Development and Primary Care in Peds Flashcards
disconjugate gaze disappears by
3-4 month
vision screening in peds
age 3-5
Scaphocephaly
premature fusion of sagittal suture
long, narrow head
Anterior Plagiocephaly
premature closure of coronal suture
drawn up eye on affected side
Brachycephaly
Bilateral closure of coronal suture
Trigonocephaly
premature closure of metopic suture
Posterior Positional Plagiocephaly- Appearance
anterior displacement of ipsilateral ear
ipsilateral frontal prominence
contralateral occipital prominence
Posterior Plagiocephaly - Appearance
posterior displacement of ipsilateral ear
contralateral frontal prominence
Age for Lifting Head
2 months
Age for Lack of Head Lag when sitting
4 months
Rolling Front to Back, then Back to front
4-5 months, 5-6 months
Sitting with support and without support
6 months, 7 months
Draws a Circle
3 years
Draws a Cross
3-4 years
Draws a Square
4 years
Draws a Triangle
5 years
Draws a Diamond
6 years
Pulls to Stand
9 months
Walking - Age
~13 months
Separation Anxiety
6-12 months
Puberty in Females
8-13
Puberty in Males
9-14
Workup for premature adrenarche
DHEAS, testosterone, 17OHP
bone age
Pincer Grasp
by 10 months
fine grasp by 12 months (1 finger + thumb)
Cruising at age
11 months
Primary Amenorrhea
no menses by age 15 or 3 years after secondary sex characteristics
Secondary Amenorrhea
no menstration for three months or 6 months if irregular cycles
Progesterone Challenge
10d of MP = withdrawal bleeding
positive = menstratution (prog def)
negative = low estrogen or outflow obstruction
Primary Amenorrhea, increased FSH
ovarian failure (hypergonadotropic hypogonadism)
Primary Amenorrhea, decreased FSH
pituitary or hypothalamic, hypogonadotropic hypogonadism)
Weight doubles, triples, quadruples….
1-2-4
Doubles at 4 months
Triples at 1 year
Quadx at 2 years
Height doubles, triples…
Doubles at 4 years
Triples at 13 years
