03: 3-year old male well-child visit Flashcards
When should kids first go to the dentist?
Some recommendations say within 6 months of the first tooth eruption or by year 1, but others say by year 3
What height should older kids stay in a booster seat until?
4’9”
Whats the difference between eczema, psoriasis, and seborrhea?
Psoriasis presents as a generalized rash called guttate (droplet-shaped), usually precipitated by a strep infex. Seborrhea is usually before age 3 and usually cradle cap.
What’s the best treatment for eczema?
Topical steroid, alternating higher and lower potency, skin lubrication, and treating skin infex aggressively
What are the non-sedating antihistamines approved for children (3)?
- Loratidine
- Fexofenadine
- Cetirizine
What traditional antihistamines with sedative side effects are often used to decrease eczema itch at night (2)?
- Diphenhydramine
2. Hydroxyzine
When is it good to discontinue bedtime bottle use?
12-15 months
The AAP recommends no more than ____-____ oz of juice per day?
4-6 oz
What are some common sources of lead exposure?
- House paint before 1978
- Soil
- Pipes
- Imported toys and candies
When is lead screening indicated?
Children 12-24 months in areas where >25% of houses were built before 1960 or have been renovated within 6 months
Drinking what quantity of cow’s milk per day is an important risk factor for iron deficiency anemia?
24 oz
What’s the first test that indicates anemia?
Low Hb
What are the 5 causes of microcytic anemia?
- Sideroblastic
- ACD
- Lead poisoning
- Thalassemias
- Iron deficiency
“SALTI”
How do you divide the normocytic anemias into 2 categories?
- Nonhemolytic (normal or low retics)
2. Hemolytic (high retics)
What are the 4 types of nonhemolytic normocytic anemias?
- ACD
- CKD
- Aplastic
- Iron deficiency
“ACAI”
