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OSCEs for Medical Students, Volume 3 Second Edition

OSCEs for Medical Students, Volume 3 Second Edition

OSCEs for Medical Students, Volume 3 Second Edition

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Chapter 1PaediatricsPaediatric HistoryWhen you take a paediatric history, discuss first what is of concern. Use the listsbelow to find out more about the area of concern, <strong>for</strong> instance the antenatal, birthand development in a child with fits. Go beyond these questions in an area ofinterest. There are too many questions here to ask in every situation, but touch oneach area. For instance, ‘are there any problems with his heart?’ can be used ratherthan asking about scans and murmurs. The most important aspect of historytaking is to listen.OSCE StationsPregnancyPlanned/unplanned/IVF/donor/adoptedScans – when and any problemsPrevious births – gestation and weightMode of delivery – induction/SVD/LSCS (emergency or elective), and whyResuscitation neededSCBU afterwardsApgars (but parents unlikely to know)DevelopmentAny concernsProblems at school – academically or in gamesDevelopmental screen (only use in < 5 years unless developmental problem):Smiling by 6 weeks (time of concern)Sitting by 9 monthsTurns to sound by 6 monthsFirst words by 18 monthsWalking by 18 monthsTalking two-wordsentences by 3 years

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