Pediatric emergency medicine trisk 2663 2663

Category

Specific history to explore

Primary
diagnosis

• Tumor type
• Isolated or metastatic
• Where are sites of metastatic disease?
• Date of diagnosis
• Status of disease
• In remission, on treatment
• In remission, off treatment
• Relapsed

Surgical history • Date and type of surgical procedures
• Surgical complications
Recent
• Chemotherapy
treatments
• Drugs and dates of most recent therapy
• Radiation therapy
• Location of radiation field(s)
• Dates of radiation therapy
• Hematopoietic stem cell transplant
• Autologous or allogeneic
• Use of immunosuppressants
• History of graft-versus-host disease
• CAR-T cell therapy
Central venous • Type

access
• History of infections in line
Current
• Chemotherapy
medications • Prophylaxis for Pneumocystis jirovecii or other infections
• Growth factors
• Pain treatment
• Antiemetics
• GI acid blockade
• Bowel regimen
• Antihypertensives
Patient/family
• How is the patient acting?
perspective
• Has this problem happened before?
• Are symptoms getting worse or better?