OSCEs for Medical Students, Volume 3 Second Edition

Paediatrics 5RespiratoryAny breathing difficultiesHow is he nowNoisy breathing – inspiratory or expiratoryEpisodes of cyanosis, apnoea or working hardWhat makes it better/worseOSCE StationsDay or night variationCough – dry/wet/barking, worse at nightPrevious treatments and their effectCardiovascularAntenatal scansMurmur heard – how investigated?Episodes of cyanosis or shortness of breath, especially feedingOperations?Gut and nutritionBreastfeeding – any problems. Is baby satisfied by feed, how often?Milk – which formula, how much, how often?Concerns about growth – (look at ‘centiles in red book)Eating solids (after about 4 months)? Any dietary requirementsDiarrhoea/constipation – consistency, how often – any treatmentVomiting – what/when/how muchTake a 24 h intake/output historyRenalPrevious UTIs – any investigationsUnexplained feversIrritability/blood in urineSwelling around eyes or abdomen.