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201: Peds Exam 2 > Assessments > Flashcards

Assessments Flashcards

1
Q

In regards to neuro issues, assess/ask about…

A

NV
HA
Gait changes
Loss of motor function
Visual disturbances
LOC changes
Irritability
Altered muscle tone
Trauma
Poor feeding
Lethargy
Fever
Pain
Delays in growth and development
Toxins

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2
Q

Included in head to toe for neuro…

A

LOC
VS
Head, face, neck
CN
Motor
Reflex
Sensory
ICP

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3
Q

CN tested in Doll’s eyes

A

3, 4, and 6

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4
Q

SS Cushing’s triad

A

Increased systolic BP
Decreased pulse
Altered respiratory pattern

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5
Q

SS type 1 chiari malformation

A

Neck pain
HA
Lower extremity spasticity
(Ss start in adolescence to adulthood)

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6
Q

Ss type 2 chiari

A

(Detected prenatal or at birth)
Weak cry
Stridor
Apnea
GI Disturbances
Chronic aspiration
Long feeding time
Weight loss
Progressive hydrocephalus

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7
Q

Ss shunt infection

A

Elevated VS
Poor feeding
Vom
Decreased responsiveness
Seizures
Inflammation

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8
Q

Ss shunt malfunction

A

Vom
Drowsy
HA

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9
Q

Ss bacterial meningitis

A

Sudden onset
Resp illness/sore throat
Fever and chills
HA
Vom
Photophobia
Stiff neck
Rash
Irritable
Drowsy and lethargic
Muscle rigidity
Seizure

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10
Q

Subtle ss bacterial meningitis in infants

A

Poor suck and feed
Weak cry
Lethargic
Vomiting

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11
Q

Kernig

A

1 leg perpendicular- look for pain at spine or inability to extend

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12
Q

Brudzinski sign

A

Neck flexed with knees to chest - look for spine pain or resistance

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13
Q

Triad ss of shaken baby syndrome

A

Retinal hemorrhage
Brain swelling
Subdural hematoma

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14
Q

Ss croup

A

Hoarseness
Barking cough
Stridor

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15
Q

RSV ss

A

Profuse runny nose
Low grade fever
Pharyngitis
Cough and wheeze
Poor feeding

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16
Q

Ss cystic fibrosis

A

Thick mucus
Increased infection
Decreased pancreatic enzymes
Hypersecretion of gastric acids
Salty skin

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17
Q

Ss tetralogy of fallot

A

Cyanosis during crying or feeding

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18
Q

Ss HF

A

Weight gain or decrease
Difficulty feeding
Fatigue
Dizzy
Irritable
Exercise intolerance
SOB
Tired quickly when sucking
Syncope
Decreased # wet diapers

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19
Q

Ss infective endocarditis

A

Intermittent fever
Fatigue
Anorexia
Flu like
Petechiae at eyes, mouth, or limbs

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20
Q

Signs of extracardiac emboli (rt endocarditis)

A

Roth spots
Janeway lesions
Osler nodes
Black lines

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21
Q

Ss rheumatic fever

A

Carditis
Arthritis
Jerking (chorea)
Fever
Joint pain
Strep infection or sore throat
Erythema
Murmur
Subq nodules

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22
Q

Characteristics (not ss) of CM

A

Increased heart size
Poor contractility
Decreased EF
Asymmetrical septal hypertrophy

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23
Q

Ss Kawasaki

A

High fever unresponsive to Abx
Chills
HA
Malaise
Extreme irritability
Rashes (strawberry tongue, erythema)
Peeling
Vom and dia
Pain
Edema
Jaundice
Swollen lymph nodes at neck

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24
Q

Labs/VS for Kawasaki

A

Tachycardia
Increased platelets
Decreased hemoglobin

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25
Q

Signs of cardiac disorder

A

Cyanosis
Irregular HR
Edema
Clubbing
Fever
Retractions
Increased WOB
Visible abnormal pulsations
Abdominal distention

26
Q

RF dehydration

A

Vom and dia
Decreased oral intake
Sustained high fever
DKA
Burns

27
Q

Palpation of this may indicate pyloric stenosis

A

Hard movable “olive” at RUQ

28
Q

UTI ss infants

A

Fever
Irritability
Vom
FTT
Jaundice

29
Q

UTI ss children

A

Fever
Vom
Dysuria
Frequency
Hesitancy
Urgency
Pain

30
Q

Hematuria leading to urine looking like tea/cola/dirty green could be due to…

A

Acute glomerulonephritis

31
Q

RF for vulvovaginitis

A

Bacteria or yeast
Chemicals in bubble bath, soap, perfumes
Poor hygiene
Tight pants

32
Q

DTR infant

A

Brisk

33
Q

Characteristics of Developmental Dysplasia of the Hip

A

Dislocation
Subluxation
Dysplasia
Discoloration
“Clunk” sound

34
Q

Muscular dystrophy ss

A

Large calves
Frequent falls
Unbalanced
Hard to raise arms
Will lose ability to ambulate

35
Q

What is Gowers sign?

