1 / 12

History Taking and Examination skills for Paediatrics

History Taking and Examination skills for Paediatrics. D.Carr June 2013. History Taking. Presenting complaint (Clarify what you are told) History of presenting complaint Systems review Past Medical History Birth History Medications Allergies Immunisations Developmental History

mada
Download Presentation

History Taking and Examination skills for Paediatrics

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. History Taking and Examination skills for Paediatrics • D.Carr • June 2013

  2. History Taking • Presenting complaint (Clarify what you are told) • History of presenting complaint • Systems review • Past Medical History • Birth History • Medications • Allergies • Immunisations • Developmental History • Social History & Family History

  3. History Taking (2) • Practice!!!!! • Get exposure on the wards • Time yourselves • Spend time in CED and clinics. Ask to present and discuss.

  4. History Taking (3) Systems review Feeding General Demeanour Wet nappies Bowel habit Vomiting Coryzal symptoms

  5. History Taking (4)PMHx & Birth History Pregnancy and antenatal problems Mode of delivery Timing of delivery (term/preterm) Condition at delivery (SCBU) Previous illnesses or admissions Regular GP attendances Other professionals involved in care Medications – what are they for Allergies & clarification

  6. History Taking (5)Development Ask about parental concerns Know basic milestones Gross motor Fine motor & vision Speech and language Social Hearing & vision Is this relevant to medical issues? Get exposure to children – and watch them

  7. History Taking (6)Social and Family History Who does the child live with Care givers Additional pressures on family Other children with medical problems or related issues Social work input Construct a family tree Smoking, pets

  8. Examination of the unwell child

  9. Examination (2) • Look around the room & surroundings • Look at the child (!) • Do as much as you can before approaching • Leave with parents • Get your knees dirty • Interaction with child throughout exam • Observe • Do what you can, when you can • Generally systems based. • Some “baby checks” • Developmental assessments • Don’t forget ENT

  10. Examination (3)

  11. Examination (4) • Always consider growth and weight • Consider bedside investigations

  12. Conclusion • Get experience • Use the team • Be here! • Practice • Presentation skills • Be confident and enthusiastic • Let us know if its not going well • Present portfolios early

More Related