Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Y4: Paeds > Epi and community paeds, CAMHS > Flashcards

Epi and community paeds, CAMHS Flashcards

1
Q

What are the fields of development?

A
  1. Gross motor
  2. Vision and fine motor
  3. Hearing, speech and language
  4. Social, emotional and behavioural

Also: cognitive development

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Thinks to ask about in developmental Hx

A
  • what stage for each field
  • milestones (over limit ages?)
  • sequence of development
  • any fields of concern
  • any regression/loss of skills
  • overall development and how it relates to age
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Limit ages for drawings

A 
Line: 1y
Squiggle: 2y
Circle: 3y
Cross: 4y
Square: 5y
Triangle: 6y
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Limit ages: gross motor development

A
  • head control 4m
  • sits unsupported 9m
  • stands with support 12m
  • walks independently 18m
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Limit ages: vision and fine motor development

A
  • fixes and follows with vision 3m
  • reaches for objects 6m
  • transfers objects 9m
  • pincer grip 12m
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Limit ages: hearing, speech and language development

A
  • polysyllabic babble 7m
  • consonant babble 10m
  • 6 words with meaning 18m
  • joins words 2y
  • 3-word sentences 2.5y
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Limit ages: social, emotional and behaviour development

A
  • smiles 8wks
  • fear of strangers 10m
  • feeds self/spoon 18m
  • symbolic play 2-2.5y
  • interactive play 3-3.5y
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When are the developmental reviews in the UK healthy child programme?

A
  • new baby
  • 1y-1y1m (12-13m)
  • 2y-2y6m
  • health reviews at 10-11y (school transition) and 15-16y
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When are NIPEs performed?

A
  1. within 72h of birth

2. at 6-8wks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When are children measured in the National Child Measurement Programme?

A

4-5y

10-11y

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Hearing tests/screening in babies

A

Otoacoustic emission (OAE) within first few weeks of life

If abnormal: auditory brainstem response (ABR) audiometry

If on special care unit: both usually performed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What hearing test is used in infants 10-18 months?

A

visual reinforcement audiometry

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What hearing test is used in children 18 months - 4 years?

A

performance and speech discrimination testing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What hearing test is used in children >4 years?

A

audiometry

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Hearing checklist for parents

A
  • by 1m - notices sudden prolonged sounds e.g. vacuum
  • by 4m - quietens/smiles to sound of your voice
  • by 7m - turns to voice across room/very quiet noises on each side
  • by 12m - shows some response to their name and other familiar words
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

When is visual screening recommended?

A

4-5 years

17
Q

Presentation of autism

A 
- 4-5y
1 - impaired social interaction
2 - speech and language disorder
3 - ritualistic and repetitive behaviour
- may have comorbidities e.g. seizures, LDs, affective disorders, ADHD
18
Q

Presentation of ADHD

A
  • cannot sustain attention
  • excessively active
  • social disinhibition
  • easily distracted
  • impulsive
  • poor at relationships
  • prone to temper tantrums
  • poor school performance
19
Q

Management of autism

A

Applied behaviour analysis - 25-30h per week; and appropriate educational setting

20
Q

Management of ADHD

A
  • educational psychologist assessment
  • behavioural programmes in school
  • parenting intervention
  • medication if necessary and >6y (stimulants like methylphenidate or dexamphetamine, or non-stimulants like atomoxetine)
21
Q

What is Conner’s scale used for?

A

assessing ADHD

22
Q

Common SEs of methylphenidate

A
  • appetite suppression

- sleep disturbance

23
Q

Management of developmental coordination disorder

A

OT

24
Q

Management of (isolated) language delay

A

SALT

25
Q

What is an EHCP

A

education, health and care plan

  • for children with special educational needs
  • legal document
  • until age 25
  • states aims/plans/expectations for the child
26
Q

Management of AN in adolescents

A

family therapy 1st line using Maudsley approach:

  1. STABILISE
  2. refeeding (weight restoration)
  3. negotiations for new relationship with food
  4. adolescent issues and closing things down
27
Q

Which guidelines are used for managing AN

A

MARSIPAN - Management of Really Sick Patients with Anorexia Nervosa

28
Q

What to cover when making a safeguarding referral

A
  • documentation
  • are they known to safeguarding?
  • inform parents you are making a safeguarding referral (if safe to do so)
  • names, DOB, school of other children in family/household
29
Q

Features of accidental injury

A
  • bony prominences
  • match the Hx
  • in keeping with development of the child
30
Q

Features of non-accidental injury

A
  • injuries to both sides of the body
  • injuries to soft tissue
  • injuries with particular patterns
  • doesn’t fit with Hx
  • doesn’t fit with development of child
  • delayed presentation
  • untreated injury
31
Q

What to do if FGM identified in <18y

A

report to police

Y4: Paeds (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions