Paediatric  Health Supervision:

newborn, infant, pre-school child, school-aged child, adolescent

Nutrition

Growth - HC, ht, wt, BMI

Hypertension

Health active living

Mental health

Normal development

Immunizations

Anticipatory guidance

Injury prevention

Vision and hearing

Dental health

Discipline / Parenting

Sleep issues

SIDS

Crying / colic

Sexual develop / health

Adolescent health surveillance (HEADDDS)

Social-economic / cultural / home / environment

Newborn

Birth Trauma

Depressed newborn

Prematurity

Respiratory distress

Sepsis

Hypothermia

Hypoglycemia

Dysmorphic features

-           Trisomy 21

-           FAS / FASD

Congenital infections

SGA

LGA

Neonatal abstinence syndrome

Abnormal newborn screen

Abnormal physical findings

-           develop hip dysplasia

-           undescended testes

-            ambiguous genetalia

-            absent red reflex

Vitamin K deficiency

Hypotonia  / floppy newborn

Neonatal Jaundice

Physiologic

Breast feeding jaundice

Breast milk jaundice

Biliary atresia

Hemolytic anemia

Kernicterus

Fever

UTI

Meningitis

Viral

Occult bacteremia /sepsis

(<1mo, 1-3 mo, >3 mo)

Kawasaki disease

Dehydration

Mild/mod/severe dehydration

Hypo/hypernatremia

DKA

Respiratory distress / Cough

Asthma

Status asthmaticus

Croup

Bronchiolitis

Pneumonia

Pertussis

Epiglottitis

Tracheitis

CF

CHF

Anaphylaxis

Foreign body

Development & Behavioural problems

Global delay

Delay in isolated domains

-           Speech / language

-           Gross motor

Specific patterns        

-           ASD

-           ADHD

School failure / refusal

Common behavioural challenges

 - temper tantrums

- sleep problems

Growth problems

Height issues

-           short stature

-           tall stature

Weight issues

-           FTT

-           anorexia

-           obesity

Inadequately explained injury (Child abuse)

Physical abuse

Abusive head trauma

Sexual abuse

Neglect

Domestic violence

Abdominal Pain

Constipation

Functional

IBD

Infection

 - gastro

- UTI

Intussusception

HSP

Gynecologic / genito urinary

Vomiting

GER / GERD

Pyloric stenosis

Malrotation/volvulus

Intussusception

Intestinal atresia

Gastroenteritis

Meningitis

Pyelonephritis

Space-occupying lesion

Diarrhea

Gastroenteritis

Celiac

HUS

IBD

Toddler’s diarrhea

CF

Altered level of consciousness

Alt LOC (cont’d)

Poisoning / intoxication

Seizure

Head Injury

Meningoencephalitis

Hypoglycemia

Metabolic disease

Seizure / Paroxysmal event

Febrile vs. non-febrile seizure

General vs. focal seizure

Status epilepticus

ALTE

Syncope

Breath-holding spell

Headache

Migraine

Brain tumor

Increased ICP

Concussion/ trauma

Murmur

Innocent murmur

Cyanotic heart disease

Acyanotic heart disease

-           VSD

-           PDA

-           Coarctation of aorta

Rash

Eczema

Viral exanthems

Diaper rashes

Seborrhea dermatitis

Impetigo

Cellulitis

Scarlet fever

Urticaria

Drug eruption

Scabies

Acne

Bruising / Bleeding

ITP

HSP

Hemophilia

Meningococcemia

Pallor/ Anemia

Iron deficiency

Hemoglobinopathies

Hemolysis

Leukemia

Lymphadenopathy

Reactive

Benign

Cervical adenitis

Mononucleosis

Leukemia

Lymphoma

Limp/ Extremity pain

Growing pains

Trauma/ injury

Osteomyelitis

Septic arthritis

Reactive arthritis

-           rheumatic fever

-           post-infectious

-           transient synovitis

Juvenile idiopathic arthritis

Legg Calve Perthes disease

SCFE

Osgood Schlatter disease

Malignancy

-           bone tumor

-           leukemia

Urinary complaints

(hematuria, dysuria, polyuria, frequency)

UTI / VUR

Post-infectious GN

IgA nephropathy

Diabetes mellitus

Wilm’s tumor

Enuresis

Edema

Nephritic syndrome

Nephrotic syndrome

Cow’s milk protein allergy

Renal failure

Sore ear

Otitis media

Otitis externa

Sore throat /sore mouth

Pharyngitis

Peritonsillar abscess

Retropharyngeal cellulitis

Stomatitis

Dental disease

Oral thrush

Sore / red eye

Periorbital / orbital cellulitis

Conjunctivitis