PODI4203 Lecture 1: General-Medicine
Document Summary
Paediatric history: presenting problem, past hx, treatment + allergies, obstretic and neonatal hxgrowth + nutrition, development, family/social hx (environmental factors employment, 1x parent, financial, mental health), immunisations, vaccinations. Pregnancy: normal, illness, medication, smoking, alcohol, teratogens, allergies. Development: orderly, predictable acquisition of skills gross/fine motor, personal/social, language, visual/hearing. Examinations: generally observations, cooperation, may not be able to follow instructions, need to adapt to situation. Adolescence: illness burden increases, health outcomes not improving, time to influence long- term health behaviour. Chronic illnesses, accidents, sexual health, substance misuse, mental health (suicide, self-harm, depression) Cognitive changes: simple complex reasoning, concrete abstract, self-other centred, philosophical, political, moral, social concepts. Rapport, confidentiality, see on own more open. Headss: home, employment/education, activities, drugs, sexuality, suicide risk/depression. If it doesn"t fade when pressed meningococcal purple (pin-prick) associated w fever and being unwell. Podiatry: growing pains, hypermobility (aches/pains physiotherapy), chronic pain syndromes, rickets (vit d def, dec sunlight), nail changes (clubbing chd, lung/git diseases/disorders), osteogenesis imperfecta (brittle bone disease).
