MedU Clipp Cases 3 and 4 Flashcards

1
Q

What is “the itch that rashes”?

A
  • Eczema
    • Cycle of irritation leading to Scratching
    • Leading to the Rash
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2
Q

What is the Tx for Eczema?

A
  • Rx Topical Hydrocortisone (NOT over the counter shit)
  • Topical Anti-inflammatories (calcineurin inhibitors)
  • Antihistamines
    • Non-sedating
      • Loratidine (Claritin)
      • Cetirizine (Zyrtec)
    • Traditional Anti-histamines
      • Diphenhydramine (Benadryl)
      • Hydroxyzine (Atarax or Vistaril)
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3
Q

Two methods for assesing Strabismus?

A
  • The Hirschberg Light Reflex
  • The Cover/Uncover Test
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4
Q

3 y.o. Milestones?

A
  • Gross Motor
    • Hops, Ride a Trycycle
  • Fine Motor
    • Holds a pencil and Crayon, copies a circle
  • Cognitive
    • Draws a person 3 parts
  • Language
    • 75% intelligivle to stranger
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5
Q

Important Causes of Injury in Toddlers?

A
  • Car Accidents
  • Swimming Pools
  • Falls
  • Firearms
  • Poisonings
  • Fires
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6
Q

What do we say when their is a Gun in the Home?

A
  • Preferably, remove the gun from the home
  • Put a Safety Lock on the Gun
  • Keep the Gun in a Locked Cabinet
  • Keep the Ammunition separate and Locked
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7
Q

Anemia screening in kids?

A
  • Anemia screening done at 12 months and again preschool or kindergarten
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8
Q

Risk Factors for Lead Poisoning?

A
  • Young Age
  • Exploring the environment by mouthing objects
  • At-risk housing - lead containing paint
  • Born outside United States
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9
Q

Methods for Improving Toddler Eating Habits?

A
  • Stop the Bottle Now!
  • Limit the Child’s eating to 3 meals and 2 snacks
  • Stopping the Food and Drink Grazing
  • No Bargaining or cajoling
  • Gradually change his diet content
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10
Q

A normal 4 y.o. should be able to?

A
  • Hop on 1 Foot
  • Copy a Cross
  • Pour / Cut / Mash their own Food
  • Brush Teeth
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11
Q

What are the (6 Core Symptoms of ADHD?

A
  • Inattention
  • Hyperactivity
  • Impulsivity
  • Motor Impairment
  • Emotional Liability
  • 6 of the Symptoms are Present in 2 or more Settings
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12
Q

Important Causes of School Failure?

A
  • Sensory Impairment
  • Sleep Disorder
  • Mood Disorder
  • Learning Disability
  • Conduct Disorder
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13
Q

“Red Flags” for Risk of Learning Disability?

A
  • History of Maternal illness
  • Substance Abuse during pregnancy
  • Copmlications at the time of Delivery
  • History of Meningitis or other Serious Illness
  • Head Trauma
  • Parental History of Learning Disabilities or Difficulty at School
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14
Q

(4) Adverse Effects of ADHD Medications?

A
  • Appetitie Suppression (most common)
  • Tic Disorders ( < 1% , rare )
  • Insomnia (common)
  • Decrease in Growth Velocity
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15
Q

(5) Risk Factors for Child Obesity?

A
  • High Birth Weight
  • Maternal Diabetes
  • Obese Parent
  • Low Socioeconomic Status
  • Genetic Syndromes
    • Prader-Willi
    • Bardet-Biedl
    • Cohen Syndrome
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16
Q

(6) Complications of Diabetes?

A
  • Sleep Apnea
    • at least 15 seconds
  • Dyslipidemia
    • Hypertriglyceridemia and Low HDL Cholesterol
  • Hypertension
  • Slipped Capital Femoral Epiphysis (SCFE)
  • Type 2 Diabetes Mellitus
  • Steatohepatitis
    • Nonalcoholic Fatty Liver Disease
17
Q

(4) Criteria for Diabetes Diagnostic Criteria?

A
  • HbA1c > 6.5%
  • Fasting plasma Glucose > 126 mg/dL
  • 2-hour plasma Glucose > 200 mg/dL during an Oral Glucose Tolerance Test following a Glucose Load of 75 g Glucose
  • Patient with Hyperglycemia, random Glucose > 200mg/dL
18
Q

(3) Causes of Elevated BP Measurements
in the Doctor’s Office?

A
  • “White Coat” Hypertension
  • Positioning of the Body
    • Seated, Relaxed, Arm held at the Lvl of Heart
  • Painful Stimuli
  • BP cuff too Large –> falsly Low BP reading
  • BP cuff too Small –> falsly High BP reading
19
Q

(5) Risk Factors for Secondary HTN in Children?

A
  • Ubilical Arterial or Venous Access in Perinatal period
  • -> Renal Vascular Disease
  • Urinary Tract Infection
  • Catecholamine Excess
    • e.g. Pheochromocytoma, Neuroblastoma
  • Family History of Renal Disease
  • Coarctation of the Aorta