Symptoms Qs

Question 1

Cough Qs

Answer 1

Timing - Since? On/Off or C? Worse?

Character of Cough***
- Dry or Chesty? - CCVO
- Sound?
– Barking cough?
– Whooping sound at the end?
– Honking cough?

Alleviating and Aggravating Factors

SOB? Difficulty Breathing?
- Older Child – Ask both
- Younger – Difficulty breathing
Noisy Breathing?

Question 2

Fever Qs

Answer 2

Temperature? Chills?
Medication? Effective?

Question 3

Breathing Difficulty Qs

Answer 3

Describe
- Struggling to Breath
- Coughing
- Noisy Breathing
– (if +) Whistling or Rattling Sound?

Timing - Since? On/Off or C? Worse?
A&A Qs
Cough**
- Dry or Chesty
- Sounds

KP - Respiratory Distress Qs
RD - Indrawing of the neck and stomach muscles on breathing?
Apnea – did you notice any episode that she stopped breathing for a few seconds?
Cyanosis – Did she turned blue at any time?

Question 4

Rash Qs

Answer 4

Since?
Where did it start? Spreading?
Characteristic
- Color?
- Allergy - Feel rough or raised? Itchy?
- Infection - Warm to touch? Painful to touch? Discharge?

Question 5

Sore Throat Qs

Answer 5

Describe
- Pain on swallowing or Difficulty in swallowing
Timing Qs
A&A

Question 6

Well Baby Qs

Answer 6

Level of Consciousness?
Bowels Motion?
Waterworks?
Appetite/Intake?

Question 7

BINDSMA

Answer 7

Birth
Immunization
Nutrition
Development - Growth, Dev Ped
Social Hx - Sick Contact, Psychosocial
Medications
Allergies

Question 8

Speech Delay Qs

Answer 8

Since
Describe Speech Problem
- Difficulty Talking
- Repeated Words
- Doesn’t understand instruction

Question 9

Social Hx

Answer 9

School
- How are things going at his school?
- Bullying?
Home
- How are thing going at home?
- Any similar behaviors at home?
- Relationship with you and the siblings?
- Any recent changes or event in the family?
- Hx of aggression or inattention at home?

Question 10

Fight at School Qs

Answer 10

Tell me more about the fight
Social Hx - Home and School

Question 11

Attention in School Qs

Answer 11

Change or drop in his school performance
Social Hx - School and Home

Question 12

Neonatal Jaundice Qs

Answer 12

Jaundice - Timing, A&A, Part of Body, Pale Stools and Dark Urine
Birth hx Qs
Nutrition Hx Qs
Development Qs - Growth Chart

Question 13

Birth Hx Qs (Neonate)

Answer 13

Pregnancy - Infection/Fever, DM/HTN, Medications
Delivery - NSD/CS, Term/Pre-T, Long Del/Instrumental
After Delivery - Heel Prick Test
Blood Group Mom?

Question 14

Nutrition Qs (Neonate)

Answer 14

Breast fed or formula fed?
Frequency? How much each Session? Breast milk is enough?
Concern about breast feeding? - Technique, Cracked Nipples, Breast Pain

Question 15

Neck Lump Qs

Answer 15

Timing Qs
Neck Qs
- Site - Midline, Both Sides
- # - Single or Multiple
Lump Qs
- Size, Shape
- Consistency (Hard or Soft)
- Tender
- Movable
- Skin change

Question 16

Headache Qs

Answer 16

SIQORAA

Question 17

Birth Hx

Answer 17

Pregnancy Hx
- Infection?
- Complication – High BP or BSL,
- PROM – Break your water early?
- Medications, Alcohol, Drugs
- Blood Test and Scans Normal?
Delivery Hx
- Term or Pre-Term
- NVD or CS?
- Delivery Complications? – Instruments, Long Delivery
- Cry Normally after delivery? Resuscitation?
- Meconium Aspiration – Did they tell you he passes his first bowel motion in the womb?
After Delivery
- Heel Prick test done?
- TEF – Drooling? Cough and Noisy Breathing? Vomiting?
- Congenital Heart Disease – Turn Blue especially on feeding
- Sepsis and Pneumonia – Fever? Rashes?

Question 18

Rash Qs

Answer 18

Timing - Since? Site? Spreading?
Character (See) - Color? Raised? Discharge? Blister?
Character (Feel) - Warm? Tender? Surface? Itchy?

Question 19

Body Odor Qs

Answer 19

Timing Qs
A&A
Describe (Bromhidrosis vs. Hyperhidrosis)
- Sweat more than usual and has a bad smell?
- Bad smell of sweat