Introduction to paediatric history taking

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Introduction to paediatric history taking by Mind Map: Introduction to paediatric history taking

1. paediatric specific history

1.1. developmental history

1.1.1. ages at which milestones were achieved sitting alone rolling smiling talking crawling walking running toilet training riding tricycle

1.1.2. school present grade, problems, and interaction with peers

1.1.3. behavior enuresis temper tantrums thumb sucking pica nightmares

1.2. feeding history

1.2.1. breast of bottle frequency duration preparation of formula perception of the infant's satisfaction with the feeding

1.2.2. introduction to solid fodd quality and quantity adverse reaction

1.2.3. nutritional supplementation meal frequency fluid intake vitamins (D mostly)

1.3. prenatal and birth history

1.3.1. maternal health during pregnancy bleeding trauma hypertension fevers infections medications drugs and alcohol smoking membrane rupture

1.3.2. gestational age at delivery

1.3.3. labor and delivery length of labor fetal distress type of delivery vaginal cesarean section use of forceps anaesthesia breech delivery

1.3.4. 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

1.4. immunisation history

1.4.1. extra vaccines

1.4.2. any adverse reactions

1.4.3. allergies

1.4.4. medication

2. definitions

2.1. neonate

2.2. infant

2.3. toddler

2.4. child

2.5. adolescent

3. Common history taking

3.1. General

3.1.1. date

3.1.2. patient's name

3.1.3. date of birth (age)

3.1.4. gender

3.1.5. informant (historian)

3.2. chief complaint

3.3. history of present illness

3.3.1. pertinent positive symptoms

3.3.2. pertinent negative symptoms

3.4. past medical history

3.4.1. major medical illnesses

3.4.2. major surgical illnesses - list operation dates

3.4.3. previous hospital admissions with dates and diagnosis

3.5. review of systems

3.6. family history

3.7. social history

3.7.1. living situation and condition

3.7.2. composition of family

3.7.3. occupation of parents and level of education