History in PEDz ..

 Personal profile :
1. Name 2. Age 3. sex
4. address 5. admission through 6. time of admission
7. source of info

 Chief Complaint
 Hx of present illness
 Systemic Review :
General Eye CVS Respiratory
1. Wt change 1. redness 1. cyanosis 1. nasal discharge
2. Fever 2. discharge 2. rapid breathing 2. epistaxis
3. Sweating 3. diplopia 3. excessive sweating 3. cough
4. Activity during feeding 4. wheeze
Ear
5. Sleeping 5. cyanosis
1. discharge
6. General condition 6. rapid breathing
2. pain
7. appetite 7. stridor

Neck Infectious Mouth

1. swelling 1. fever 1. ulceration
2. limitation move. 2. chills 2. gum bleeding
3. rigor

CNS MSS UGS GI

1. abnormal movements 1. joints swelling 1. dysuria 1. vomiting
2. headache 2. joints pain 2. urgency 2. diarrhea
3. gait 3. limitation 3. enuresis 3. abd pain
4. vision movements 4. loins pain 4. constipation
5. hearing 4. joints stiffness 5. # wet nappies 5. color of stool
6. level of consciousness 6. scrotal swelling 6. abd distention
Skin
7. neck stiffness 7. frequency 7. sticky stool
1. rash
8. diplopia 8. blood in stool
2. hyper- , hypo
9. photophobia 9. melena
pigmentation
3. hemangioma
4. mangolion spot
  Past Medical Hx
1. Previous admission 2. Previous surgeries 3. Hx of blood transfusion
4. Hx of allergy 5. Accidents , injuries 6. Previous investigations

 Perinatal Hx
a. Prenatal :
1. Mother's age 2. Maternal fever or rash 3. Maternal diabetes 4. Drugs taking
5. Exposure to 6. Antenatal care 7. Prolonged rupture of 8. Duration of
radiation membrane > 18-24 h pregnancy

b. Natal :
1. Delivery mode 2. Crying 3. Birth wt

c. Post-natal :
1. Neonatal admissions 2. Neonatal jaundice

 Nutrition Hx
1. Breast feeding 2. Bottle feeding (frequency, 3. Wt gain
(frequency, duration) amount, reason for bottle)
4. Weaning 5. Table food (type, amount)

 Developmental Hx
1. Gross motor 2. Fine motor 3. Language
4. Social 5. School performance

 Vaccination Hx
1. Type of vaccine 2. Age of vaccine
3. According JNP, UNRWA 4. complication

 Family Hx
1. Mother's age 2. Father's age 3. Consanguinity
4. # children and similar conditions 5. Genetic diseases 6. Early deaths

 Social Hx
1. House (rooms, ventilation) 2. Occupation of father 3. Income
4. Insurance 5. Animals 6. Smoking

 Psychiatric Hx
1. anxiety 2. emotional problem 3. temper 4. school refusal
5. mental problem 6. behavioral problem 7. mood disorders