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Flashcards in History Taking Paediatrics Deck (11):
1

Adolescents when to ask parent to leave

Can ask parent to leave
- safeguarding
- deliberate self harm
Overdose: introduction, can I talk to x on own, then see you both together.

2

What to cover in intro

introduction: child & parent
adolescent: ask parent to leave circumstance?
ICE of parents: concerns e.g. headache, Hx of brain tumour.

3

What to write in notes

Date, time place (clinic/ward)
Child: name, age of child, sex, consultant
Accompanying adult(s), who's giving Hx

4

Starting PC

Open question, where they have come from.

5

Hx PC

OPERATES
Onset,
Progress,
Exacerbating factors
Relieving factors
Associated symptoms
Timing
Previous episodes
Severity

Asthma: wheeze activity, night time cough
How often using Tx: inhaler (>2 a week)
Oral prednisone, IV therapy, ICU
Tiggers
Time off school

Fhx: atopy

6

PmHx

Previous hospital admissions
Birth Hx:
- Gestational age: preterm, term, post term
- Birth weight
- Birth complication
- Antenatal/postnatal problems
- Neonatal problems (jaundice, SCBU, ventilation, antibiotics)
- Mental Health
- Feeding/weening


Sepsis
- PROM >18 hours
- Group B strep any children (positive swabs in pregnancy)
- Maternal fever 38.5C

Delivery technique:
Vaginal: breech (shoulder, hips), instrumental (injury, cephalohaematoma (jaundice), eras palsy
CS:

7

3 risk factors for neonatal sepsis

Sepsis
- PROM >18 hours
- Group B strep any children (positive swabs in pregnancy)
- Maternal fever 38.5C

8

Drug hx

Drugs
Allergies
Vaccinations

9

Vaccinations

2 months: 5 in one injection, PCV, rotavirus
3 months
4 months
12-14: MMR, PCV, Hib/MenC
14: HPV, Tetnus, diphtheria, polio

10

Social Hx

Whos at home (family pedigree, colour in effected, consanguinity double line)
- Mother/father/sibiling
- names, age, occupation, health

Ask consanguinity: are you related, for example are you 1st or 2nd cousins.

Nursery/primary school
Health visitors
Travel
Pets
Smoking at home

11

Development Hx

Red book
personal child health record of milestones
- smiling
- sitting unaided
- walking alone
- 3 words with meaning
- Dry by day/night
HC visitis
General progress @ school
feeding

- Look at birth details
- chart for minimum contacts