Get the free Pediatric Case History - Johns Hopkins Medicine

The Listening Center at Johns Hopkins 601 N. Caroline St. Rm. 6009 Baltimore, MD 21287 410.955.9397Pediatric Case History I.GENERAL INFORMATION:Child's name: Date of Birth: / / Parents Names: Home

How to fill out pediatric case history

How to fill out pediatric case history

1. To fill out a pediatric case history, follow these steps:
2. Start by collecting the basic information about the patient, such as their name, age, gender, and contact details.
3. Obtain the relevant medical history of the child, including any pre-existing conditions, allergies, or previous illnesses.
4. Document the chief complaint or reason for the visit, along with any accompanying symptoms or concerns expressed by the parents or guardians.
5. Perform a thorough review of systems, asking about the child's overall health, growth and development, eating habits, sleeping patterns, etc.
6. Record information about the child's immunization history and any medications they are currently taking.
7. Conduct a detailed family history to identify any genetic or hereditary conditions that may be relevant.
8. Perform a physical examination of the child, including measurements of height, weight, blood pressure, and other relevant assessments.
9. Document the findings of the examination, including any abnormal observations or significant signs of concern.
10. Record any diagnostic tests or laboratory results that have been performed or are pending.
11. Summarize the case history, including a differential diagnosis if applicable, and discuss the plan of action with the parents or guardians.
12. Ensure that the case history is accurately signed, dated, and stored securely for future reference.

Who needs pediatric case history?

1. Pediatric case history is needed by healthcare professionals who provide medical care to children, including pediatricians, pediatric nurses, and other healthcare workers specializing in pediatric care.
2. It is also useful for medical researchers, educators, and students who study various aspects of child health and development.
3. Parents or guardians of a child may also need a pediatric case history to provide comprehensive information to healthcare providers or to keep a record of their child's medical journey.

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What is pediatric case history?

Pediatric case history is a detailed record of a child's medical and developmental history, including information on past illnesses, growth and development milestones, and any treatments or interventions.

Who is required to file pediatric case history?

Healthcare providers, such as pediatricians, nurses, and other medical professionals, are required to file pediatric case history for their patients.

How to fill out pediatric case history?

Pediatric case history can be filled out by collecting information from the child, parents or guardians, and any relevant medical records or test results. It is important to be thorough and accurate in documenting all information.

What is the purpose of pediatric case history?

The purpose of pediatric case history is to provide healthcare providers with a comprehensive overview of a child's health and medical background, which can help in making accurate diagnoses, treatment plans, and providing appropriate care.

What information must be reported on pediatric case history?

Information that must be reported on pediatric case history includes the child's personal details, family medical history, past illnesses, immunization records, medications, allergies, growth charts, and any relevant developmental or behavioral concerns.