Paediatrics Development - Liam Flashcards
Feeding volumes for
- day 1, 2, 3, 4 and onwards
1 - 60ml/kg.day
2 - 90ml/kg/day
3 - 120ml/kg/day
4 and onwards - 150ml/kg/day
When does weaning start
From 6 months (gradual transition from milk to normal foods)
Failure to thrive
- pathology
Poor physical growth and development of child
Failure to thrive
- causes
Inadequate nutritional intake
Difficulty feeding
Malabsorption
Increased energy requirements
inability to process nutrition
Predicted female height
(Mother height + fathers height - 14) / 2
Predicted male height
(mothers height + fathers height + 14cm) / 2
Types of learning disabilities
- Dyslexia
- Dysgraphia
- Dyspraxia
- Auditory processing disorder
- Non-verbal learning disability
- Profound and multiple learning disabilities
Dysplexia
Difficulty in reading, writing and spelling
Dysgraphia
Difficulty writing
Dyspraxia
Difficulty with physical coordination
Auditory processing disorder
Difficulty processing auditory information
Non-verbal learning difficulty
Difficulty processing non-verbal information
Profound and multiple learning disability
Severe difficulties across multiple areas
Learning disabilities classifcation
- IQ
- Mild - 55 to 70
- Moderate 45 to 55
- Severe 25 to 40
- Profound under 25
What are the 4 key words of capacity
Understand
Retain
Weight up
Communicate
Puberty start girls
8-14
Puberty start boys
9-15
Order of development in puberty for girls
Breast buds > pubic hair > period
Order of development in puberty for boys
Enlargement of testes > penis ? darkening of scrotum > pubic hair > deepening of voice
What scale used to determine pubertal stage
Tanner scale
Hypogonadotrophic hypogonadism
Deficiency of LH and FSH
Hypergonadotrophic hypogonadism
Lack of response to LH and FSH by gonads
Hypogonadotropic hypogonadism
- cause
GH deficiency
Hypothyroidism
Hyperprolactinaemia
Hypergonadotropic hypogonadism
- cause
Damage to gonads like testicular torsion, cancer, infection
Congenital absence
Kleinfelters
Turners
When can 16 year olds make decisions about treatment
They have Gullick competence - no lower age limit
5 Frazer guidelines for contraception
- They are mature and intelligent enough to understand the treatment
- They can’t be persuaded to discuss it with their parents or let the health professional discuss it
- They are likely to have intercourse regardless of treatment
- Their physical or mental health is likely to suffer without treatment
- Treatment is in their best interest
