Introduction 

 Name and age 

 Open ended question
 Could you elaborate 
 History of presenting complaint 
 Systematic focused review/ associated symptoms 
 Past medical history (Has this ever happened before, any
hospitalizations?, Any known medical conditions ?, any
surgeries?)
 Obstetric history (Hypertension, and diabetes), drugs, bleeding
and infections
 Duration of pregnancy
 Birth weight, type of delivery (C section or normal vaginal delivery)
 Were they admitted to NICU, when how and how long?
 Part of the past medical history
 Drugs, allergies and vaccinations 
 Ask about jaundice or meconium ileus?
 Social (Smoking, alcohol), What do you do? And what does the
wife do?, living conditions ( Do you live in a flat or a house) DONT
ASK WHICH AREA, Ask about any other people, any pets 
 Family history, siblings and are they well?, anyone in the family
with diseases? By any chance are you and the wife related? 
 Sickle cell disease, Thalassemia, diabetes and g6pd def. are most
likely in case related 
 Developmental (How’s she doing In school?, Friends? And when
he started walking)
 Systematic review

Resp
Children never produce sputum, she has difficulty breathing, wheezy,
fever started yesterday, paracetamol only

Always check growth in children before vitals

There is not an apex in younger children

Signs

Subcostal recession
Intercostal recession
Tracheal tug
Supraclavicular recession
Sternal recession
Chest expansion

Ask about stools  color

Cystic fibrosis

Growth
Vitals always

Liver in a child is palpable 2 cm below costal region, liver is 6 to 12

centimeter

You cant get above spleen, not balotable and has a notch