A

Can’t get up off floor in usual way

36
Q

Cerebral palsy ss

A

Motor impairment
Spasticity
Weakness
Ataxia
Drooling that leads to dehydration, dental enamel erosion, odor, and skin issues

37
Q

Included in neurovascular checks

A

Color
Sensation
Edema
Movement
Pulses

38
Q

Ss ASD

A

HF
SOB
Fatigue
FTT

39
Q

Ss VSD

A

HF (SOB, fatigue, FTT)

40
Q

Ss PDA

A

HF
Frequent respiratory infections
Fatigue
FTT

41
Q

Warning signs of cancer related to…

A

Tumors leading to compression, infiltration, or obstruction
Changes in blood cells

42
Q

Ss iron deficiency anemia

A

Weak
Fatigued
Delayed growth
Concave nails (spooning!)

43
Q

Lead poisoning can lead to…

A

Behavioral and learning problems
Encephalopathy
Impaired hearing
Seizures
Brain damage
Decreased growth
Anemia
Kidney damage

44
Q

Sickle cell ss and why

A

Pain, tachycardia, tachypnea, and hypoxia due to decreased circulation/clumping of cells due to inability to squeeze through vessels

45
Q

Ss acute lymphoblastic leukemia

A

Fever
Infection
Fatigue
Pallor
Bleeding and bruising
Pain
HA
NV

46
Q

Leukemia ss

A

Swollen lymph nodes
Fever
Night sweats
Nose bleeds
Infections
Easy bleeding
Pain
Red spots
Weight loss

47
Q

Ss brain tumor

A

NV
HA
Gait
Blurry
Seizure
Motor
Weak
Swallow problems
Behavior/personality
Irritable, FTT, delay in very young

48
Q

Neuroblastoma seen in…

A

Abdomen

49
Q

Ss and complications of retinoblastoma

A

Cat’s eye/whitewash glow
Metastasis to brain, other eye, lymph, bone, liver
Sarcomas

50
Q

Ss acute adrenal crisis

A

Vom
Dehydration
Hyponatremia
Hyperkalemia
Hypotension
Tachycardia
Shock

51
Q

Ss DKA

A

NV, anorexia
Lethargy and decreased LOC
Decreased turgor
Abdominal pain
Kussmal
Fruit breath
Ketones in urine and blood
Tachycardia
Coma and death

52
Q

Criteria for dx intellectual disability

A

Before 18 yo
IQ <70
Deficits in 2 of the following: communication, academics, health and safety, home living, leisure, self care, self direction, work

53
Q

Warning signs infant autism

A

No imitate
No interest
No eye contact
Delayed language
No imagination play
Losing language and social milestones

54
Q

Neuro assessment in emergency

A

Awake
Verbal
Pain
Unresponsive

55
Q

Ss shock

A

Pallor
Hypotension
Brady or tachyC
Resp distress
Delayed cap refill
Weak distal pulse

56
Q

Qs to ask when assessing a poisoning

A

Time and type of toxin
Route
Med bottle available?
Did kid have ss: NVA, abdominal pain, disorientation, altered gait, slurred speech?
Did caregiver call poison control?
Has any tx been performed?
SI or depression?

57
Q

Ss sinusitis

A

Nasal discharge
Cough
Fever
Halitosis
Facial pain
Eyelid edema
Irritability
Poor appetite

58
Q

Ss neuroblastoma

A

Lump in abdomen
Lump in chest
Bone pain
Eye bruising

59
Q

Alterations that may occur in poisoning

A

BP
Temp
Resp
Pupils
Pay close attention to mental, skin moisture and color, and bowel sounds

60
Q

Ss pyloric stenosis

A

Projectile vomiting
Hunger
Weight loss
Dehydration
Olive

61
Q

Ss arteriovenous malformation

A

Hemorrhaging
Seizures
HA
Vision
Speech
Memory
Paralysis

201: Peds Exam 2 (3 decks)

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