Escolar Documentos
Profissional Documentos
Cultura Documentos
PEDIATRIC DATABASE
Infancy 0-2 years old
IDENTIFYING DATA
Allergies
Accidents
Illnesses
Family History
Nutritional History
Oral Health
REVIEW OF SYSTEMS
General
Skin
HEENT
Respiratory
Cardiovascular
Gastrointestinal
Genital
Musculoskeletal
Neurologic
PHYSICAL EXAMINATION
General Survey
Vital Signs
HR Pulses , strong/weak/etc.
Pain scale
Anthropometric measurements
Weight kg( Percentile)
Height cm( Percentile)
BMI ( Percentile)
Nutritional Assessment and Recommendation
Skin
Head
Neck
Eyes
Ears
Nose
Cardiovascular
Abdomen
Genitalia
Musculoskeletal
Extremities
Ortolanis
Barlows
NEUROLOGICAL EXAMINATION
Mental Status
Sensory
Hearing
Vision
Cranial nerves
Reflexes
Motor
Plan Of Management
Designation: Designation:
Department of Pediatrics
PEDIATRIC DATABASE
Early Childhood 3-5 years old
IDENTIFYING DATA
Allergies
Accidents
Illnesses
Family History
Nutritional History
Oral Health
REVIEW OF SYSTEMS
General
Skin
HEENT
Respiratory
Cardiovascular
Gastrointestinal
Genital
Musculoskeletal
Neurologic
PHYSICAL EXAMINATION
General Survey
Vital Signs
HR Pulses , strong/weak/etc.
Pain scale
Anthropometric measurements
Weight kg( Percentile)
Height cm( Percentile)
BMI ( Percentile)
Head
Neck
Eyes
Ears
Nose
Cardiovascular
Abdomen
Genitalia
Musculoskeletal
Extremities
NEUROLOGICAL EXAMINATION
Mental Status
Sensory
Hearing
Vision
Cranial nerves
Reflexes
Motor
Assessment and Differential Diagnosis
Plan Of Management
Designation: Designation:
PEDIATRIC DATABASE
Middle Child 6-10 years old
IDENTIFYING DATA
Allergies
Accidents
Illnesses
Family History
Nutritional History
Oral Health
REVIEW OF SYSTEMS
General
Skin
HEENT
Respiratory
Cardiovascular
Gastrointestinal
Genital
Musculoskeletal
Neurologic
PHYSICAL EXAMINATION
General Survey
Vital Signs
HR Pulses , strong/weak/etc.
Pain scale
Anthropometric measurements
Weight kg( Percentile)
Height cm( Percentile)
BMI ( Percentile)
Head
Neck
Eyes
Ears
Nose
Cardiovascular
Abdomen
Genitalia
Musculoskeletal
Extremities
NEUROLOGICAL EXAMINATION
Mental Status
Sensory
Hearing
Vision
Cranial nerves
Reflexes
Motor
Assessment and Differential Diagnosis
Plan Of Management
Designation: Designation:
PEDIATRIC DATABASE
Adolescent 11-18 years old
IDENTIFYING DATA
Allergies
Accidents
Illnesses
Family History
Nutritional History
Personal and Social History
HEADSS
H-HOME
E- EDUCATION/EMPLOYMENT
A-ACTIVTIES
D-DRUGS
S- SEXUALITY
S-SPIRTUALITY
S-SUICIDE/DEPRESSION
S-SAFETY
Oral Health
Skin
HEENT
Respiratory
Cardiovascular
Gastrointestinal
Genital
Musculoskeletal
Neurologic
PHYSICAL EXAMINATION
General Survey
Vital Signs
HR Pulses , strong/weak/etc.
Pain scale
Anthropometric measurements
Weight kg( Percentile)
Height cm( Percentile)
BMI ( Percentile)
Skin
Head
Neck
Eyes
Ears
Nose
Cardiovascular
Abdomen
Genitalia
Musculoskeletal
Extremities
NEUROLOGICAL EXAMINATION
Mental Status
Sensory
Hearing
Vision
Cranial nerves
Reflexes
Motor
Designation: Designation: