Flashcards in Paediatric Consultation Deck (12)
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1
2 aspects of consultation?
Structure
Function (the magic)
2
When can Kid's give history?
Grade 1 or so
Good to ask them if they would like to give history? Or parent?
3
Tips for paeds consultation
Listen, don't interrupt
Offer kid to give history
Tell me about any issues from birth until now
4
Specific paeds questions
GROWTH and DEVELOPMENT (Milestones)
Immunisations
Allergies
Hospitalizations
5
Family History. How to ask?
Who lives in your house?
6
Social history how to ask?
Extended family? Ethnicity, community background
7
Examination
On couch, remove clothing, see well/unwell
8
Examination >6months
Move in slowly, gently, start at periphery
Engage: set-up the scene, let go of your ego.
Can sit on parents lap
9
General paeds examination
Posture
Responsiveness
Interaction
Mobility
10
When do ENT exam?
At end
11
Don't forget what in infant?
Femoral pulses
Hips!!!
12