CPS community peds Flashcards
Benefits of extended release vs immediate release in ADHD (3)
- more effective
- less likely to be diverted
- more likely to be used
Contraindication to commercial airline flight
- uncontrolled hypertension
- uncontrolled SVT
- Eisenmenger’s syndrome (when pressure in pulm As are so high, blood shunts from R to L ventricles causing cyanosis)
Flight recommendations
- AOM
- sickle cell
- cardiopulmonary disease
-AOM: if possible wait 2 weeks before air travel
Sickle cell and cardiopulmonary disease may require oxygen during flight
Management of constipation
- behaviour modification
- daily maintenance stool softeners
- dietary modification
+/- fecal dismpaction at outset
LEARN model for cross cultural communication
Listen Explain Acknowledge Recommend Negotiate
Shoes for children recommendations (2)
- infants do not need shoes until they are walking
- orthotics are not beneficial in management of physiological, flexible flatfoot, developmental in-toeing, mild torsional deformities
(refer to ortho if pain, functional impairment with lower limb deformities)
Children in foster care are often in poor health because of:
- poverty
- prenatal exposure to drugs/alcohol
- parental mental illness
- inadequate medical supervision before coming into care
Screening a child in foster care
- history and physical
- acute illness
- infection
- pregnancy
- chronic condition
- developmental delays
- mental health disorders
- assess for need for vision, hearing and dental screening
Initial eval for a child in foster care IF needed
- CBC, ferritin, lead level, HIV serology, Hep B and C titres, B-Hcg, cervical or urethral swabs for STIs, pap-smear on a case-by-case
Negative outcomes of inadequate, crowded, unaffordable housing
Physical health: asthma, health hazards, injury risk, communicable diseases, poor air quality, lead, food insecurity and inadequate nutrition
Mental health: aggressive behaviours, psychological distress
Developmental: diminished school performance
Social health: property offences
Youth with unstable housing (moving 3+ in lives) are at higher risk for:
- emotional problems
- repeating a grade
- being suspected or expelled
Otoacoustic emissions features
OAE = 10-15 minutes at bedside, best performed in infants > 24hr with a minimum of 34 weeks CGA
False + or - may be affected by: infant’s movements, environmental noise, dysfunction in middle or external ear
Identifies conductive and cochlear hearing loss
Automated Auditory Brainstem Response
features
- 15-20min, infants older than 23hr, minimum 34 weeks,
False + or - may be affected by: infant’s movements, environmental noise, dysfunction in middle or external ear - identifies conductive, cochlear and neural hearing loss from external ear to level of brainstem
When to use AABRs
- failed OAE
- risk factors e.g. fam history, craniofacial abN, NICU> 2 days, other risk factors
First line treatments for head lice in Canada
pyrethrin e.g. R+C shampoo and conditioner (repeat 7 days later)
Or
permethrin e.g. Nix creme rinse and repeat in 7 days
