Write history & assessment

before entering the room (4min) Developmental History (6P) (9= 5+4
min) Pass to 4 min

Present History
All 5 C
• Concern Analysis
• Eg; cognitive delay
- Onset
- Course (deteriorate or not
- Duration
- How?
- When?
- What he did for that? →
Eg. Did not follow to clinic
- Did he loss any skill?
• Any other Concern
• Any Chronic Illness
• Any Course =
(abnormal behaviour)
• If case with Convulsion
- Ask for ttt ( drugs, dose,
compliance…)
- Vaccinations hx
- RBS, Electrolyte
Possible Cause
• Bump of head
• Bug in the brain & ear
• Size of head
2B
• Seizure = Fit
4S
• Skin changes
• Swelling neck (thyroid)
• Screen other Domain
- ask 3-4 Q each domain
not in task to know age
- Ask Vision in Speech task
- Ask Hearing in Social task
• If task Speech Delay
- Ask about language use at
home & school
- If child not responding →
ask Mom to engage him
• Syndrome
Does Ali look like you or his
Daddy
• Systemic Review
if you suspect to any
syndrome -> ask for
association.
Perinatal History Past History Family & Others
• Prenatal • Team • Family
- Disease & infection • Treatment - Describe your family
- Age of mother • Investigation 2T - +ve consanguinity
DAD
- Drugs & Alcohol • Operation IOA - Family hx of
• Admission developmental delay
• Natal; - Any similar or other
T
- Type & Time If you have time , ask medical condition
D
- Weight & Waaaa
H • Vaccination Social - 4S
- Heel Prick Test
• Allergy
- Hearing Test after birth
• Nutrition • Support
- Financial Problem
• Postnatal - Type of support
- SCABU or NICU admission Presentation; 2 min
• School
- Stormy / Simple course of Today I took hx from Mrs…
- Main or Special
MV in PT baby 3S 1. Ali is 5 y (chorological) - If not, anybody talk to you
- Temperature 2. He has concern for his
4T about Ali educational plan
- Twitches = Fits cognitive delay start at 2 y
• Sick
- Trauma 3. Did not follow to any clinic
- Skin Pigment / birth mark 4. by asking other domain I
Emergency Plan
can give him age because • Sibling
5. His problem (mention all - Who take to other sibling
Write all positive
problem you found) If Ali admitt
finding data on the
6. I’d like to do development - How they r dealing with
paper for your
assessment to confirm... him?
presentation