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adv. clet > first Irat- Pediatrics > Flashcards

first Irat- Pediatrics Flashcards

1
Q

: birth to 1 mo

A

neonate

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2
Q

infant

A

1 mo -1yr

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3
Q

young child

A

1-4yr

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4
Q

old child

A

5-10

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5
Q

adolescent

A

11-19

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6
Q

General evaluation for DC

A

Measuring vitals including height and weight
Determining normal growth and neurological development
Looking for signs of abuse
Screening for vision (age 3-4)

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7
Q

1 -2months

A

Holds head up

Turns head and eyes to sound

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8
Q

3 – 5 months

A

Smiles, laughs and giggles

Reaches for and brings objects to mouth

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9
Q

9-11 mo

A

Feeds self finger foods

MaMA/DADA nonspecifically

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10
Q

6-8 mo

A

Initiates “bye bye”

Rolls front to back and back to front

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11
Q

12 mo

A

Walks with support or independently

Points to desired objects

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12
Q

18 mo

A

Uses a spoon

Says 10 – 15 words

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13
Q

1 in 800 births

Average age of death is 55

A

Trisomy 21

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14
Q

Scoliosis and kyphosis

Subluxation of the lens of the eye

A

marfan’s

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15
Q

Bowing extremities

Ligamentous laxity

A

osteogenesis imperfecta

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16
Q

Seen primarily in Caucasians

Pilocarpine test is positive

A

cystic fibrosis

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17
Q

0.3% of blacks in US

Death usually due to infection, pulmonary emboli and renal failure

A

Sickle Cell Anemia

18
Q

Screened for at birth in US

If undetected, leads to mental retardation

A

PKU

19
Q

SIDS

A

death in an infant younger than 1 year old that cannot be explained after complete autopsy,

20
Q

Leading cause of death between 1 month and 1 year of age

Peak incidence in months 2 – 4

A

SIDS

21
Q

2x the amount of SIDS

A

AA and native american children

22
Q

Prevent SIDS

A

side-lying or supine position to sleep

23
Q

average hours newborns cry

A

2.7 hours

24
Q

crying for more than 3 hours a day for more than 3 days a week for a minimum of 3 weeks

A

infantile colic

25
Q

infantile colic does not seem to be ______

A

gastrointestinal

26
Q

nervous system of newborn is hypothethized to be ____

A

neuroliable

27
Q

manipulation reduced crying tie by ____ hours versus dimethicone which reduced time by ____ hours`

A

2.5

1

28
Q

> 50% of abused children are ____ before 4

A

abused

29
Q

most commonly injured area is the ___

A

face

30
Q

shaken baby syndrome can cause

A

decreased level on consciousness
lethary
retinal hemorrhage
generalized motor weakness

31
Q

reduced attention span
hyperactivity
poor impulse control

A

ADHD

32
Q

biggest concern with ADHD medication

A

grown retardation

33
Q

2 most common drugs

A

methyphedidate (ritalin)

amphetamine/destroamphetamine (adderall)

34
Q

1-14 ____ is the 2nd leading cause of death

A

cancer

35
Q

RED FLAGS!!!

A

Unexplained weight loss
Bone pain that is resistant to analgesics or accompanied by recurrent or relapsing fever
Sternal tenderness
Recurrent nosebleeds
Lymphadenopathy that is persistent for more than 3 weeks and lymph nodes that are hard, rebbery,fixed and nontender

Occult or frank blood in in the urine or stool
Abdominal masses
Recurrent or severe (unbearable) headaches associated with nausea and vomiting

36
Q 
Fibrous lesions of bone
Cortical location
NO SYMPTS
Found incidentally on x-ray
SELF RESOLVING
A

FIBROCORTICAL DEFECTS

37
Q

Larger version of fibrocortical defect
Metaphyseal
LARGE ONES MAY CAUSE PATHOLOGICAL FRX

A

NONOSSIFYING FIBROMA

38
Q 
Ossification under cartilage
PEDUNCULATED OR SESSILE LESION that may grow large enough to be seen
Multiple form is common
Biopsy not needed
MAY BECOME SYMPTOMATIC IF LARGE ENOUGH
A

OSTEOCHONDROMA

39
Q

Often multiple
FIND IN FINGERS AND LONG BONES
Speckled calcification seen on x-ray

A

ENCHONDROMA

40
Q 
Highly vascular bone producing tumors
USUALLY IN SPINE
NIGHT PAIN RELIEVED BY ASPIRIN
SCOLIOSIS 
RADIOLUSCENT NIDUS SURROUNDED BY SCLEROSIS
EXISION NECESSARY
A

OSTEIOD OSTEOMA

adv. clet (6 decks)

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