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Chapter: Medicine Study Notes : Paediatrics

Difference Between Adult and Child History Taking

Kids may not be able to tell you, teens may not want to.

History and Examination

 

Difference Between Adult and Child History Taking

 

·        Kids may not be able to tell you, teens may not want to

·        Concerned with nutrition: what normal and current feeding practices are, micro-nutrients

·        Growth: weight, height and head circumference

·        Developmental perspective:

o  Gross motor: rolling, sitting, crawling, walking, running, stairs, sports 

o  Fine motor: hand skills, co-ordination (assessed through play ® art ® writing)

o  Vision

o  Speech/language and hearing 

o  Social development: bonding ® parents vs strangers ® peers

·        Immunisation: „Are your immunisations up to date‟ – usually meaningless.  Need to be more specific

·        Family history:

o  Congenital abnormalities

o  Genetic factors

o  Parental age and experience

o  Impact of chronic illness on family

·        Social history:

o  Abuse and neglect

o  Living circumstances – overcrowding, smoke exposure

o  Education settings, eg day care

o  Peer support for kids (eg in adolescence)

o  Adolescence: HEADSS Assessment

 

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Medicine Study Notes : Paediatrics : Difference Between Adult and Child History Taking |

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Medicine Study Notes : Paediatrics


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