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Peds 1 > Intro > Flashcards

Intro Flashcards

1
Q

no TV till age….

A

2, can cause speech delay

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2
Q

most important part of exam?

A

history

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3
Q

munchausen is now known as

A

fabricated or induced illness in Childhood

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4
Q

weak cry

A

seriously ill

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5
Q

high pitched cry

A

intracranial pathology

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6
Q

moaning cry

A

meningitis, sepsis

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7
Q

grunting cry

A

respiratory distress, cardiac failure

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8
Q

infrequent cry

A

MR, downs

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9
Q

colic begins at

A

3 weeks of age and ends at 3 months of age, 3 hours of nonstop crying at least 3 days per week,

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10
Q

Order of exam

A

-observe kid while taking history, next listen to kid, then begin the PE

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11
Q

development follows this pattern

A

-cephalocaudal w/proximodistal progression of function consistent w/myelination

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12
Q

what does methylation do?

A

turns genes on or off

stress decreases methylation

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13
Q

environmental effects on glucocorticoid receptors

A
  • Environment plays a role in stress response
  • better environment leads to increased glucocorticoid receptors
  • Chronic stress actually leads to decreased cortisol levels, leading to nightmares/focus on past/hypervigilance
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14
Q

acquisition of ( ) milestone correlates w/intelligence

A

fine motor

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15
Q

weight

A
  • usually doubles by 3-5 months and triples by a year
  • breast fed babies gain weight quicker and slow at 6 months
  • large babies do not follow standard
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16
Q

head circumference

A
  • most important marker
  • increase 2 cm/month for 3 months
  • 1 cm/month for 3 months
  • 0.5 cm/month for 6 months (12 cm first year)
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17
Q

length

A
  • 2 in/month for 3 months
  • 1 in/month for 3 months
  • 0.5 in/month for 6 months
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18
Q

growth velocity

A

first year of life=half birth length=10 in
second year of life=half first year=5 in
third year of life=half second year=2.5 in
fourth year to puberty=2.5 in/year

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19
Q

moro

A
  • startle reflex

- disappears by 5 to 6 months

20
Q

rooting reflex

A
  • stroke side of check and baby turns towards stroking

- disappears by 9 months

21
Q

assymetric tonic neck

A
  • neck-turn head left and arm goes out left

- disappears by 9 months

22
Q

holds up head

A

6-17 weeks

23
Q

rolls over

A

2-5 months

24
Q

sits unsupported

A

5-8 months

25
Q

creeps on hands and knees

A

7-10 months

26
Q

stands

A

5-10 months

27
Q

walks unassisted

A

11-15 months

28
Q

toilet trained

A

24-30 months

29
Q

reaches for an object

A

4 months

30
Q

transfers object from hand to hand

A

7 months

31
Q

thumb and finger grasp (pincer)

A

9 months

32
Q

scribbles spontaneously

A

begins by 12 an all 18 months

33
Q

when does language development begin?

A

one month

34
Q

first word

A

9-13 months

35
Q

first phrase

A

14-24 months

36
Q

first sentence

A

18-30 months

37
Q

babbling

babbling w/intonation of language

A

3-6 months

9 months

38
Q

has own jargon, gestures to indicate desires, understands simple commands

A

12 months

39
Q

uses 6 meaningful words, follows one step commands

A

18 months

40
Q

50 word vocab

A

24 months

41
Q

names picutres, follows 2 step commands

A

30-36 months

42
Q

uses 4 word sentences, asks questions, uses past/future tense

A

36 months

43
Q

uses full sentences and adult grammar

A

48 months

44
Q

leading cause of death children under 1
1-4
5-24

A

suffocation
drowning
MVA

45
Q

1 cause of mortality

A

suicide

46
Q

3 types of adverse childhood experiences

A

-abuse, neglect, household dysfunction……can lead to heart disease, cancer, COPD, stroke, alzheimers, suicide

Peds 1 (5 decks)

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