Pediatrics, 2004 Edition (Current Clinical Strategies)

Features

• Cover Type: Paperback with 128 pages
• Published by: Current Clinical Strategies Publishing July 15, 2003
• Written in: English
• ISBN 10 Number: 1929622414
• ISBN 13 Number: 978-1929622412
• Book Dimensions: 6.6 x 4 x 0.4 inches
• Weighs: 4.8 ounces

Product Description
This manual is an essential compilation of current therapy in pediatrics for inpatients and outpatients. It is an essential guide for busy pediatricians, family physicians, and students of pediatrics.

Excerpt. © Reprinted by permission. All rights reserved.
Pediatric History and Physical Examination

History

Identifying Data: Patient's name; age, sex. List the patient’s significant medical problems. Name and relationship to child of informant (eg, patient, parent, legal guardian). Chief Complaint: Reason given for seeking medical care and the duration of the symptom(s). History of Present Illness (HPI): Describe the course of the patient's illness, including when it began and the character of the symptom(s); aggravating or alleviating factors; pertinent positives and negatives. Past diagnostic testing. Past Medical History (PMH): Past diseases, surgeries, hospitalizations; medical problems; history of asthma. Birth History: Gestational age at birth, whether preterm, obstetrical problems. Developmental History: Motor skills, language development, self-care skills. Medications: Include prescription and over-the-counter drugs, vitamins, herbal products, homeopathic drugs, natural remedies, nutritional supplements.

Feedings: Diet, volume of formula per day. Immunizations: Up-to-date? Drug Allergies: Penicillin, codeine? Food Allergies: Family History: Medical problems in family, including the patient's disorder. Asthma, cancer, tuberculosis, HIV, diabetes, allergies. Social History: Family situation, living conditions, alcohol, smoking, drugs. Level of education. Review of Systems (ROS): General: Weight loss or weight gain, fever, chills, fatigue, night sweats. Skin: Rashes, skin discolorations. Head: Headaches, dizziness, seizures. Eyes: Visual changes. Ears: Tinnitus, vertigo, hearing loss. Nose: Nose bleeds, nasal discharge. Mouth and Throat: Dental disease, hoarseness, throat pain. Respiratory: Cough, shortness of breath, sputum (color and consistency). Cardiovascular: Dyspnea on exertion, edema, valvular disease. Gastrointestinal: Abdominal pain, vomiting, diarrhea, constipation. Genitourinary: Dysuria, frequency, hematuria. Gynecological: Last menstrual period (frequency, duration), age of menarche; dysmenorrhea, contraception, vaginal bleeding, breast masses. Endocrine: Polyuria, polydipsia. Musculoskeletal: Joint pain or swelling, arthritis, myalgias. Skin and Lymphatics: Easy bruising, lymphadenopathy. Neuropsychiatric: Weakness, seizures. Pain: Quality (sharp/stabbing, aching, pressure), location, duration

Physical Examination

General appearance: Note whether the patient looks "ill," well, or malnourished.

Physical Measurements: weight, height; head circumference if less than 36 months, body mass index (BMI). Plot on age-appropriate growth charts. Vital Signs: Temperature, heart rate, respiratory rate, blood pressure. Skin: Rashes, scars, moles, skin turgor, capillary refill (in seconds). Lymph Nodes: Cervical, axillary, inguinal nodes: size, tenderness.