CLIPP 3 Flashcards
at what ages/age do/does vision screening w/ a chart, and audiometry, begin?
3,4
what is a risk factor for dental carie
using bottle at age 2
when should kid first go to dentist
within 6 months of the first tooth eruption or by one year of age. Additionally, the AAP states that all children should be screened by 6 months to see if they are at a higher risk of developing caries. Your community, however, may not have a pediatric dentist. Also, many general dentists feel that the first visit should be at age 3 years.
This is an unresolved issue between general and pediatric dentists.
when should you be in a forward facing carseat in rear seats?
> 24mos or outgrown weight/ht requirements of carseat
when to stay in booster seat until
until 142 inches/4’9’’
socio emotional for 3, 4, 5 yo
3: dresses and feeds
4: age, gender, friendly to others, plays w/ others
5: listens/attends, can distinguish real vs make belief, shows sympathy
communication for 3, 4, 5 yo
3: 2-3 word sentences, 75% understandable
4: first and last name, sings song, most speech understandable
5: aticulates, tells simple story w full sentences, tenses/pronouns , counts to 10, follows simple sentences
cognitive for 3, 4, 5 yo
3: knows name and use of ball, spoon, cup, crayon
4: names colors, aware of gender, board games, copies a cross, draw person w/ 3 parts
5: letters/#, person w/ 6 parts, copies squares/triangels
physical for 3, 4, 5 yo
3: tower of 6-8 cubes, rides bike, copies circle, throws overhand
4: hops on foot, balances on 1 for 2 sec , mashes/pours food, brushes teeth
5: hops, skips, balances on one foot, mature pencil grasp, undresses/dresses w/ little help, tie knot, copy squares,
guttate psoriadsis
looks like droplets, precipitated often by strep
eczema nickanme
the itch that rashes
eczema tx
topical (rx bc OTC too weak) hydrocortizone, anti histamines, possibly calcienuriin inhbiitiors
kids should be limited to __ juice per day
no more than 4-6 oz/day
when should bottle be discontinued
between 12-15 months
how does fluoride prevent dental caries
promoting re-mineralization of calcium into the enamel
what is shotty LAD
(pea or marble-sized, nontender, easily mobile lymph nodes that are not fixed to surrounding structures) in the anterior and occasionally posterior cervical chain. These are normal in the cervical and inguinal chains in children and may persist for years.
most common gait variation in kids
in-toeing due to tibial torsion, most spontaouelsy resolves by 8 yo but if not by 4, refer to ortho
sids affects which age group
babies <1yo (infants)
SCREENING for anemia is…
at 12 months and kindergarten/preschool entry - don’t necessarily need a cbc for this unless other factors warrant it, can just do fingerstick hgb test
lead poisoning RFs
at risk housing, mouthing objects, immigrant (kids from certain countries are more at risk)
Risk of lead poisoning is increased in patients who live in homes built before the 1950s. Additionally, this patient does not complain of other symptoms suggestive of lead poisoning: weight loss, lethargy, vomiting, and learning difficulties.
retic count in increased destruction, decreased production, and blood loss
high, low, high
side effect of iron defieicny
cognitive impact
jump in place at what age
30 month milestone
overhand ball throw
expecreed at 24months
two key things at 24 months socially
parallel play, listen to story
fine motor skills at 24 months
can hold pencil, immature grip, imitates pencil strokes. can remove pants and socks but needs help w/ some aspects of undressing
24 month two key things language
inappropriate pronounce use, can follow two step commands (take a book, put it on shelf)
goats milk diet can –>
folate deficiency
