Presentation

Well Child Care (Newborn / Infant / Child)

Key Conditions

Key conditions are the core conditions that the Paediatric Undergraduate and Clerkship Directors of Canada (PUPDOC) felt are essential for graduating medical students to know. The Key Conditions are neither a differential diagnosis nor a clinical approach. They highlight conditions that may be unique to paediatrics, that are essential, or that are common. Key Conditions can present in a number of ways – each is listed as under the most common Clinical Presentation.

Clinical Approach

Clinical approaches represent one of many methods to think through a clinical presentation, and narrow down a differential diagnosis. There are many conditions that can present with similar symptomatology. These presentations are not meant to contain an exhaustive list of differential diagnoses, but rather outline how to think through patient signs and symptoms, and understand some of the most common and important Paediatric conditions. There are many different ways to approach any clinical presentation, and these approaches are not meant to replace clinical judgement.

Vignette

You work in a family practice clinic. You have received a new family into your practice, and are tasked with providing primary care to the parents and their 3 young children

Diagrams

Pre-Clerkship

Lecture materials and small group cases are posted here for University of Calgary Cumming School of Medicine students. Access to these materials are password protected.

Lectures

Small Groups

Clerkship

Lecture materials and small group cases are posted here for University of Calgary Cumming School of Medicine students. Access to these materials are password protected.

Objectives

By the end of the Paediatric Clerkship, a medical student will be able to:

  1. Conduct a history that includes social-economic, cultural, home, and environment factors. Provide parents / guardians with information regarding anticipatory guidance, injury prevention, and healthy active living.
  2. Assess immunization status and provide parents / guardians with information regarding vaccine schedules and the risks and benefits of immunizations. Recognize the factors that contribute to sleep issues, sudden infant death syndrome, and poor dental health.
  3. Provide parents/ guardians with advice regarding parenting, discipline, crying and colic. Determine if an infant and a child is receiving appropriate nutrition and provide advice regarding an optimal diet for growth and development.
  4. Determine if a child is hypertensive by consulting appropriate blood pressure tables for height and gender.

Half Day Cases

  • A mother with an 11 month old child wonders what she should do to “child proof” the house.
  • The parents of with three un-immunized children (aged 2 months old, 2 years old, and 5 years old) schedule an appointment to discuss whether their children should be vaccinated.
  • A 3 year old child presents with her mother with a complaint of a sore ear. You notice that the child has several dental caries.
  • An 18 month old child is brought to the ED because “she went blue and stopped breathing”.
  • A 2 year old boy is brought to your clinic because the mother is concerned about his limited diet. He eats bread, pasta, apple sauce, and cheese. He drinks four 16 ounce bottles of milk per day.
  • An 8 year old boy presents with enuresis. His parents are very concerned.
  • A baby presents with a rash. Pictures will be shown.
  • Abnormal newborn screen, what to do?
  • A parent brings her 4 year old child in to your office for their annual well-child examination. Routine vital signs show the following: Heart rate 100, respiratory rate 20, temperature 37 celcius, blood pressure 124/86.

Resources

The following resources have been reviewed and collated by canuc-paeds. These resources are aimed to provide information at the level of the medical student. These include overviews of topics, clinical resources, and useful guidelines that contain relevant materials.

Papers 

Videos 

No videos.

Clinical approaches to Well Child Care (Newborn / Infant / Child)?

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Last updated 18 October 2022.