Pediatrics Physical Assessment

First step of PEDS assessment`

Introduce yourself to the patient and parents

PEDS is considered

Family centered care

What is the order of exam for PEDS

Least distressing to most distressing to minimize anxiety and discomfort for the child.

What is a valuable

Distraction

Before the exam is started, what is taken?

Detailed history

Differences of a pediatric history compared to an adult history

• Prenatal and birth history

• Feeding history

• Developmental history

• Variations in review of systems

• Immunization history more detailed

Neonate (Age range)

0-1 month

Infancy (Age range)

1-12 months

Toddler (Age range)

1-3 years old

Preschool (Age Range)

3-6 years old

School Age (Age Range)

6 -12 years Old

Early Adolescence (Age Range)

12-14 years old

Middle Adolescence (Age Range)

15 to 17 years old

Late Adolescence (Age Range)

18 to 21 years old

Most rapid growth for PEDS? (What age group)

Infancy

Growth slows down. (What age group)

Toddler

Increase autonomy and give choices to the child when you can? (What age group)

Toddler

Growth in legs and increased desire to learn? (What age group)

Preschoolers

What age group will children start to go through puberty?

School Age

What age is a head-to-toe assessment apropriate?

School age

Wants to be treated like adults and addressed directly. What age group?

Adolescence

Gently but firmly suggest parent moves to waiting room while conducting physical exam. What age group?

Adolescence

HEADSS Assessment

When you ask about home, education, activities, drugs, sexuality, and suicide. Adolescence

Tanner Stages

Sexual Maturity in the body

How do you measure a child who cannot stand?

Supine Position (Laying down)

How do you take temperature vitals for infants?

Axillary

Normal range temp for an infant when taken from the armpit…

97.9 to 99

When measuring heart rate of PEDS, how should you measure it?

Auscultatory using a stethoscope

QUESTT is used to evaluate what?

Pain

QUESTT

• Question the patient

• Use pain rating scale

• Evaluate behavior and physiologic signs

• Secure family’s involvement

• Take cause of pain into account

• Take action and assess effectiveness

If a patient is unable to tell you where they feel pain, what is another way they can tell you?

Art