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1

Paediatric history differences

Antenatal/ postnatal
Immunisations
Development

2

Antenatal and postnatal questions

Gestation
Growth scans
Special care
Mode of delivery
Weight

3

Immunisations questions

Shows how theyre interacting with healthcare
Measles?

4

Development history

Ask parents what they can do

5

Paediatric social history

Smoking
School
Pets

6

Examination differences

Observation is important
Opportunistic

7

Which pulse do you do in babies

Femoral

8

Heart failure in children

Scrotal and labial oedema (gravity)
Perioorbital oedema

9

How is oedema different in children

No pitting

10

How to assess hydration in children

Fontanelle

11

Respiratory examination differences

They get recessions as rib cage isnt calcified
-tracheal tug
-head nod

12

Abdominal examination differences

Do SHRUG

13

Neurological examination differences

chair?

14

4 domains of development

Gross motor
Fine motor and vision
Speech and hearing
Social and emotional

15

When should you smile by

6 weeks

16

Who developed pGALS

Versus arthritis
Theres an app

17

What to use for development

MRCPSYCH A4 sheet

18

ADHD age

kids act a 3rd younger than they are

19

3 core symptoms of ADHD

Inattention
Impulsivity
Hyperactivity

20

ADHD Diagnosis

Inattentive
Hyperactive/impulsive symptoms

21

Criteria for hyperactive/ impulsive symptoms

Present before 12 years
Developmentally inappropriate
Several symptoms in 2 or mroe symptoms
Clear evidence symptoms effect on function

22

Inatttentive symptoms

Easily distracted

23

Hyperactive symptoms

Talks excessively, cannot perform quietly

24

Impulsive symptoms

Blurts out answers, difficulty awaiting turn

25

What are ADHD at risk of

Risky behaviour

26

What birth age is likely to lead to ADHD

Preterm birth

27

New accurate test for ADHD

QB test

28

Causes of ADHD

Polygenetic
CNS insults
Environmental factors

29

CNS insults which can cause ADHD

Prematurity
Fetal alcohol syndrome
NF

30

Treatment of ADHD

Education
Parenting programme
School support
Medications
Examinations
Healthy lifestyle