The Pediatric History

The Pediatric

History Taking

By Professor Abdulatif Al Faraidy

History Taking is 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 Adults Variations depending on age:

Physical Physiological Biochemical Behavioral Intellectual Emotional

History Taking (continued)

Techniques  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)



Personal History and Habits



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

 Past

Medical History:

Prenatal History Birth and Neonatal History Illnesses, Medications, Hospitalizations, Surgeries, Transfusions, Allergies Immunizations:Schedule, Reactions

History Taking (continued)

 Family

and Social History:

Consanguinity and degree Parents : age, Education, Occupation, Income, Smoking and Health Siblings ( Pedigree and age ), Neonatal Deaths Family Illnesses: Allergies, Diabetes, Asthma, etc Contacts, Travel Social History:, Housing, Who is living with the child, Pets, Transportation

History Taking (continued)

Developmental History:



( Milestones of

Development)

Gross Motor Fine Motor Language Skills Social &Behavior Skills 

• • 

Others: Schooling ( Level & Performance) Sphincter Control

System Review

Some 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 

Some important Tips (continued)

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)

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