Professional Documents
Culture Documents
KAU - Rabigh Medical College 5 Year Course of Pediatrics 1434 - 1435 2013 - 2014
KAU - Rabigh Medical College 5 Year Course of Pediatrics 1434 - 1435 2013 - 2014
Patient assessment
needs
Social and confident
• Age
• The family unit
• The environment
Dedicated
Adults Infants
Pediatric Characteristics in Basic Medicine
Physiology
• Heart rate, blood pressure, routine blood test
results and composition of body fluids are
variable according to age
• Limited kidney's ability leads to electrolyte
and acid-base disorders in children
• More liable to hypothermia, hypoglycemia,
hypoxia and dehydration
Pediatric Respiratory Rates
Infant (birth–1 year) 30–60/m
• Specific knowledge
• Creativity
• Patience
• Be careful of sarcasm and joking
Be careful of sarcasm and joking!!
So,
• Taking a history is an art that comes with time.
• Watch how others do it,
• But find what works for you.
Listening to Mothers
Listening to Mothers
• A smart mother makes often a better
diagnosis than a poor doctor.
About 70 – 80 %
of pediatric diagnoses are based
mainly on history
A good history with the pertinent
points abstracted is the best
pointer to diagnosis in pediatrics
Key areas to cover are
• Presenting complaint -(chief reason for seeking advice)
• History of presenting complaint -(temporal sequence of
events leading to presentation)
• Past Medical History
• Prenatal : drugs, infections, fetal movements, maternal health
• Birth: labor, delivery, Apgar, resuscitation, percentiles.
• Neonatal ; medical and surgical problems
• Feeding, diet, nutrition
• Growth and Development status
• Progress at kindergarten , playgroup, school
• Immunizations
• Medications
• Allergies
• Previous medical problems,
• Life events , accidents , injuries, surgery
• Family History (pedigree) medical and psychiatric, drug and
alcohol
• Impact of child's illness on family/ siblings
• Occupation of parents.
Outline of the Pediatric History
History – General, Personal
• Date
• Patient's name
• Birth date……..Age
• Gender, be careful to use the correct gender
• Residence
• Person giving the history (relationship to
patient and perceived reliability)
• Pediatrics is a specialty governed by age
• Pediatrics is a specialty governed by age
• Pediatrics is a specialty governed by age
• Pediatrics is a specialty governed by age
• Pediatrics is a specialty governed by age
• Pediatrics is a specialty governed by age
• Pediatrics stretches from newborn infants to
adolescents.
• Whenever you consider a pediatric problem,
whether medical, developmental or
behavioral,
• First ask, 'What is the child's age?'
Presenting complaint - Chief complaint