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12 Cards in this Set
- Front
- Back
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Age range for: Infant (Early + Late) Toddler Pre-school School age Adolescent |
0 - 28 d Neonate 1 - 6 mo Early infant 6 - 12 mo Late infant 12-36 mo Toddler 3 - 5 y Pre-school 5 - 12 y School age 12 - 18 y Adolescent |
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What information is available in the parent held child health record (red book)? |
1. Growth charts 2. Immunisation record 3. Health visitor visits 4. Expected developmental milestones 5. Advice about safety in the home. |
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Must know hx of 8 mo w/ Fever |
1. Duration 2. Generally well or unwell 3. How are they feeding? 4. Coryzal symptoms? (Cough; Diarrhoea; Rash) 5. Other siblings unwell? |
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Must know hx of 4 yo w/ diarrhoea + vomiting |
1. Duration 2. # + nature of stools 3. Worsening or Progressing? 4. Txs tried? 5. How are they feeding? 6. Other siblings unwell? |
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Must know hx of 2 yo w/ Suspected fit |
1. Before / During / After 2. Associated symptoms (Fever?) 3. Previous fits? 4. Medication 5. FmHx (Epilepsy; Febrile convulsions) 6. Neurodevelopmental status |
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Must know hx of 10 yo w/ Wheeze |
1. Duration 2. Prev episodes? 3. Tried Txs 4. Prev admissions to hospital 5. Exercise tolerance 6. School attendance 7. Noctural symptoms 8. Precipitants 9. FmHx Atopy 10. Smoking in family |
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Must know hx of 10 mo that is not sitting |
1. Motor development (Head control; Rolling; Crawling; Standing) 2. Fine motor development 3. Social development 4. Language development 5. Pregnancy-/Delivery-/Gestation-complications 6. FmHx 7. Consanguinity |
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Must know hx of 3 yo not gaining weight |
Prev weight gain Stool habit Feeding history General health Vomiting |
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Must know hx of 2 yo w/ not moving L arm |
Duration Associated pain Fever, rash or bruising or redness General health (?malignancy or sepsis) Family structure; who first noted problem; who was caring for the child (?NAI/trauma) |
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Must know hx of 6 yo w/ Rash |
Blanching ? Pruritus Associated fever Duration Is the child well or unwell Meningism Associated symptoms (coryzal, sore throat, joint pains, conjunctivitis) Contact with chickenpox/measles Immunisation history. |
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Contra-indications to immunisations |
1. On-going illness with fever (not URTI alone) 2. No live vaccines for immunodeficient 3. Prev anaphylactic Rx to same vaccine 4. Evolving neuro condition ! Egg allergy is NOT contra-indication for MMR |
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What are the possible adverse effects of immunisation? |
Irritability and fever @ (DTaP < 48 h; MMR ~5-7 days) Local reaction (redness, swelling, pain) |
