Immuniz Flashcards
birth to 6 years old
Immunization
birth and 2 months
Hep b
2,4, 6,months
Rotavirus
2,4,6,16, 18 months, 4 years ol
DTAP
2,4,6,12 months
Hib influenza
2,4,6,12, 15 months
Pneumonia pcv4
2,4,6,18,months 4 years old
IPV
12 months 4 years old
MMR
12 months 4 years old
Varicella
6 and then annually
Influenza
at birth first day of life or full-term infant,
Tx - first line is phototherapy, bilirubin lab, complication is kernicterus- bilirubin circulation damages CNS
Jaundice
Temporary decrease of H&H by kidney erythropoietin
Physiological anemia of infant
spontaneously resolves in 6 months
Congenital lacrimal duct obstruction (dacryostenosis)
redness warmth tenderness and swelling of one lacrimal duct, complication of orbital cellulitis,
Tx - lacrimal sac massage, culture discharge and TX with systemic Abx,
Acute dacryostenosis
rule out conditions cause pain, discomfort, infection, environment and formula allergy resolves 3-4 months
Infant colic
Narrowing of the large blood vessel that leads from the heart, systolic BP on lower extremities is supposed to be higher compared to upper extremities,
Dx - COA its vice/versa (weak radial pulse and bounding femoral pulse) CAUSED BY CONGENITAL HEART DEFECT, order echocardiogram, ekg, cxray
Coaction of aorta
asymmetry of creases of the legs, high risk breech births, female gender, family history, oligohydramnios, check gluteal popliteal hip to match, Tx - order US of hips, refer to pediatric orthopedist
Developmental dysplasia of the hip (DDH)
rotate hips in frog leg position abduction adduction, if click or clunk sound or palpable trochanter becoming displaced
Ortaloni maneuver test
is pushing both knees together midline downward and upward, click or clunk or palpable trochanter being displaced by index/middle finger
Barlow maneuver
one femur appears shorter when infant is supine
Galeazzi sign
obstruction of the intestines, cuts off blood supply, fatal, sudden
loud crying, comes/goes, vomiting, blood/mucus mixed with stool, SAUSAGE LIKE MASS
Intussusception
