Another set of Fast Facts, this time from Newell & Darling (2014) about paediatrics at 7 years old. Useful 'nice to knows' during history taking?
Today, we bring you an incredibly useful alternative to the Wong-Baker FACES pain scale (Wong-Baker Faces, 2016), the 'highly unofficial LEGO Pain Assessment Chart' by Life of Dad (Moles, 2014).
This post is a fast fact on some of the health experiences your patients may have had by the time they are 5. A 'nice to know' that may be useful to bear in mind during history taking.
Depending on where an object settles, the patient might have symptoms instantly or days after foreign body inhalation. A croupy cough might not be croup. An infection might not be a simple chest infection. Consider adding these questions to your history taking.
Sometimes, children might present with pyrexia and symptoms that don't suggest they have a chest infection. Don't rule out pneumonia in a poorly child who isn't complaining of chesty symptoms - they may have it.
Remember that the quiet child is often the child who is unwell.
According to Bruga et al (2013), the red flags to look out for range from those which directly concern a child's vital signs to states such as 'seizures', rashes and 'haemorrhage' (Bruga et al, 2013: 12). For the full list, please see the image below.