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Flashcards in Pediatric History & Physical Deck (32)
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1

History: HPI

Chronologic account of CC
Duration of symptoms
Severity of symptoms
Feeding history (breast/formula, amount/frequency, recent change)
Elimination history (wet/stool)

2

History: Mother Pregnancy History

Other children
Prenatal care
Bleeding
Trauma
HTN
Fevers
Infections
Meds
Drug use
ETOH
Smoking
Early rupture of membranes

3

History: Labor & Delivery

Gestational age at delivery
Setting (home or hospital)
Length of labor
Fetal distress
Delivery type (vaginal or c-section)

4

History: Neonatal Period

APGAR scores
Respiratory problems
Hyperblirubinemia
Birth injuries
Length of hospitalization
Birth weight
Mother & baby blood type

5

History: Infant Medical/Surgical History

Medical Illness
Surgeries
Fractures
Dislocations
Meds & Allergies
Immunizations

6

History: Family History:

Cancer
Diabetes
Hypertension
Heart disease
Bleeding disorders
Stroke
Seizures
Age/health (grand)parents
Chromosomal abnormalities
Developmental delays
Growth problems
ADHD or autism

7

History: Social History

Where does the child live
Where does the child sleep
Caregivers + daycare
Occupation of parents
Pets in the home
Smoke exposure
Concerns about safety

8

History: ROS General

Fever or sweats
Weight history/growth charts
Sleeping habits
Irritability
Ill contacts

9

History: ROS HEENT

Head shape & injuries
Fontenalles
Hearing test post delivery
Ear, nose or eye drainage
EENT abnormalities
Abnormal cry

10

History: ROS Skin & Lymph

Rashes, eczema
Lumps/lymphadenopathy
Birth marks
Pigment changes
Bruising

11

History: ROS Cardiac

Cyanosis
Dyspnea
Murmurs
Distress during feeds
Sweating during feeds

12

History: ROS Respiratory

Wheezing
Infections
Cough
Apneic episodes

13

History: ROS GI

Stool color, frequency, & consistency
Diarrhea/constipation
Blood in stool
Vomiting
Jaundice
Colic

14

History: ROS GU

Urine color changes
Urine odor
Hematuria
Vaginal or penile discharge

15

History: Musculoskeletal

Joint swelling/redness
Joint abnormalities
Moving all extremities
Extremity abnormalities (fingers, toes, legs, feet)

16

History: Neurological

Seizures
Meningitis
Post-partum depression

17

Physical: General

Hand washing/ clean stethoscope
Distress
Tone

18

Physical : Skin

Birthmarks
Color
Lesions

19

Physical: Head

Measure circumference
Measure chest circumference
Palpate fontanelles
Check sutures

20

Physical: Face

Asymmetry
Stigmata

21

Physical: Eyes

Red reflex
Pupillary reflex
Irises same color

22

Physical: Nose

Nares symmetrical
Patent

23

Physical: Mouth

Cleft palate/lip
Teeth or masses

24

Physical: Lungs

Auscultation of lung sounds

25

Physical: CV

Murmur
Regular rate/rhythm
Femoral pulses

26

Physical: Abdomen

Normal contour
Masses
Evaluation of the umbilical cord
Auscultation for bowel sounds

27

Physical: Male Genitalia

Normal penile meatus
Testes palpable

28

Physical: Female Genitalia

Labia majora/minora
Normal vaginal opening
Normal size clitoris

29

Physical: Rectal

Anal patency

30

Physical: Extremities

# toes/fingers
Musculoskeletal abnormalities
Evaluation for clavicle fracture
Perform Barlow
Perform Ortolani
Hips abduct fully
Extremity length symmetrical