Pediatrics Checklist by DR - Anush

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Developmental concerns

Symptoms Explore Rule out Diagnosis Management Advice

Walking >18 months Was he ever General There is no Follow up at No


able to walk? development/when delay. 18 months, walkers
Environment? did he sit? Can he bring your Encourage
BIRDDD stand? Walk with child in for walking
support? examination
NAI
Separation Irritable Happens in Do systemic Seems like Reassure- Leave
Anxiety Clingy particular review/dehydration your baby has part of with smb
time/Situation? NAI separation development that baby
Affects anxiety, it`s knows
sleep/eating? when baby is Say
Any changes in away from goodbye
routine? their main to child
Changes in diet carer/mother, Once
recently this is normal home-
(started part of spend
solids)? development. quality
time
Teething Irritable Happens in Do systemic Seems like Reassure- Cuddle
Drooling particular review/ your baby is normal the baby
Swollen/red time/Situation? dehydration teething, it`s process Avoid
gums Any changes in NAI when teeth Rub gum objects
routine? start to come with clear that can
Affects out, can be finger break
sleep/eating? uncomfortable. Chew on Once
Changes in diet cool tooth is
recently objects/fruits out- brush
(started Calpol
solids)?

Autism

Symptoms

Delayed/reduced language (<10 words by 2)


Regression/loss of speech
No/reduced response to name
No/reduced interaction with others
Reduced eye contact/pointing with finger
Rigid/repetitive behavior, play

Explore

General Development
Impact on sleep/appetite/education
Emotional/mental/psychological problem/behavior that challenges
Need in support for daily activities
Family history
Antenatal/perinatal history/drugs/birth weight
History of trauma/neglect/abuse
Management of Suspected Autism

Encourage family to be involved in care/management decisions


Referral to MD autism team:
Neurodevelopmental pediatrician, child psychiatrist, social worker
National Autistic Society/Autism.uk
Leaflet

Management of Confirmed Autism

Encourage family to be involved in care/management decisions


Do you have a key worker for on-going care/support?
-Behavior, care, education, mental health, speech, occ/creative therapy, parent support
NAI, family situation
Behavioral challenges-explore triggers and modify
Sleep challenges- sleep hygiene

Triage Call-Sepsis Triage Call-Asthma exacerbation


Presentation Drowsy baby Coughs
Feverish Cannot complete sentences
Red Flags Systemic review Systemic review
Dehydration Dehydration
Meningitis Blue lips
Can wake up the baby? Flared nostrils/uses accessory muscles
Explore Contact MMA
MMA Are you compliant with treatment?
Management Ambulance to go to A^E right away Ambulance to go to A^E right away
Stay in line with parent Stay in line with parent
Try to keep baby awake Salbutamol every 1 min (blue)
Keep the baby seated
Try to keep baby awake

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