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Pediatric History and Physical Examination<br />Dr Abdullah Aburiziza<br />Allergy/Immunology Consultant<br />Assistant Professor, Pediatric Department, Um Al-Qura University<br />

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HISTORY<br />ID<br />Past Medical History<br />Allergy History<br />Social History<br />Chief Complain<br />Neonatal History<br />Vaccination History<br />Family History<br />History of present illness<br />Drugs History<br />Developmental History<br />

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Interview Techniques<br />Family &Child<br />Professional, yet sensitive and nonjudgmental Manner<br />Open-ended questions<br />Acknowledge parents concerns<br />Closed ended questions<br />Empathize<br />Repetition of important phrases<br />Guide the interview and summarize<br />Clarification<br />Medical terms<br />Confidentiality<br />

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ID<br />

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Chief Complain<br />1,2 or max 3 Chief Complains<br />Duration of Chief Complains<br />

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History of present illness<br /><ul><li>Onset

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Duration

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Progression

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Site

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Size

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Severity

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Aggravating factors

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Reliving factors

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Associated Symptoms</li></ul>1,2 or max 3 Chief Complains<br />Diagnosis & Differential<br />

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Past Medical History<br />PMH: Similar illness<br />PMH: Chronic diseases, diagnosis, progression<br />PMH: Admission, numbers of admission<br />PMH: Related diseases <br />Past surgical History<br />

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Neonatal History<br />Prenatal History<br />Antenatal History<br />Postnatal History<br />

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Drugs History<br />Duration of usage<br />Method of usage<br />Availability and cost<br />Dosages<br />Recent changes in dosage<br />Complications and side effects<br />Help from the family<br />Compliance<br />

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Allergy History<br />Drug Allergy<br />Food Allergy<br />Inhalant Allergy<br />

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Vaccination History<br />Developmental History<br />

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Social History<br />Travel Hx<br />Family Structure<br />Home environment<br />Family income Hx<br />Smoking<br />Cope with the disease<br />Education Hx<br />School<br />

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Family History<br />Family History of Similar disease<br />Medications used in family<br />Family History of related disease<br />(Disease specific )<br />Family History of infant death or miscarriages<br />

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HISTORY<br />ID<br />Past Medical History<br />Allergy History<br />Social History<br />Summery<br />Chief Complain<br />Neonatal History<br />Vaccination History<br />Family History<br />History of present illness<br />Drugs History<br />Developmental History<br />

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Physical Examination<br />Initial: Hand Washing, Introduction, Privacy, Permission, <br />Vitals and anthropometrics measurements, plotted on the chart<br />Specific:<br />