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8 Cards in this Set
- Front
- Back
What history needs to be taken for a child?
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Dealing with parent(s) AND child
- Develop rapport with child (all ages?) - Family history/family tree - Pregnancy, labour, delivery - Growth & development/milestones - Progress at school - Social history including abuse |
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What examination is done for a child?
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- Growth charts
- Developmental charts - Systematic (not as focused as with adult as never as much gained from history & need to allay parental anxiety - therefore better to be thorough. |
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What do you do for a neonate?
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History - relates to pregnancy, infections, diet, vomiting, genetics etc
Examination - APGAR (rapid indicator of neonatl and long term prognosis) - other - amniotic fluid, umbilical cord, placenta - General - general appearance, head, neck, chest, abdomen extremities (color, icterus, sex, development, face, eyes, ears, nose, mouth, symmetry, T, RR, lungs, hear, ?herniae, umbilicus, liver, sex organs, anus, hips, back, rest of extremities inclu. digits, neurological, urine, faeces) Gestational age - relate to weight, height, head C., weight/length ratio - special charts used to estimate |
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What is the APGAR test?
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COLOUR
2 - pink 1 - pink body, blue extremities 0 - blue/pale HR 2 - >100 1 - <100 0 - absent Resp effort 2 - crying/good 1 - slow/irreg 0 - absent Muscle tone 2 - active motion 1 - some activity 0 - limp Response 2 - cough/sneeze 1 - grimace 0 - no response |
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What neurological things need to be looked at for a child?
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- Sutures/fontanelles
- Spontaneous movements - Tone - Rooting reflex - Sucking reflex - Traction response - Grasp relex - Tendon reflexes - Right reaction - Placing - Walking - Moro |
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What do you need to do for an infant?
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<6months - examinating table
6mths-3years - held in mothers lap - start examination where most comfort & no pain - talk to child - "explain" - Growth - plot on charts - Development - see charts > speech & language > gross motor > fine motor > personal - social - nutrition - Immunisation |
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What do you need to do for a child?
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- Growth, weight etc
- parental concerns - school concerns - relationships - medicolegal - unique illnesses - e.g. diabetes |
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What do you do for an adolescent?
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Treat as an adult!
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