Clip cases Flashcards
6 month gross motor
- rolls over
- sits unsupported
- no head lag when pulled to sit from supine
6 month fine motor
- reaches for objects
- looks for dropped item
6 month language
- turns toward voice
- bables
6 month social adaptive
- feeds self
- stranger recognition
When does moro reflex disappear
4 months
What over the counter drug is contraindicated for vaccines
Acetaminophen
12 month gross motor
- stands alone (may walk well)
12 month fine motor
“neat” pincer grasp
- banging 2 cubes held in hands
12 month language
“mama” and “dada” and 1 or 2 words
12 month social
- points when wants something
- hands parent a book to read
- wave bye-bye
urine or serum VMA/HVA measures what? what can it detect
- metabolites of catecholamines
- neuroblastoma
Some things an 18 month can do
- walk backwards
- majority can run
- scribble
- build a tower of 2 cubes
- 3-6 words
- remove garments
neuroblastoma metastasizes where
bone
Small round blue cells with dense nuclei forming small rosettes
- neuroblastoma
- Ewing’s sarcoma
- Medulloblastoma
enlarged cells with intranuclear inclusion bodies seen in?
-CMV
Sheets of lymphocytes with interspersed macrophages seen in
Burkitt lymphoma
Doses of DTap
5
doses of IPV
4
doses of Hib
3 or 4
doses of PCV12
4
doses of MMR
2
doses of Varicella
2
Doses for Rotavirus
2 or 3
doses of HepA
2
doses of HepB
3
risk for using a bottle at age 2
dental caries
When does child go to dentist
6 months of first tooth eruption or 1 year of age
3 year old social
- brush teeth with assistance
- feeds self
3 year old communication
2-3 word sentences, majority understandable
4 year old social
- know gender
- plays with other
4 year old communication
- states first and last name
- most speech is understandable
5 year old social
- listens and attends
- tell difference between real and make believe
- shows sympathy
5 year old communication
- articulates well
- tells simple stories
- counts to 10
3 year old cognitive
Knows name and use of “cup, ball, spoon, crayon”
3 year old physical
- throws a ball overhand
- rides tricycle
4 year old cognitive
- name colors
- aware of gender
- copies a cross
4 year old physical
- hops on one foot
- brushes teeth
- balances for 2 sec
5 year old cognitive
- draws a 6 body part person
- prints some letters and numbers
5 year old physical
- balances on one foot
- hops and skips
- ties a knot
- mature pencil grip
treatment for eczema
- steroids
- topical anti-iflammaotires ( calcineruin inhibitors)
- antihistamines
calculation for BMI
weight in kg / height meters squared
adverse effects of ADHD medication
- appetite suppression
- tic disorder
- Insomnia
- Decrease in growth velocity
“white coat” hypertension
being at doctors office with high blood pressure
amphetamines mimic what molecules in the body
norepinephrine
HEEADASS
- Home
- Education/Employment
- Eating
- Activities
- Drugs
- Sexuality
- Suicide risk
- Safety
Depression symptoms more common in adults than adolescnets
- loosing sleep
common health problem in anorexia
bradycardia
girl starts puberty between what ages
8-13
Boys start puberty between what ages
10-15
Treatment for Von Willibrand deficiency
Desmopressin
Von Willibrand disease inheritance pattern
autosomal dominant
Tanner stage I female
- no pubic hair
- no breast
Tanner stage II female
- breast bud from areola and begins to widen
- some long hair on labia major
Tanner stage III
- breast buds elevated
- Pubic hair extends more laterally and does not extend to mons pubis
Order of female development
- breast bud
- pubic hair
- growth spurt
- menarche
first sign of puberty in boys
testicular enlargement
Order of male development
- growth of testicles
- pubic hair
- growth of penis, scrotum
- first ejaculation
- growth spurt
If a patient faints and they do not have a loss of consciousness, do you do any diagnostic testing
no
Osgood-Schlatter disease
irrigation of the growth plate at the tibial tuberosity
Most common cause of chest pain in children
Musculoskeletal
Precordial catch syndrome
- sudden, sporadic onset of sharp chest pain
- exacerbated with deep inspiration
- not associated with exercise
CRAFFT
- Car
- relax
- Alone
- Forget
- Friends
- Trouble
Vaccines given to 11 year old
- HPV
- Meningococcal
- Tdap
transient tachypnea of the newborn TTN is associated with what maternally
maternal diabetes
two risk factors for jaundice in infant
- breastfeeding
- mediterranean ethnicity
urticaria
hives: pruritic, wheal
what cause papular urticria
insect bite
example of rash that comes and goes
acute urticaria
what is the case of seborrheic dermatitis in older patients
Malassezia
How does acne start
Comedones
- open ( blackheads)
- closed (whiteheads)
Pseudofolliculitis location?
