Pediatric Diagnosis and Management Plans
Activity
Clinical Exposure
Clinical Exposure
Curriculum Block
Clerkship / Pediatrics Rotation
- Indicates most relevant
Objectives
Clerkship Objectives
- Rash: Acne, Cellulitis, Diaper rashes, Drug eruption, Eczema, Henoch Scholein purpura, Impetigo, Scabies, Scarlet fever, Seborrhea dermatitis, Urticaria, Viral exanthems
- Inadequately explained injury (Child abuse): Abusive head trauma, Domestic violence, Neglect, Physical abuse, Sexual abuse
- Limp / Extremity Pain: Bone tumor, Growing pains, Juvenile idiopathic arthritis, Legg Calve Perthes disease, Osgood Schlatter disease, Osteomyelitis, Post-infectious, Reactive arthritis, Rheumatic fever, Septic arthritis, Slipped capital femoral epiphysis, Transient synovitis, Trauma / injury
- Lymphadenopathy: Cervical adenitis, Lymphoma, Mononucleosis, Reactive
- Mental Health Concerns: Anxiety, Depression, School refusal, Suicidality
- Murmur: Congenital heart disease, Innocent murmur
- Neonatal Jaundice: Biliary atresia, Breast feeding jaundice, Breast milk jaundice, Hemolytic anemia, Kernicterus, Physiologic
- Newborn: Abnormal newborn screen, Birth Trauma, Congenital infections, Cyanosis, Depressed newborn, Hypoglycemia, Hypothermia, Hypotonia / floppy newborn, Large for gestational age , Neonatal abstinence syndrome, Newborn physical exam (normal, abnormal), Prematurity, Respiratory distress, Sepsis, Small for gestational age, Trisomy 21, Vitamin K deficiency
- Pallor / Anemia: Hemoglobinopathies, Hemolysis, Iron deficiency
- Headache: Brain tumor, Concussion, Increased intracranial pressure, Migraine
- Respiratory distress / Cough: Anaphylaxis, Asthma, Bronchiolitis, Congestive heart failure, Croup, Cystic fibrosis, Epiglottitis, Foreign body, Pertussis, Pneumonia, Status asthmaticus, Tracheitis
- Seizure / Paroxysmal event: Arrhythmia, Breath-holding spell, Brief resolved unexplained event, Febrile vs. non-febrile seizure, General vs. focal seizure, Status epilepticus, Syncope
- Sore Ear: Otitis externa, Otitis media
- Sore Throat / Sore Mouth: Dental disease, Oral thrush, Peritonsillar abscess, Pharyngitis, Retropharyngeal abscess / cellulitis, Stomatitis
- Vomiting: Gastroeosphageal reflux / Gastroeosphageal reflux disease, Intestinal atresia, Intussusception, Malrotation/volvulus, Pyloric stenosis
- Well Child Care (newborn, infant, child) : Anticipatory guidance, Circumcision, Crying / colic, Dental health, Discipline / Parenting, Growth – Head circumference, Height, Weight, Body mass index, Health active living, Hearing, Hypertension, Immunizations Injury prevention, Normal development, Nutrition & Feeding, Sleep issues, Social-economic / cultural / home / environment, Sudden infant death syndrome
- Develop management plans that demonstrate due attention to discharge planning, and recognition of key community resources to support the family once out of hospital.
- Describe differences between the medical management of paediatric patients versus adult patients.
- Growth Problems: Constitutional delay, Failure to thrive, Familial short stature, Obesity, Turner syndrome
- Genito-urinary Complaints (hematuria, dysuria, polyuria, frequency, pain): Balanitis, Enuresis, Phimosis, Testicular torsion, Vesicoureteral reflux, Vulvo-vaginitis
- Fever: Different age groups (<1mo, 1-3 mo, >3 mo), Kawasaki disease, Meningitis, Occult bacteremia /sepsis, Urinary tract infection, Viral
- Eye Issues: Absent red reflex , Amblyopia, Conjunctivitis, Normal vision development, Periorbital / orbital cellulitis, Strabismus, Visual changes
- Edema : Nephritic syndrome, Nephrotic syndrome, Renal failure
- Diarrhea: Celiac disease, Cow’s milk protein allergy, Gastroenteritis, Hemolytic uremic syndrome, Inflammatory bowel disease, Toddler’s diarrhea
- Development / Behavioural / Learning Problems: Attention deficient disorders, Autism spectrum disorder, Cerebral palsy, Fetal alcohol spectrum disorder, Global delay, Gross motor delay, Learning disability, Speech / language delay
- Dehydration: Hyponatremia / hypernatremia, Mild / moderate / severe dehydration
- Bruising / Bleeding: Hemophilia, Idiopathic thrombocytopenic purpura, Leukemia
- Altered LOC: Encephalitis, Head Injury, Hypoglycemia, Metabolic disease
- Adolescent Health Issues: Disordered eating, Psychosocial history (HEADDSS), Pubertal development, Sexual health, Sexually transmitted infections, Substance use and abuse
- Acutely Ill Child: Acute abdomen, Burn, Diabetic ketoacidosis / Diabetes mellitus, Meningococcemia, Poisoning / intoxication, Shock, Trauma
- Abdominal Pain & Abdominal Mass: Appendicitis, Constipation, Functional, Neuroblastoma, Ovarian torsion, Pregnancy, Wilm’s tumor
- Demonstrate an approach (the generation of a differential diagnoses, appropriate initial diagnostic investigations, and management plan) to the following core clinical paediatric presentations:
- Recognise an acutely ill child.
Tags
CanMEDS Roles
Medical Expert
Curriculum Block
Clerkship
Pediatrics Rotation
Discipline
Pediatrics
General MCC Objectives
Clinical Judgement And Decision-Making
MeSH
Diagnosis [E01]
Patient Care Management [N04.590]
