Symptoms Qs

Question 1

Vomiting Qs

Answer 1

Timing Qs - Since, On/Off or C, W
Vomit Specific Qs - # of times, Able to keep anything down?
CCVO - Color, Consistency, Volume, Odor
A&A - B or W, Related to Food/Feed, Position

Question 2

Intermittent Screaming Qs

Answer 2

When did it start?
How Frequent?
How long does it last?
First time?

Question 3

Diarrhea Qs

Answer 3

Timing
No. of times since yesterday
S, On/Off or C, Worse
CCVO
Nocturnal Diarrhea - Wake up? Soil himself?

Question 4

Bedwetting Qs

Answer 4

Timing - How Freq? Worse?
KP Qs - Previously toilet trained? Daytime wetting?
KP LUTS Qs
Psychosocial Qs - Home, School, Child
Family Hx

Question 5

Soiling Qs

Answer 5

Timing - S, First Time, Freq?, Night Time or Day time?, Worse?
Describe Soil/Stool - Consistency (H, S, W) , Contents (Blood, Mucus), Vol, (O), Wet himself?
Describe Bowel Motion
- Constipation or Diarrhea
- No. Bowel Motion
Bowel Motion Behaviors
- Refuse to go to toilet
- Cross his leg and withold his BM
- Painful BM
Explore Diet - Describe Diet, Veg/Fruits, Drinks Water, Excercise

Question 6

Crying Qs

Answer 6

Timing
A&A – Position or Feeding?
Calming - Tried anything to calm him down?

Question 7

Sex Abuse Qs

Answer 7

Posibility Qs
– Unusual Incident?
- Relationship with you and other parent?
– Live alone?
– Supportive? Relationship?
– Hx of Aggressiveness?
Redflags
– Bruises on private part?
– Ulcers on private parts?
– Yellowish Vaginal Discharge
Psychologic Assessment of Child (4-5 y/o)
– How is she behaving these days?
– Noticed anything unsual?
– Does she look sad? Sleeping well?
– Episodes of aggression or unusual behavior?
– Does she look forward to seeing her dad?

Question 8

Severe Allergy Signs Qs

Answer 8

Swelling of his tongue and Lips?
Drooling? (Upper airway obstruction)
Noisy Breathing (Stridor or Wheezing)
Difficulty Breathing
Nausea and Vomiting
Drowsy, Did he lose consciousness?

Question 9

Allergy Trigger Qs

Answer 9

What was he eating for breakfast?
First time he had it? - Contains nuts?
Any new medication or new food he tried
Any insect bite?
Recent flu like symptoms or fever (urticaria)
Recent Change to his soap, body wash, creams?

Question 10

Diet Qs

Answer 10

• Refuse eating, or he is eating less than you expected
• Do this for all food or specific food?
• Can you describe his daily diet for me?
• Is his diet balanced and contain fruits, vegetables and a variety of solids?
• Introduced Solids?
• Cow’s milk? No Glasses, Juices, Lollies
• What Snacks does he take during the day?
• long is his mealtime on average?
• Any tantrum, spitting at mealtime?

Question 11

Suppress Appetite Qs

Answer 11

Diet Qs
L&B, Tiredness, Pale
Recurrent infection
Diarrhea or Blood in Stools?
Cough

Question 12

Burn Qs

Answer 12

What exactly happened? When Did it happened?
During
– How did he burn himself?
– What burned him? Water, Chemical, Electrical
– Area of the burn? Face (Eyes or Mouth), Hands, joint, genitals?
After burn - What was done?
Red flags
– SOB, Noisy Breathing?
Immunization - Tetanus
NAI Qs - Mini Heads

Question 13

Complication due to Injuries Qs

Answer 13

Vascular - Color Change like pale or blue?
MSK - Deformity? Asymmetry, Difficulty Movement? Let you touch it?
Neuro - Pins and Needles or Numbness in the Arm and Hand? Weakness?

Question 14

General Trauma Signs

Answer 14

Swelling Redness Bruises
Other Injuries, Head, LOC, Vomit
Popping Sound
Previous Injuries

Question 15

Birth Hx (Dev. Delay)

Answer 15

Pregnancy
Any Hx of infection?
Any complications High BSL or High BP pregnancy?
Medication, drug or Alcohol in Preg?

Delivery
Born term or Pre-Term?
NVD or CS?
Any history of prolonged labor? Or Instrumental delivery?

After Birth
Did he cry and breath normally after birth?
Did they have to resuscitate him after delivery?
Was the heel prick test done?
Any yellowish discoloration of the skin after birth?
Kept in the hospital after birth?