Developmental Milestones Flashcards
What age run?
16-18 months
What age draw circle?
3 years
What age eats skilfully with spoon?
2 years
What age turns head to sound?
6months
What age has best friend?
4 years
What age draws horizontal like?
2 1/2 years
What age hops on one foot?
3 years
What age responds to own name?
9 months
What age walks unaided ?
12 months
What age understand verbs?
2 years
What age has bladder control?
4 1/2 years
What age has stranger fear?
9 months
What age drinks from beaker with lid?
12 years
What age kicks ball?
2 1/2 years
What age jumps?
18 months
What age transfers objects hand to hand?
6 months
What age has inferior pincor grip?
9 months
What age understands noun?
18 months
What age waves bye bye?
12 months
What age draws triangle?
5 years
What age imitates adult sound?
9 months
What age tracks objects with eyes ?
6 weeks
What age draws verticals line?
2 years
What age points to own body parts?
12 months
What age builds x8 brick tower?
2 years
What age straight back sitting?
9 months
What age kicks ball?
2 1/2 months
What age draws circle ?
3 years
I hat age builds 12 brick tower?
4 years
I hat age draws square?
4 1/2 years
What age understands comparatives ?
3 1/2 years
What age speaks 3 words ?
12 months
What age had palmar grasp?
6 months
What age shape matching puzzles ?
2 years
What age draw cross?
4 years
What age throws ball at shoulder level?
2 years
What age walks upstairs/ downstairs like an adult?
3 1/2 years
What age understands adjectives ?
3 years
What age startles to loud noise ?
6 weeks
What age eats with fork and spoon?
3 years
What age object permanence?
9 months
I hat age babbles?
6 months
What age hand clapping?
12 months
What age understands negatives?
3 years
What age bowel control?
3 years
What age understands no?
6 months
What age sitting without support ?
6 months (round back)
What age builds a brick bridge ?
3 years
What age responds to own name?
9 months
What age used complex narrative sequences to describe events?
4 years
What age walks up stairs one foot per step?
3 years
What age holds and bites good?
9 months
What age castes bricks?
12 months
Hand dominance at what month is a red flag?
Before 12 months (think hemiparesis)
When is it a red flag if primitive reflexes are still present?
6 months
Not doing what at 18 months is red flag?
Walking unsupported
What, if absent at 10 weeks is red flag?
Smiling
Rolling prior to what month of age is red flag?
3 months
What age reach for toys/boobs?
4-6 months
Developmental delay, happy child, flappy hands suggests what ?
Angelmann syndrome
What is first line treatment for chlamydia?
Doxycycline 100mg BD
What would you see in trochlear nerve palsy ?
Eye is elevated and lateral
Morbilliform rash that appears after febrile pristine us what?
Roseola
Treatment is conservative
What are the components of TOF?
VSD
Overriding aorta
Right outflow obstruction
Right ventricular hypertrophy
What does TOF look like on CXR ?
Boot shape
What does transposition of great arteries look like on CXR?
Egg on a string
What are the cyanotic congenital heart abnormalities?
TOF
TGA
TRICUSPID ATRASIA
TRUNCUS ARTERIOSUS
TAPVD
Hyoplastic left heart
What are cyanotic conditions with increased pulmonary blood flow?
TAPVD
HYPOPLASTIC LEFT HEART
TGA
TRUNCUS ARTERIOSUS
Do parents lose parental responsibility after divorce?
NO!
Segmental avascular necrosis of the femoral head is what?
Perthes disease
What is classical Perthes disease,
Limping 6 year old with reduced abduction and internal rotation of hip.
What is classical SUFE?
Fat 10 year old or tall skinny 15 year old.
Painful hip, externally rotated, limited medial rotation
What is classic Osgood-schlatter?
Soft tissue swelling of tibial tubercle
What cardiology abnormality is associated with Romano-ward syndrome?
Long QT
What cardiology abnormality is associated with noonan syndrome?
Pulmonary stenosis
What cardiac abnormality is associated with Marfan syndrome?
Aortic dissection
What type of bilirubinaemia is galactosaemia?
Conjugated hyperbilirubinaemia!
What are the systolic murmurs heard loudest on the upper left eternal edge?
Pulmonary stenosis
ASD
PDA
Define Still’s murmur
Buzzing murmur over left lower sternal edge or apex, changes with posture
Bartter syndrome is what?
Defect in chloride and sodium re absorption in ascending loop of henle and juxtoglomerular apparatus hyperplasia
Differentials for hypochloraemic, hypokalaemic metabolic alkalosis
Pyloric stenosis
Diuretic abuse
Persistent vomiting
CF
BARTTER SYNDROME
What are the biochemical findings of Bartter syndrome ?
High renin, high aldosterone
Urine high chloride and prostaglandin E2
Hypochloraemic hypokalaemic metabolic alkalosis
How do you distinguish Bartter syndrome from other causes of hyperaldosteroneism?
No hypertension in Bartter
Difference between renal artery stenosis and primary hyperaldosteroneism ?
Primary hyperaldosteronism - low renin
Stem has a high ren
What is classic for ASD?
Systolic, upper /mid left sternal border and wide and fixed splitting of second heart sound
When to suspect zinc deficiency?
Eczema, stomatitis and mouth ulcers. Vegans.
When to suspect folate deficiency?
Mouth ulcers in context of chronic diarrhoea
What is treatment for breath holding attacks?
Reassurance
What age do up buttons unaided?
5 years