Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Pediatrics > Burçin > Flashcards

Burçin Flashcards

1
Q

Anamnesis

A

1.When ptx was entirely well?
2.Complaints:Time ,Place,Quality,Quantity,Provocative/alleviate factors/variations,Associated symptoms,Any treatment
3.systemic inquiry(general(weight loss/appetite),gis,gus,cns,cvs,rheumotologic)
4.birth history: antenatal,natal,postnatal history
5.feeding history
6.immunization
7.developmental history
8.past history
9.personal history
10. Drug history
11.family history
12.socioeconomic history

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Monitoring frequency

A

Prenatal
Newborn: 3-5 days of birth or within 48-72 hours after discharge
2.week
1 month
2 3 4 5 6
9 months

12m, 15, 18,24,30, 3y, 4y, sonra every year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Newborn screening tests

A

Phenylketonuria
Biotinidase deficiency
Hypothyroidism
Cystic fibrosis
Congenital adrenal hyperplasia
Spinal muscular atrophy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Newborn immunizations

A

Hepatitis B before discharge
İnfluenza and pertussis(Tdap) for parents

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

1/2 month visit

A

!! Social smile
Height/ weight
Head circumference
Weight for length
Vision
Hearing
Hip usg
PE, immunization
Behavioral social emotional screening
Anticipatory guidance
Parents learn hunger cues
Maternal deppression scale(edinburg postpartum depression scale) -not in turkey

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

4 month visit

A

!!!sits with support
!!lifts head easily(deadline)
Anemia screening: iron supplement: 1-2mg/kg daily
Teething drooling: brush with grain of rice amount 2 times a day)
Measurements
Behavioral.. screening
Maternal depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

6 month visit

A

Sit without support
Roll over
Babble
İron def. Anemia screening: CBC/ ferritin test
Solid food introduction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

9 month visit

A

History
Sit well without support
Dada mama nonspecifically
Turn when name is called
Pick up objects 3 fingers and thumb(cımbızlama)
Bye bye
Systems review
Parent infant interaction
PE
Immunization
Anticipatory guidance: table food introduction, self feeding, cup drinking
Screening:9,18 ay, 2.5 yıl

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

12 ay visit

A

Hikaye
Development surveillance:
Look for hidden objects, imitate gestures, dada mama specifically, 1 word other than them, stand without support, independent first steps, pick up with 2 finger grasp
Screening: anemia, oral(first dental check up,opthalmology
Anticipatory guidance(tantrums)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

15 ay visit

A

İndividuation
Bedtime routine, night waking, no bottle in bed
Stranger/separation anxiety
Discipline, behaviour management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

18 month visit

A

AUTİSM SCREENİNG
Development: engage w/ others,point, identify 2 body parts, sit in small chair
Anticipitory: signs of toilet training
New sibling planned/on the way
Phsycal activity promotion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

2 year visit

A

2 words into sentence !
Follow 2 step command !
Dyslipidemia screening
Autism screening
Fluoride varnish every year
Limit tv and media to 1 hour per day
Speech %50 understandable, paralel play,kick ball, jump with 2 feet, draw lines
Teach personal hygiene

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

3 year visit

A

Blood pressure every year !
Vision screening!
Urinate by self, eat by self, 3 word sentences, draw circle, pedal tricycle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

4 year visit

A

Anticipatory: school readiness
Promotimg physcal activity and safe play

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

5/6 year visit

A

Anemia screening!
60 min physical activity a day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

7/8 visit

A

Hearing, vision screening

17
Q

9/10 vist

A

Dyslipidemia screening
Review of systems(period in girls)
PE: spine: Adams forward bend test
Breasts and genitalia

18
Q

11-14 vist

A

Anemia screening
Depression and bullyinf
System review, PE

19
Q

13-17 visit

A

Dyslipidemia
Depression
Vision(15)

20
Q

Newborn visit

A

First priority:Attend concerns of ptx
History
Social determinants, parent family health,newborn behaviour and care,safety
Observe parent-newborn interaction
Nutrition and feeding: vit D
TUMMY TİME
Development: social language,self help
Growth chart !
Measurements:head, weight, length
Palpate fontanels
Femoral pulse!
Inspection,palpation, auscultation
Labia open, testicular position
Screening: Hearing, bilibubin, congenital heart disease +- bp, vision
Critical congenital heart disease: pulse:
<%90 in right hand/foot: failed
90-95 arası orm>%3 difference between hand/foot: repeat 2 times: still same: failed

21
Q

Well child visits: health supervision

A

Promote health, prevent disease, detect and treat early, guide parents(anticipatory guidance)

