Introduction to paediatric history taking

Introduction to paediatric history taking
Common history taking
General
date
patient's name
date of birth (age)
gender
informant (historian)
chief complaint
history of present illness
pertinent positive symptoms
pertinent negative symptoms
past medical history
major medical illnesses
major surgical illnesses list operation dates
previous hospital admissions with dates and
diagnosis
review of systems
family history
social history
living situation and condition
composition of family
occupation of parents and level of education
definitions
neonate
infant
toddler
child
adolescent
paediatric specific history
developmental history
ages at which milestones were achieved
sitting alone
rolling
smiling
talking
crawling
walking
running
toilet training
riding tricycle
school present grade, problems, and
interaction with peers
behavior
enuresis
temper tantrums
thumb sucking
pica
nightmares
feeding history
breast of bottle
frequency
duration
preparation of formula
perception of the infant's satisfaction with the
feeding
introduction to solid fodd
quality and quantity
adverse reaction
nutritional supplementation
meal frequency
fluid intake
vitamins (D mostly)
prenatal and birth history
maternal health during pregnancy
bleeding
trauma
hypertension
fevers
infections
medications
drugs and alcohol
smoking
membrane rupture
gestational age at delivery
labor and delivery
length of labor
fetal distress
type of delivery
vaginal
cesarean section
use of forceps
anaesthesia
breech delivery
neonatal period
Apgar scores
breathing
heart rate
general status
crying
colours
breathing problems
use of oxygen
need for intensive care
hyperbilirubinemia
birth injuries
feeding problems
length of stay
birth weight
immunisation history
extra vaccines
any adverse reactions
allergies
medication
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