Pediatrics History




EM Clerkship show

Summary: <br> Always ask about pediatric patient’s ‘P-I-S-S’ status!!!<br> <br> <br> <br> Core Function Questions (P-I-S-S Status)<br> <br> <br> <br> * Peeing* Evaluates for dehydration* Number of wet diapers per day?* Same number as usual?* Intake* Rule of 3s* Estimates how much milk/formula an average infant should be taking* 3oz of milk or formula every 3 hours* Sleeping* Is the patient sleeping MORE than usual?* LESS than usual?* Stooling* Normal stool* Changes from dark meconium to tans/yellows<br> <br> <br> <br> Pediatric Medical History<br> <br> <br> <br> * Prebirth* Did the patient have prenatal care?* Any issues with the pregnancy?* Was mom GBS positive?* Peribirth* What gestational age was patient born at?* Vaginal delivery or c-section?* How long did baby have to stay in hospital after delivery?* Postbirth* Diagnosed medical/surgical problems* Immunization status<br> <br> <br> <br> Additional Reading<br> <br> <br> <br> * The Truth About Baby Poop <a href="https://www.webmd.com/parenting/baby/features/truth-about-baby-poop#1">(WebMD)</a><br>