The Pediatric History

The Pediatric History Taking

The Pediatric History Taking

ByProfessor Abdulatif Al Faraidy

History Takingis an Art

and ideally should be learned

from working with good clinicians in action

To know the abnormal you must know the normal

Children Are Not Small AdultsChildren Are Not Small AdultsVariations depending on age:

PhysicalPhysiologicalBiochemicalBehavioralIntellectualEmotional

Identification:Name, Sex, Age, Date of Birth, Nationality, Region, Parents name, Telephone Numbers

Informant ( who? reliable ?) Chief Complaint ( use parents words ) History of Present Illness : Detailed, Medications

Interval History

History Taking (continued)

History Taking (continued)

Techniques

Personal History and Habits

Nutritional History: Breast feeding? weaned? Bowel motions? Allergies?

Past Medical History:Prenatal HistoryBirth and Neonatal HistoryIllnesses, Medications, Hospitalizations, Surgeries, Transfusions, AllergiesImmunizations:Schedule, Reactions

History Taking (continued)

Family and Social History:Consanguinity and degreeParents : age, Education, Occupation, Income, Smoking and HealthSiblings ( Pedigree and age ), Neonatal DeathsFamily Illnesses: Allergies, Diabetes, Asthma, etcContacts, TravelSocial History:, Housing, Who is living with the child, Pets, Transportation

History Taking (continued)

Developmental History: ( Milestones of Development)

Gross MotorFine MotorLanguage SkillsSocial &Behavior Skills

Others:• Schooling ( Level & Performance)• Sphincter Control

System Review

History Taking (continued)

Some important TipsSome important Tips

Proper Dressing and clean Establish a friendly relationship:

Smile, Greet parents and child Introduce your self, make pleasant remarks Make note of the name and sex of the child, sit

down, do not raise your voice, do not stare at the child

Learn to listen Mother is right until proven otherwise Learn to observe carefully during history

taking Have some toys to distract the child Keep child in mothers lap if needed

Some important Tips (continued)

Some important Tips (continued)Some important Tips (continued)

Be considerate, courteous, non critical and dignified

Show Sincerity and skills and parents will cooperate

Complete history later or during examination if needed

Modify the sequence according to the situation

Thank You