Pediatric History & Physical Examination Presentation

Transcript
 Pediatric History and Physical Examination
Dr Abdullah Aburiziza
Allergy/Immunology Consultant
Assistant Professor, Pediatric Department, Um Al-Qura University
 HISTORY
ID
Past Medical History
Allergy History
Social History
Chief Complain
Neonatal History
Vaccination History
Family History
History of present illness
Drugs History
Developmental History
 Interview Techniques
Family &Child
Professional, yet sensitive and nonjudgmental Manner
Open-ended questions
Acknowledge parents concerns
Closed ended questions
Empathize
Repetition of important phrases
Guide the interview and summarize
Clarification
Medical terms
Confidentiality
 ID
 Chief Complain
1,2 or max 3 Chief Complains
Duration of Chief Complains
 History of present illness
o Onset
o Duration
o Progression
o Site
o Size
o Severity
o Aggravating factors
o Reliving factors
o Associated Symptoms
 1,2 or max 3 Chief Complains
Diagnosis & Differential

 Past Medical History

PMH: Similar illness
PMH: Chronic diseases, diagnosis, progression
PMH: Admission, numbers of admission
PMH: Related diseases
Past surgical History
 Neonatal History
Prenatal History
Antenatal History
Postnatal History
 Drugs History
Duration of usage
Method of usage
Availability and cost
Dosages
Recent changes in dosage
Complications and side effects
Help from the family
Compliance
 Allergy History
Drug Allergy
Food Allergy
Inhalant Allergy
 Vaccination History
Developmental History
 Social History
Travel Hx
Family Structure
Home environment
Family income Hx
Smoking
Cope with the disease
Education Hx
School
 Family History
Family History of Similar disease
Medications used in family
Family History of related disease
(Disease specific )
Family History of infant death or miscarriages
 HISTORY
ID
Past Medical History
 Allergy History
Social History
Summery
Chief Complain
Neonatal History
Vaccination History
Family History
History of present illness
Drugs History
Developmental History
 Physical Examination
Initial: Hand Washing, Introduction, Privacy, Permission,
Vitals and anthropometrics measurements, plotted on the chart
Specific:

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