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Published byLora Brooks Modified over 8 years ago
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Paediatrics - Child Health país - child, iatros - physician basic medical specialty + basic nursing specialty history: –industrial revolution –artificial feeding –infectious diseases
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Child care Infant mortality - CzR 1923 14,7 %2001 4,0 o/oo causes of death –infectious diseases –perinatal malformations, developmental abnormalities, respiratory diseases natality 8,8 children/1000
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Paediatrics x Medicine specific categories –LBW –newborn + infant –adolescence growth and development (chronic) disease and carreer
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Child age intervals newborb - 28 days infant - 12 months “toddler” - up to 3 years preschool age school age adolescence (not puberty !)
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Neonate and Infant High growth speed Developement of psychomotoric abilities Developmental disorders Perinatal disorders Infections
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Preschool and school age social interaction low morbidity infections behavioral disorders autoimmune diseases
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Adolescence sexual maturation adolescent rezistance behavioral disorders drug abuse/experiments
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History Deatiled FH ( incl. grandparents, parent´s next of kin, deceased siblings) Perinatal history - pregnancy, delivery, birth weight + lenght PM development feeding preventive measures (screening, vaccination)
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History social conditions –living conditions –preschool/school –leisure activities adolescents –abuse (drugs, alcohol, tobacco) –sex. activity
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Physical contact + observation –consciousness –overall appearence - fatigue, pain, hyperactivity, agresivity, anxiousness –muscle tone (antalgic, deformities, gait etc.) interaction parents x child PM developent
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Physical weight, height, centiles, BMI skin tonus and colour, exanthema joint movements foetal reflexes umbilicus large fontanelle teeth
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Physical pharynx, rectal - at the end breathing, heart abdomen - specifics screening - PAF BP, HR, T, RF
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