Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 85 views

    Paediatric History Taking

    Uploaded by

    subramaniam krishnamoorthi
    The document outlines the components of a pediatric history and examination. It includes sections on demographics, presenting complaints, history of present illness, past medical history, family history, immunizations, developmental milestones, physical examination, vital signs, anthropometrics, and systems examination. It also provides tables on BMI classifications and recommended caloric and protein intake by age.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Paediatric History Taking

    Uploaded by

    subramaniam krishnamoorthi
    85 views6 pages
    The document outlines the components of a pediatric history and examination. It includes sections on demographics, presenting complaints, history of present illness, past medical history, family history, immunizations, developmental milestones, physical examination, vital signs, anthropometrics, and systems examination. It also provides tables on BMI classifications and recommended caloric and protein intake by age.

    Original Description:

    Final Year Paediatric clinical pdf

    Original Title

    Paediatric History taking

    Copyright

    © © All Rights Reserved

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document outlines the components of a pediatric history and examination. It includes sections on demographics, presenting complaints, history of present illness, past medical history, family history, immunizations, developmental milestones, physical examination, vital signs, anthropometrics, and systems examination. It also provides tables on BMI classifications and recommended caloric and protein intake by age.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    85 views6 pages

    Paediatric History Taking

    Uploaded by

    subramaniam krishnamoorthi
    The document outlines the components of a pediatric history and examination. It includes sections on demographics, presenting complaints, history of present illness, past medical history, family history, immunizations, developmental milestones, physical examination, vital signs, anthropometrics, and systems examination. It also provides tables on BMI classifications and recommended caloric and protein intake by age.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 6

    1.

    Paediatric History taking

    1. Demography

    Name :

    Age with D.O.B :

    Sex :

    Address :

    Brought by :

    Informant ( relationship to the child) :

    Reliability

    2. Presenting Complaints

    In Chronological order

    3. History of Present illness

    4. Past History

    5. Contact History

    6. Antenatal History
    7. Birth History

    8. Postnatal History

    9. Developmental History

    10. Dietetic History

    11. Family History

    12. Socio-Economic History

    13. Immunization History

    14. History Allergies

    B. General Examination

    1. General condition

    Consciousness / comfortable / dyspnoea / tachypnoea / Anaemic /


    Jaundice / Cyanosis / Edema / Lymphadenopathy

    2. Vitals

    Temperature / Pulse rate / respiratory rate / BP / CRT

    3. Anthropometry

    Weight / Height / Head circumference/ Chest circumference / Mid arm


    circumference / Arm Span / Weight for height / body mass index /
    Growth chart

    body mass index (BMI)

    Adult
    18.5 – 24.99 Normal
    25 – 29.99 Over weight ( Pre-obese)
    More than 13 Obese
    Less than 18.5 Under weight
    17 – 18.49 Mild thinness
    16.00 – 16.99 Moderate thinness
    Less than 16 Severe thinness
    30 – 3 4 . 99 Obese class I
    35 – 39.99 Obese class II
    More than 40 Obese class III

    For children BMI 85th – 95th percentile is over weight

    Greater than 95th percentile is obesity

    4. Developmental examination with DQ

    5. Sexual maturity rating

    3. Systemic examination

    4. Diagnosis / Differential Diagnosis

    5. Treatment / Follow up

    6. Counselling

    Reference : IAP Text book of Paediatrics 7th edition


    Normal developmental milestones

    Milestones Gross motor Fine motor Personal Language


    social
    1 month Grasp reflex Starts to
    smile
    2 months Hands closed Sustained Cooling
    social smile
    3 months Head mostly Hand open Sustained Says ‘aah’
    held up but most often social smile
    still bobs
    forwards
    4 months Head held Reaches for Laughs out
    steady objects, aloud
    grasps Exited at
    objects and sight of food
    brings to
    mouth hands
    in midline
    7 months Rolls over, Reaches out Smiles at Babbling
    creeping- and grasps mirror
    crawling, sits larger
    with hands objects ,
    leaning palmar
    forwards grasp,
    transfers
    objects from
    hand to hand
    10 months Sits without Pincer grasp Waves bye- Says Baba,
    support, bye mama
    cruises
    1yr Walks with Releases Plays simple Says 2-3
    one hand objects to ballgame words with
    held other person meaning
    on request /
    gesture
    15 months Walks alone, Males tower Asks for Follows
    crawls of 3 cubes objects by simple
    upstairs pointing commands
    18 months Runs stuff, Makes tower Feeds self, Speaks 10
    goes upstairs of 4 cubes dry by day words,
    by holding initiates identifies
    the rails vertical parts of the
    stroke body
    scribbles
    2yrs Runs well, Makes tower Handless Puts
    walk upstairs of 7 cubes, spoon well sentence of3
    and initiates and helps to words
    downstairs horizontal undress
    one foot at a stoke
    time, jumps
    2 ½ yrs Goes Makes tower Helps put Knows full
    upstairs with of 9 cubes things away name
    alternating
    feet
    3 yrs Rides Draws circle, Dresses and Knows age
    tricycle, tower of 10 undresses and gender
    stands cubes, fully when
    momentanly constructs helped with
    on one foot bridge or 3 buttons joins
    cubes in play
    4yrs Hops on one Draws cross Plays with Tells story
    foot, throws and square several
    ball copies 4 children with
    overhead bridge, beginning of
    climbs well constructs a social
    gate of 5 interaction,
    cubes goes to toilet
    alone
    5yrs Skips Draws Dresses and Names 4
    triangle undresses colours,
    self. Asks repeats
    question sentence of
    about 10 syllables
    meaning of
    words

    The recommended caloric and protein requirements

    Age Calories required / day Protein / day


    1month – year 100 – 110 Kcal / kg / day 2g/kg
    1 year 1000 kcal / day 20g/day
    2 years 1100 kcal / day 20g/day
    3 years 1200 kcal / day 20 g/ day
    4 years 1300 kcal / day 30 g/ day
    5 years 1400 kcal / day 30 g/ day
    6 years 1500 kcal / day 30 g/ day
    7 years 1600 kcal / day 40 g/ day
    8 years 1700 kcal / day 40 g/ day
    9 years 1800 kcal / day 40 g/ day
    10 years 1900 kcal / day 40 g/ day
    11 years 2000 kcal / day 50 g/ day
    12 years 2100 kcal / day 50 g/ day
    Adolescent boy 2400 kcal / day 70 g/ day
    Adolescent girl 2100 kcal / day 65 g/ day

    You might also like