In Children

In Children

1 When evaluating children, generate a differential diagnosis that accounts for common medical problems, which may present differently in children (e.g., urinary tract infections, pneumonia, appendicitis, depression).

2 As children, especially adolescents, generally present infrequently for medical care, take advantage of visits to ask about: – unverbalized problems (e.g., school performance). – social well-being (e.g., relationships, home, friends). – modifiable risk factors (e.g., exercise, diet). – risk behaviours (e.g., use of bike helmets and seatbelts).

3 At every opportunity, directly ask questions about risk behaviours (e.g., drug use, sex, smoking, driving) to promote harm reduction.

4 In adolescents, ensure the confidentiality of the visit, and, when appropriate, encourage open discussion with their caregivers about specific problems (e.g., pregnancy, depression and suicide, bullying, drug abuse).

5 In assessing and treating children, use age-appropriate language.

6 In assessing and treating children, obtain and share information with them directly (i.e., don’t just talk to the parents).

7 When investigation is appropriate, do not limit it because it may be unpleasant for those involved (the child, parents, or health care providers).


Posted in 50 In Children, 99 Priority Topics, FM 99 priority topics, OB

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