Children Flashcards

1
Q

When shoul dyou give Tylenol to babies to help with vaccines

A

After the vaccine not before (New in 2020 rourke)

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2
Q

Why do we do a skin exam on kids

A

Jaundice

Bruising-Abuse, cancer

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3
Q

What should we recommend for teething and what should we not recommend

A

Teething rings good, numbing gel bad (methhemoglobinemia)

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4
Q

List 5 ddx for pediatric limps

A

Legg-Calves-Perthes Disease-AVN in ages 4-10
Infection
Sarcoma
Fracture
Abuse
Slipped capital femoral epiphysis (chubby 12 year old boy)
Hip vs. knee vs. ankle, always check above and below

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5
Q

List three non prescription options for constipation

A
Dietary modifications, Add fibre
PEG
Behavioral changes 
Disimpaction 
Enema 

Only test or refer if refractory

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6
Q

List 3 non prescription things to do for GERD

A

Smaller more frequent theeds
Thicker formula
Not right before bed or nap time
Switch to amino acid based or hydrolysed formula

DON”T CHANGE SLEEP POSITION AND DON”T START INFANT ON PPI

Can put children on PPI for <8 weeks
Incrased risk of pneumonia and C. Diff
H2RA can increase sepsis risk

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7
Q

What is HEADS

A
Home -Who do you live with, is it safe 
Education, employment, Eating 
Activities-Safety concerns 
Drugs 
Sexuality 
Sex
Suicide 
Social medica
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8
Q

List 5 symptoms and one major complication of Kawasakis

A
Conjunctivitis 
Rash
Adenopathy
Strawberry tongue
Hands and feet swollen and tender 

Coronary Artery Aneurys

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9
Q

How to treat Kawasakis

A

ASA

IVID

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10
Q

List three things that can present differently in children compared to adults

A

Depression-More somatic concerns
Appendicitis-More vague, NV
Infection-Feeding issues, irritability, lethargy, fever

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11
Q

First signs of puberty in girls

A

Thelarche

Growth velocity

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12
Q

When do you need to refer a girl for early puberty

A

Before the age of 8

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13
Q

First signs of puberty in boys

A

Genital development

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14
Q

When do you need to refer a boy for early puberty

A

Before 9

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