8

things they can expect to see before next visit, safety counseling, discipline or behavior advice, and what they can do to stimulate development of bb

Question 9

GOLD STAR - on PE, what is important to keep in mind when taking VS?

Answer 9

VS are different for different age groups. can also be altered if the child is stressed or agitated from PE.

Question 10

GOLD STAR - tips for PE of pediatrics

Answer 10

Open door slowly, don’t knock kiddo down
Be gentle and don’t be big. read the room.
Ask parents how to make child more comfortable
Try to perform some of PE on laps - kid feels better

Question 11

How should a genital exam be performed on a child?

Answer 11

have parent join you at exam table
Ask if they have had good touch bad touch
Make sure kid knows you are doc, parent is there
In older kids, have chaperone
Alway protect pt modesty