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    OSCE Markscheme - Paediatric History: Opening The Consultation

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    MDreamer
    This document outlines the key components of taking a paediatric history during a medical consultation. It includes opening the consultation, obtaining a history of the presenting complaint, reviewing key symptoms, performing a systems review, obtaining a past medical history, family history, and social history. It emphasizes using open questioning, active listening, summarizing, and signposting throughout the consultation. The guide closes by thanking the patient and summarizing the salient points of the history.

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    OSCE Markscheme - Paediatric History: Opening The Consultation

    Uploaded by

    MDreamer
    431 views2 pages
    This document outlines the key components of taking a paediatric history during a medical consultation. It includes opening the consultation, obtaining a history of the presenting complaint, reviewing key symptoms, performing a systems review, obtaining a past medical history, family history, and social history. It emphasizes using open questioning, active listening, summarizing, and signposting throughout the consultation. The guide closes by thanking the patient and summarizing the salient points of the history.

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    OSCE-Mark-Scheme-Paediatric-History-Taking-1

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    This document outlines the key components of taking a paediatric history during a medical consultation. It includes opening the consultation, obtaining a history of the presenting complaint, reviewing key symptoms, performing a systems review, obtaining a past medical history, family history, and social history. It emphasizes using open questioning, active listening, summarizing, and signposting throughout the consultation. The guide closes by thanking the patient and summarizing the salient points of the history.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    431 views2 pages

    OSCE Markscheme - Paediatric History: Opening The Consultation

    Uploaded by

    MDreamer
    This document outlines the key components of taking a paediatric history during a medical consultation. It includes opening the consultation, obtaining a history of the presenting complaint, reviewing key symptoms, performing a systems review, obtaining a past medical history, family history, and social history. It emphasizes using open questioning, active listening, summarizing, and signposting throughout the consultation. The guide closes by thanking the patient and summarizing the salient points of the history.

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    OSCE Markscheme - Paediatric History

    OPENING THE CONSULTATION

    1 Introduces themselves

    2 Confirms patient’s details

    3 Establishes presenting complaint using open questioning

    HISTORY OF PRESENTING COMPLAINT

    4 Onset

    5 Changes in symptoms over time (e.g. worsening)

    6 Previous medical input

    7 Previous episodes

    8 Relieving or aggravating factors

    9 Ideas / Concerns / Expectations

    KEY SYMPTOMS

    10 Intake of food/feed

    11 Oral fluid intake

    12 Urine output

    13 Stools - consistency and frequency

    14 Vomiting - frequency, consistency and volume

    15 Fever

    16 Rash

    17 Coryzal symptoms

    18 Cough and/or increased work of breathing

    19 Weight change - loss vs gain

    20 Pain - use SOCRATES to explore

    SYSTEMS REVIEW

    21 Screens for symptoms in other body systems

    PAST MEDICAL HISTORY (Including DRUG HX and DEVELOPMENTAL HX)

    22 Antenatal period - illness or complications during gestation

    23 Birth - delivery complications / prematurity / birth weight

    24 Neonatal period -  illness /admission to a special care baby unit (SCBU)?

    25 Chronic medical conditions

    26 Developmental history
    27 Growth

    28 Immunisation history

    29 Past illnesses, hospital admissions, operations, accidents and injuries

    30 Regular medications and over the counter medications

    31 Allergies

    FAMILY HISTORY

    32 Asks about medical conditions in the family and draws family tree if appropriate

    SOCIAL HISTORY

    33 Individuals living with the child

    34 Parental/Carer occupation

    35 Housing

    36 Parental/Carer smoking status

    37 Relationships/marital status

    38 Child’s play or leisure activities

    39 Is the child at school/nursery? How are they managing?

    40 Impact of child illness on the family

    41 Involvement of social services

    42 Use of HEEADSSS structure if adolescent or young adult

    CLOSING THE CONSULTATION

    43 Thanks patient

    44 Summarises salient points of the history

    KEY COMMUNICATION SKILLS

    45 Active listening

    46 Summarising

    47 Signposting

    Read the full guide at Download our


    GeekyMedics.com OSCE App

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