14 - Developmental Flashcards
Define Colic:
Wessel’s Rule:
Crying >3hrs / day
Crying at least 3 days / week
Crying more than 3 weeks
Facial grimace, leg flexion, flatus
Txt for colic
Increased contact / carrying, tight swaddling
How long does a temper tantrum typically last?
2-5mins
Examples of special needs:
Cerebral palsy ADHD Cleft lip HIV MR
Many more
RF for autism?
Advanced maternal age
LBW
Fetal exposure to valproate
When is the M-CHAT performed?
18-24 mos
Features of autism:
Persistent deficits in social communication and interaction
Restricted, repetitive patterns of behavior, interests, or activities (lining up toys or flipping objects, echolalia, idiosyncratic phrases)
Inflexible adherence to routines
Hyper- or hyporeactivity to sensory input
Txt for ASD
Antipsychotics if aggressive
Stimulants for ADHD-type stuff
SSRI’s for anxiety, compulsion, depression
Cerebral palsy - define:
Non-progressive motor impairment syndromes 2/2 brain injury or anomalies before or after birth
What is the MC type of cerebral palsy?
Spastic
Features of spastic cerebral palsy:
Abnormal movement
Increased tone
Pathologic reflexes
Hypertonicity
Scissor-toe gait and toe-walking
Dx of ADHD:
Sxs for at least 6 mos in 2 or more environments
6 sxs of inattention or 6 sxs of hyper-activity-impulsivity
Txt for ADHD
Behavioral management and stimulant meds (either methylphenidate or amphetamine)
Atomoxetine (Strattera)(NRI)
ODD features
Angry/irritable mood
Argumentative/defiant behavior
VINDICTIVENESS
Conduct disorder
Kids version of antisocial PD
Sxs of anorexia nervosa
Weight loss Lanugo Bradycardia Osteopenia Amenorrhea Alopecia
When to hospitalize anorexia nervosa
Weight loss >25% IBW
Risk of suicide
Bradycardia/hypothermia
Dehydration, hypokalemia, dysrhythmia
Outpatient txt failure
Female athlete triad:
Disordered eating (attempts to lose weight to improve performance)
Osteoporosis (2/2 disordered eating)
Menstrual dysfunction (too much exercise shuts down production of estrogen -> delayed menarche or amenorrhea)
Females needs body fat for HPG system to work properly
What is the only rx approved for depression in children?
Fluoxetine
Features of dyskinetic cerebral palsy
Basal ganglia involvement
Abnormal movement patterns
Athetoid or choreiform movements
Facial grimacing, dysarthria
Athetosis - curling in
Chorea - flapping
Disorders associated with cerebral palsy?
MR Seizures Hearing, speech, vision defects ADHD GERD