22
Q

Prolactin

A

Ductal growth, epithelial proliferation, signals alveolar production of milk!
!Dopamine is its inhibitor( also neurepinephrine)
Highest at night/ 45 min after feeding

23
Q

Severe acute malnutrition

A

6 months to 5 years
MUAC<11.5 cm or WHZ<-3 or pitting edema(kwashiorkor):
+1: edema in feet lower legs
+2: upper body arms
+3:face

Dgx for infant: 0 to 6 months:
WAZ/WLZ<-3 SD
MUAC<11
Edema

Above 5 years: BMI- for age Z score for wasting
Thinnes: Z-score<-2
Severe thinness<-3

24
Q

Marasmus, kwashiorkor

A

Both: bradycardia,hypotension,hypothermia, thin skin, thin sparse hair

Marasmus: shrunken,skin folds, irritable
Kwashiorkor(edematous malnutrition):hepatomegaly,distended abdomen, dilated intestines,inguinal skin folds,apathetic,moon face,pursed mouth

25
Q

Chronic malnutrition

A

Stunting
Moderate<-2. Severe<-3
+wasting,reduced height for age
Deficit in fat and lean body mass, poor weight gain, reduced physical activity, mental apathy, retarded motor/mental development
Etiology: malabsorption,nutrient loss,altered utilization,hypermetabolism, starvation. Ilness related: ınfection,burns,trauma, cystic fibrosis, chronic lung disease, cancer

26
Q

Micronutrient deficiencies

A

Fat soluble vitamins, iron, zinc
Malabsorptive disorders, neurologic conditions, restrictive intake children

Eating disorders,picky eaters,homemade formulas, autism, cerebral palsy, ibd, intestinal failure, baritric surgery

27
Q

EFA:

A

linoleic, alpha-linoleic acid
Scaly dermatitis, alopecia, thrombocytopenia.
Growth cognitive visual fnx

28
Q

Calcium

A

By calcium, vit d or parathormone deficiency
Tetany,chovstek sign,trousseau sign, seizures

29
Q

Phosphate

A

Myopathy,rhabdomyolysis,bone pain, osteomalacia,rickets

30
Q

Magnesium

A

Assoc w/ hypo calcemia/phosphatemia
Muscle fasciculations,tremor,spasm,seizure,personality change

31
Q

Iron

A

Microcytic hypochromic anemia
Lethargy,pallor,irritability,cardiomegaly,tachypnea,impaired cognitive development
Pica for ice,spooning/pallor of nail beds

32
Q

Zinc

A

Dermatitis:peri oral/anal flaming red, denuded skin
Abd pain, diarrhea,anorexia, delayed wound healing,depression, alopecia,corneal opacities, glossitis,fever, growth retardation,hypogonadism,immune dysfunction, nervousness, intention tremor, night blindness, nystagmus

33
Q

Copper

A

Sideroblastic anemia, neutropenia, osteoporosis, cartilage enlargement, cupping flaring of bones, rib fractures

34
Q

Selenium

A

Dilated cardiomyopathy w/ myocardial necrosis/fibrosis ( keshan disease)

Muscle pain, myopathy, nail bed changes, hair pigment loss

35
Q

İodine def

A

Moderate:Hypertrophy of thyroid gland or goiter
Severe: hypothyroidism!
İntellectual disability,hearing loss,spastic diplegia, strabismus

Congenital hypothyroidism:hypotonia, macroglossia,hoarseness, constipation, growth retardation

36
Q

Obesity evaluation

A

Bmi percentile (>95 obese >85 overweight, <5 underweight) (2-20 years)
Fasting lipid,glucose, HbA1c
Alt,ast,bun,creatinine,cbc,lh,fsh,testesterone,estradiol, vit d

500 gr loss per month (2-11 years)
Intensive dietary therapy

37
Q

Anthropometric measurments for malnutrition, growth charts

A

Height,weight,mid upper arm circumference (MUAC)(for wasting) <115cm for 6 months to 5 years, pitting edema

Under 2 years, percentile, z score: <3

38
Q

Moderate acute malnutrition

A

6 months to 5 years muac 11.5<, <12.4 or
Z score -2 to -3 arası
1-2 weeks follow up

Rutf: ready to use therapeutic food

39
Q

Complicated SAM:

A

sepsis
diarrhea w/ severe dehydration
Skin breakdown- ulceration
Poor apetite
Management:
Stabilizasyon :antibiotics, rehydration,feeding
Rehabilitasyon
Follow up

Pediatrics (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions