Paediatric Consultation

Question 1

2 aspects of consultation?

Answer 1

Structure

Function (the magic)

Question 2

When can Kid’s give history?

Answer 2

Grade 1 or so

Good to ask them if they would like to give history? Or parent?

Question 3

Tips for paeds consultation

Answer 3

Listen, don’t interrupt
Offer kid to give history
Tell me about any issues from birth until now

Question 4

Specific paeds questions

Answer 4

GROWTH and DEVELOPMENT (Milestones)
Immunisations
Allergies
Hospitalizations

Question 5

Family History. How to ask?

Answer 5

Who lives in your house?

Question 6

Social history how to ask?

Answer 6

Extended family? Ethnicity, community background

Question 7

Examination

Answer 7

On couch, remove clothing, see well/unwell

Question 8

Examination >6months

Answer 8

Move in slowly, gently, start at periphery
Engage: set-up the scene, let go of your ego.
Can sit on parents lap

Question 9

General paeds examination

Answer 9

Posture
Responsiveness
Interaction
Mobility

Question 10

When do ENT exam?

Answer 10

At end

Question 11

Don’t forget what in infant?

Answer 11

Femoral pulses

Hips!!!

Question 12

Examination of older child. Don’t forget what?

Answer 12

TELL THE CHILD WHAT and WHY you are doing something.