History of presenting illness |
Nutrition history |
Dietary history – Including changes in appetite and recent oral intake (quantity and quality of diet) |
Recent change in weight |
Recent swelling of feet |
Associated symptoms |
Stool pattern, especially diarrhea (increased volume and watery, frequency, presence of blood) |
Fever |
Cough (acute or chronic) |
Decrease in urine output |
Past medical history |
Neonatal history |
Prematurity |
Low birth weight |
Twin birth |
Birth asphyxia |
Infant feeding history |
Duration of breastfeeding |
Use of breast milk substitutes |
Age and diet at weaning |
Other |
Recurrent diarrhea or pneumonia |
Recurrent or recent thrush (suggests possible immunosuppression) |
Other chronic disease, such as cancer |
Recent history of or contact with infectious disease, such as tuberculosis or measles |
Preventive health care |
Immunizations received |
Vitamin A supplementation |
Family history |
History of tuberculosis or HIV |
Social history |
Family structure |
Number of living parents or other caregivers |
Number of siblings |
Birth order of this patient |
Economics |
Parents' occupation |
Household income |
Availability of food |
Accommodation |
Crowding |
Water source |
Sanitary facilities |
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