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PROFESSOR IFEOMA EMODI DEPARTMENT OF PAEDIATRICS.

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Presentation on theme: "PROFESSOR IFEOMA EMODI DEPARTMENT OF PAEDIATRICS."— Presentation transcript:

1 PROFESSOR IFEOMA EMODI DEPARTMENT OF PAEDIATRICS

2  Introduction  BiodataPresenting complaints  History of presenting complaints  Past medical historyObstetric history  Immunisation Milestones  Family and social history Drug history  Review of systems  Physical examination

3  In the next few minutes we are going to go through history taking and examination in paediatrics  This will be added upon while doing your rotation in the wards and clinics  Relatively easy but you need to practice  The mother is very important in this process  A lot of information may be obtained watching the child while taking the history

4  Greet and introduce yourself  Name  Sex  Age  Informant  Religion  Domicile/Address  Place of Origin  ? Referral

5  What brought you to hospital?  How long is the symptom?  Chronological order

6  Expand on PC-each symptom  Treatment given  Hospitals attended  Improvement / deterioration

7  Prior admissions  Blood transfusions  Surgery  Frequent illnesses  Prior diagnosis  Regular hospital visits

8  Normal aspects of children life and development with need to ask  WHY  There was deviation from the usual

9  Ante natal care  Delivery  Neonatal period

10  Breast feeding ◦ Exclusive or not  Weaning age,what type of food  Family diet ◦ When and what ◦ Who feeds the child  24 hr meal recall  If child is malnourished

11  National program of Immunisation  Obtained/ missed

12  Head control/ social smile  Sitting with/without support  Crawling  Standing  Walking  Pincer grip  menarche

13  Number in family  Mother/father  Other siblings  Domicile  Facilities  Similar illness  Inherited disease  Death in family

14  Regular medication  Drug reactions if any

15 Hematologic Digestive Respiratory Cardiovascular Renal Endocrine Neurologic musculoskelatal

16  Joint pain/swelling  Bone pains  Abnormal gait  paralysis

17  Pallor  Easy fatiguability  Purpura  Epistaxis  Yellow eyes  Leg ulcers  Angular stomatitis

18  Weakness  Oedema  Palpitation  Cough  Chest pain  Fast breathing  Dyspnoea on exertion Orthopnea  Paroxysmal nocturnal dyspnoea

19  Catarrh  Cough  Sore throat  Noisy breathing  Haemoptysis  Fast breathing  Sneezing

20  Excessive weight gain / loss  Coarse voicePolyuria  AmenorrhoeaTetany  Cold/heat intoleranceIncreased appetite  HirsutismNeck swelling  Polyphagia  polydypsia

21  PolyuriaHaematuria  DysuriaUrgency  Loin painOedema  Urgency of micturition  Frequency of micturition  Abnormal urinary stream

22  Abdominal pain /swelling  NauseaVomiting  DiarrhoeaConstipation  Weight lossAnorexia  DysphagiaTenesmus  Yellow eyes  Loss of appetite

23  HeadacheDizziness  IrritabilitySeizure  Loss of consciousnessDiplopia  ParesisParasthesia  NauseaVomiting  Neck stiffnessFainting  AphasiaEchopraxia  SomnolenceTremor

24  ‘If a child cries when you examine him/her it is your fault’  Gain their confidence  Older child – adolescent  Younger child – on mums lap  Always talk to the child no matter the age

25  General examination  Systemic examination

26  General examination ◦ Introduce patient ◦ Pallor, jaundice, clubbing, dehydration ◦ Temperature, oedema, cyanosis ◦ Anthropometry – weight, height/length Mid Upper Arm Circumference, head circumference with comments ◦ Vital signs

27 Massive cervical lymphadenopathy HIV Encephalopathy National Paediatric ART Training Slides Unit 3 20 Clinical Features and Associated Conditions …cont…

28 Severe wasting National Paediatric ART Training Slides Unit 3 16 Clinical Features

29  Always start with the system you feel has the problem or diagnosis  Inspection  Palpation  Percussion  Auscultation  Thank the patient and/or care give

30  Any questions  Thank you


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