adjacent to hair follicles, next to beard
first line treatment for lice
permethrin
Do not treat tinea with
steroids
Pityriasis alba ?
patches of hypo pigmentation on the face, neck, and upper trunk
Pityriasis rosea
scaly papules and plaques in “christmas tree” distribution on back
best treatment for warts before seeing doctor
Salicylic acid
3 common causes of diaper rash
- irritant dermatitis
- Diaper candidiasis
- Bacterial infection
2 causes of diaper rash
- zinc deficiency
2. langerhans cell histocytosis
which starling pressure is impacted when serum albumin concentrations decrease
lowering of plasma colloid osmotic pressure
why does patient have low sodium in nephrotic syndrome
- fluid overload
- pseudohyponatremia, caused by hyperlipidemia
how is primary nephrotic syndrome treated
- corticosteroids
- sodium restriction to a level of 1500-200 mg daily
risk of giving furosemide to nephrotic patient
- shock
common cause of nephrotic syndrome in children
minimal change disease
Difference between nephrotic syndrome and acute glomerulonephritis
nephrotic: normal BP and no cola colored urine
FSA
sickle cell beta thalassemia
FSC
sickle cell hemoglobin C disease
FS
baby’s hemoglobin gene mutation for hemoglobin S
2 most common surgeries in children with sickle cell disease
- tonsillectomy
- cholecystectomy
Why is penicillin given to children with sickle cell disease on a prophylactic basis
to prevent infection that can lead to sepsis
When is Haemophilus Influenzae type b conjugate vaccine givven
2,4,6 months
when is 12-valent pneumococcal conjugate vaccine given
2,4,6 months
what is the cation for using narcotic analgesia in sickle cell patients
narcotics are respiratory depressants
incentive spirometer helps preven what
atelectasis
treatment for acute chest syndrome for sickle celled kids
- RBC transfusion
- antibiotics
standard laboratory diagnosis of Down syndrome
Lymphocyte karyotype
Which newborn screening test is most likely to be abnormal in an infant with Down Syndrome
Hypothyroidism
Another name for Trisomy 13
Patau syndrome
Endocardial cushion defects?
VSD, and ASD or complete atrioventricular canal defect
renal abnormalities, lymphedema ( edema of hands and feet), dental carries, cystic hygromas?
turner syndrome
4 thing you can do to diagnostically diagnose Cerebral palsy
- MRI
- hearing evaluation
- vision evaluation
- Formal developmental testing
Spastic quadriplegia
- entire body
- global brain abnormalities
- various clinical scenarios
Spastic diplegia
- legs greater than arms
- pre ventricular white matter abnormality
- premature infants
Dyskinetic cerebral palsy
- variable body involvement
- basal ganglia, cerebellum/thalamus abnormatliiies
- perinatal asphyxia, kernicterus
Spastic hemiplegia
- arm and leg on one side
- unilateral UMN abnormalitiels
- Stroke
Ataxic cerebal palsy
- entire body
- cerebellar abnormalities
- cerebellar hypoplasia, pontocerebellar hypoplasia
Most common cause of abdominal pain in school-age children
functional abdominal pain
2 studies that are helpful to confirm IBD
- Colonoscopy
- upper endoscopy
