Pediatrics Patient Name MR Number DOB Date Pediatrics
Pediatrics Patient Name MR Number DOB Date Pediatrics Progress Note—MSIII Time S: 24 hour events… Basically the same as in a Medicine note, except complaints may be via parents or nurse. Be sure to address any concerns that the patients have if they’re old enough to verbalize concerns. O: Vitals: Tmax / Tcurrent / bp / hr / resp / O 2 sats /accucheck I/O: last 8 hr- ‘in” (PO, IV)/ “outs” (urine, stool) last 24 hr- ‘in” (PO, IV)/ “outs” (urine, stool) Labs: Meds: Exam: GEN: HEENT: CV: PULM: ABD: EXT: NEURO: GU: A/P: List problems and plan to treat. Things to Know: • Social issues are very important in peds. Such as, are the parents appropriately concerned? How reliable are they? How safe is the child’s home? • Wash your hands, use the alcohol rub, autoclave your hands. Don’t stick your fingers in your mouth. This is how to avoid catching every virus your patients have. • BUT, you will get sick on peds. Stock up on nyquil, dayquil, cough drops, kleenex, chicken soup, etc. before the rotation starts. • You are going to make your patients cry. It’s nothing personal, but sick kids are unhappy kids; it’s your job to help them feel better. • Your residents and attendings will likely be very nice, but don’t let that be an excuse to slack off. • For outpatient, the note is very similar to a family practice note. Books: • Nelson Essentials of Pediatrics (“required” but hard to read—use it to look up more detailed info) • Blueprints in Pediatrics (broad overview) • Pre. Test Pediatrics (good questions to prepare for the shelf exam) • Illustrated Textbook of Pediatrics by Lissauer and Clayden (British, but has great pics) • Peds in Review (pedsinreview. org)
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