Systems Review - Pediatrics ( STEP - 3 OSPE/VIVA )

Cardiovascular

• Chest pain, pressure
• Shortness of breath, exertion required
• Lie flat or use pillows, how many pillows
• Awoke breathless at night
• Noticed heart racing, aware of heartbeat
• Ankle swelling
• Cold/ blue hands, feet

Pulmonary

• Sore throats, earaches
• Cough: sputum, blood
• Shortness of breath, wheeze
• Snore loudly, apnea
• Fever, night sweats
• Recent chest X-ray

Alimentary

• Weight, appetite changes
• Abdominal pain or discomfort
• Bloating, distention
• Indigestion
• Nausea, vomiting: contents
• Bowel habits: change, number
• Incontinence, constipation/ diarrhea
• Stool: colour, blood/ black, consistency, mucous

Nervous

• Headaches
• Dizziness, vertigo
• Faints, seizures, blackouts
• Weakness, numbness
• Sleep disturbances
• Limp, ataxia, tremors
• Concentration, memory

Genitourinary

• Enursesis
• Changes to urine quantity, colour
• Blood in urine
• Genital rashes, lumps
• Sex life problems
• Pain, bleeding in periods

Endocrine

• Prefer hot or cold weather
• Sweating
• Fatigue
• Hand trembling
• Neck swelling
• Skin, hair, voice changes
• Thirst

Integumental

• Itchy
• Rashes
• Bruising
• Swelling
• Colour changes

Hematological

• Bruise easily, difficulty stopping bleeds
• Lumps under arms, neck, loin
• Clots in legs, lungs
• Fevers, shakes, shivers

Rheumatoid

• Joints: pain, stiffness, swollen
• Variation in joint pain during day
• Fingers painful/ blue in cold
• Dry mouth, red eyes
• Skin rash
• Back, neck pain

Is patient their regular self?
Anything else you think I should know?