Questions and Answers
What is the appropriate first step when introducing oneself in a pediatric history-taking?
Which of the following is NOT a component of the FDIAPAR system for presenting complaints?
What aspect of a child's history does the 'Developmental History' include?
During pediatric history-taking, when should an interpreter be used?
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Which of the following factors should NOT be included in the Social History of a pediatric patient?
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Study Notes
Taking a Paediatric History
- Introduction: Clearly introduce yourself, confirming the child’s details and the presence of carers.
- Observation: Observe the child for any signs of distress or abnormal behavior.
- Engagement: Ask appropriate questions directed at the child, utilizing interpreters when needed.
- Open-ended Questions: Encourage more detailed responses rather than yes/no answers.
Presenting Complaint
- Utilize the F.O.D.I.P.A.R.A. mnemonic:
- F: Is this the first time the complaint has occurred?
- O: Establish the onset of the symptoms.
- D: Determine duration of the symptoms.
- I: Assess the intensity of the condition.
- P: Inquire about the progression over time.
- A: Identify any aggravating factors.
- R: Determine relieving factors.
- A: Explore any associated symptoms.
Systems Review
- CNS: Document headaches, dizziness, loss of consciousness, seizures.
- ENT: Inquire about sore throat and ear pain.
- RS: Assess for cough, wheeze, breathlessness.
- CVS: Note palpitations, chest pain, dizziness.
- GIT: Ask about nausea, vomiting, abdominal pain, appetite, stool.
- GUT: Review urine issues, dysuria, flank pain, and menstruation if applicable.
- MSS: Inquire about joint swelling, joint pain/stiffness, rashes.
Additional Questions
- Assess general well-being: Are they feeding well? Urinating properly? Bowel movements normal? Any behavioral concerns?
Past History
- Review any medical conditions, previous hospital admissions, current medications, and allergies.
Perinatal History
- Gather information on pregnancy details (e.g., term or preterm), delivery method (normal or C-section), and birth weight.
- Investigate complications during or immediately after birth, including any need for neonatal admission or respiratory support.
Immunization History
- Document vaccination status to ensure vaccinations are up-to-date.
Developmental History
- Review milestones in gross motor, fine motor, vision, speech, and hearing.
- Include social development to assess interaction levels with peers.
Growth History
- Document and compare height and weight, referencing a child's growth chart (e.g., red book).
Family History
- Identify any familial prevalence of childhood or young adult diseases, number of siblings, and consanguinity.
Social History
- Review living conditions, household composition, nursery/school attendance, and presence of pets or social workers.
Infectious Perspective Questions
- Inquire about travel history, exposure to infections, and any known contact with infectious individuals.
Summary
- Ensure all relevant points are covered and clarify any additional concerns or questions from the caregivers outlined.
Focused History
- Maintain thoroughness and a systematic approach throughout the process to gather comprehensive data.
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Description
This quiz focuses on the essential skills needed to take a paediatric history, including effective communication with the child and caregivers. Learn to utilize the F.O.D.I.P.A.R.A. mnemonic for presenting complaints and conduct a comprehensive systems review. Test your knowledge in pediatric assessment techniques.
