Læknablaðið - 01.03.2015, Blaðsíða 15

LÆKNAblaðið 2015/101 135
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Heimildir
Fylgiskjal 1.
Spurningalisti i.
Hefur barn þitt nokkurn tímann veikst eða orðið illt af að borða einhverja sérstaka fæðu eða mat?
Spurningalisti ii.
9. Hefur barnið verið með surg eða píp í brjósti einhvern tímann á síðustu
12 mánuðum?
Ef svarið er já:
9.1 Hefur barnið fundið fyrir mæði þegar surg/píp óhljóðið var til staðar?
9.2 Hefur barnið haft surg eða píp í brjósti þegar það var ekki kvefað?
10. Hefur barnið einhvern tímann haft astma?
Ef svarið er já:
10.1 Hversu gamalt var barnið þegar það fékk fyrst astmakast?
10.2 Hefur barnið fengið astmakast á síðustu 12 mánuðum?
10.3 Hversu oft hefur barnið vaknað vegna astmakasta á síðustu 12 mánuðum?

11. Hefur barnið haft ofnæmi í nefi, þar með talið frjókvef?
11.2 Hefur barnið einhvern tímann átt í vandræðum með hnerra, nefrennsli
eða nefstíflur án þess að það væri með kvef eða með flensu?
Ef svarið er já:
11.3 Hefur barnið átt í vandræðum með hnerra, nefrennsli eða nefstíflur án
þess að það væri kvefað eða með flensu síðustu 12 mánuði?
17. Á síðustu 6 mánuðum:
17.1 Hefur barnið haft uppköst án þess að vera með „ælupest“ eða matareitrun?
17.2 Hefur barnið kvartað yfir aðkenningu að kasta upp eða ógleði þegar það
var ekki með „ælupest“ eða matareitrun?
17.3 Hefur barnið kvartað yfir sviða- eða sársaukatilfinningu fyrir miðju brjósti?
17.4 Hefur barnið kvartað yfir súru- eða ælubragði í munni?
17.5. hefur barnið tekið einhver lyf við súrum uppgangi eða maga- vélindabakflæði?