Friday, September 5, 2008

Pediatrics: Systems Review for History Taking

Pediatrics: Systems Review for History Taking

Cardiovascular
Chest pain, pressure
Shortness of breath, exertion required
Lie flat or use pillows, how many pillows
Awoke breathless at night
Noticed heart racing, aware of heartbeat
Ankle swelling
Cold/ blue hands, feet


Pulmonary
Sore throats, earaches
Cough: sputum, blood
Shortness of breath, wheeze
Snore loudly, apnea
Fever, night sweats
Recent chest X-ray


Alimentary
Weight, appetite changes
Abdominal pain or discomfort
Bloating, distention
Indigestion
Nausea, vomiting: *******s
Bowel habits: change, number
Incontinence, constipation/ diarrhea
Stool: colour, blood/ black, consistency, mucous
Nervous
Headaches
Dizziness, vertigo
Faints, seizures, blackouts
Weakness, numbness
Sleep disturbances
Limp, ataxia, tremors
Concentration, memory


Genitourinary
Enursesis
Changes to urine quantity, colour
Blood in urine
Genital rashes, lumps
Pain, bleeding in periods
Endocrine
Prefer hot or cold weather
Sweating
Fatigue
Hand trembling
Neck swelling
Skin, hair, voice changes
Thirst
Integumental
Itchy
Rashes
Bruising
Swelling
Colour changes
Hematological
Bruise easily, difficulty stopping bleeds
Lumps under arms, neck, loin
Clots in legs, lungs
Fevers, shakes, shivers
Rheumatoid
Joints: pain, stiffness, swollen
Variation in joint pain during day
Fingers painful/ blue in cold
Dry mouth, red eyes
Skin rash
Back, neck pain

Anything else you think I should add?

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