Nov. 19, 2017

Pediatrics History

Pediatrics History
Pediatrics History
EM Clerkship
Pediatrics History

Always ask about pediatric patient’s ‘P-I-S-S’ status!!!



Core Function Questions (P-I-S-S Status)



* 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



Pediatric Medical History



* 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



Additional Reading



* The Truth About Baby Poop (WebMD)