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Guide to the Comprehensive Pediatric H P Write Up Guide to the Comprehensive Pediatric H P Write Up INSTRUCTIONS FOR USE OF THE SECTION ON PEDIATRIC HISTORY AND PHYSICAL EXAM The following outline for the Pediatric History and Physical Examination is comprehensive and detailed
Elevated 17-Hydroxyprogesterone (17-OHP) Congenital Adrenal . . . Examine the newborn immediately (Assess for ambiguous genitalia or non-palpable testes, lethargy, vomiting, diarrhea, dehydration, poor feeding) Educate family about signs, symptoms and need for urgent treatment of adrenal crisis
Newborn Screening ACT Sheet [Elevated 17-hydroxyprogesterone . . . Aimer: This guideline is designed primarily as an educational resource for clinicians to help them provide quality medical care It should not Disclaimer: inclusive This guideline of all proper is designed procedures primarily and as an tests educational or exclusive resource of other for clinicians procedures to help and them tests provide that quality are reasonably medical care directed It
Microsoft Word - Sample Pediatric History and Physical Exam. docx Sample Pediatric History and Physical Exam Date and Time of H P: 9 6 16, 15:00 Historian: The history was obtained from both the patient’s mother and grandmother, who are both considered to be reliable historians Chief complaint: "The rash in his diaper area is getting worse "
PEDIATRIC HISTORY AND PHYSICAL EXAM TEMPLATE History of Present Illness: Well-nourished, ambulatory child brought into clinic today for routine examination and scheduled immunizations Child has had typical and expected age-appropriate findings to date: Well-Baby Visit (1 week)-dry, peeling skin; mother was instructed to keep moisturized; no other treatment needed PKU repeated results negative Dx: Erythema toxicum neonatorium Child
PEARLS for Newborn Nursery - UNC School of Medicine Discharge Orderset: "Newborn Discharge” (time for 24 hours for term babies and 36 hours for late preterm babies) Admission navigator: document birth history, social history, at least one problem; H P: nbnadmission; Progress note: nbnpncurrent; Discharge note: nbndischarge nbnbirthhistory and nbnsocialhistory