Pedia Flashcards
Neonate Age
First 28 days of life
Infant Age
1 month - 1 year
Toddler Age
1 - 3 years
Preschool Age
4-6 years
School Age
7 - 12 years
Adolescent
13 - 18 years
900 words vocabulary
3 years old
1500 word vocabulary
4 years old
2,100 words vocabulary
5 years old
Normal Birthweight
2.5 - 4.0 kg
Birthweight x2
6 months
Birthweight x3
12 months / 1 year old
Birthweight x4
2 1/2 years
Low Birthweight
<2,500 grams
Large Birthweight (macrosomia)
> 4,000 grams
Birth length
46 - 54 cm
Head circumference
33 - 35 cm / 13-14 inches
Chest circumference
31 - 33 cm/ 12- 13 inches
Tonic neck disappear
4 months
Palmar Grasp
- Start: 2 months
- Disappear: 4-5 months
Moro reflex disappear
4-6 months
Sucking and rooting disappear
3 - 4 months
Stepping or walking present
3 - 4 months
Plantar reflex
- Disappear: 8-10 months
Anterior fontanelle closes
12 - 18 months
Posterior fontanelle closes
2 - 3 months
Caput Succedaneum
Swelling of scalp caused by prolonged labor
Caput Succedaneum disappear
3rd day of life
Cephalhematoma
Collection of blood caused by increased pressure of birth
Cephalhematoma absorbed
3 - 6 weeks
Craniotabes
Localized swelling of the cranial bones caused by pressure of the fetal skull against the mother pelvic bone in uterus
Low set ears indicates
Chromosomal disease
1. Trisomy 21(Down Syndrome)
2. Kidney anomaly
Choanal atresia
Blockage at the rear of nose
Assessment:
- close the newborns mouth and press one nares at a time with fingers. Note any discomfort or distress
Cryptorchidism
One or both testicles not present
Epispadias
-Urethra doesn’t fully develop and reach the penis tip
- The opening is on the top of the penis. (Dorsal Surface)
Hypospadias
- Urethra doesn’t fully develop and reach the penis tip.
- The opening is on the bottom of the penis. (Ventral surface)
Anencephaly
Absence of cranial bone
Craniosynostosis
Early closure of suture line
Flat nasal bridge
Trisomy 21 (Down Syndrome)
Short Neck indicate
Down Syndrome
Webbed neck indicate
Turner syndrome
Spina Bifida Occulta
There is a small gap in the spine, but no opening or sac on the back
Spina Bifida Meningocele
Protrusion: Sac
(Meninges + CSF)
Spina Bifida Thylomeningocele
Protrusion: Sac
(Meninges+ CSF + Spinal Cord/Nerve)
Amelia
Absence of extremities
Phocomelia
Incomplete extremities
Micromelia
Small extremities
Syndactyly
Fusion of digits
Polydactyly
Excess digit
Clubfoot
Abnormal flexion of foot
Varus Deviation
Foot turn inward
Valgus Deviation
Foot turn outward
Equinos
Forefoot are lower than the heel
Patent Ductus Arteriosus Medication
Ibuprofen
Indomethacin
Machinery like murmur
Patent Ductus Arteriosus
Loud systolic murmur
Ventricular Septal Defect
Olive shape mass in epigastrium
Pyloric stenosis
Ribbon like stool
Hirschsprung Disease
Wink reflex
Touching the skin near the rectum should make it contact (imperforated anus)
Barlow test
Adduct the hip, then apply a downward pressure over the knee with your thumb. If the hip is unstable, the femoral head will slip out of the acetabulum, producing the palpable sensation of the hip dislocating. If the hip is dislocatable, then Barlow’s test is positive. (Hip Dysplasia)
Galeazzi sign
Child lying down supine with the hips and knees flexed to 90°, the feet flat on the table and the heels touching the buttocks. An inequality in the height of the knees is a positive Galeazzi sign. (Hip Dysplasia)
Ortolani test
Reduction is done by abduction of the hip and pushing thigh anteriorly (Hip Dysplasia)
Jelly stool/strawberry jam stoo
Intussusception
Marfan Syndrome
- Tall and thin with unusually long arms, legs, fingers and toes
Complementary feeding
- Best time: 6 months
- Earliest time: 4 months
- Avoid: grapes, corn, popcorn
Egg white
Allergy
Honey
Poison
Dancing/Stepping disappearance
4 months
Babinski
- stroke the sole
- Disappear: 12 months
Galand Reflex
- stroke the back then the baby will turn to side
- Disappear: 9-10 months
Cross-Extension Reflex
- hawakan ang isang paa then sisipain ang kabilang paa
- Disappear: 12 months
Parachute Reflex
- falling sensation
- Disappear: 18 months
Landau Reflex
- superman
- Disappear: 2 years old
Neurological Reflex
TDDMPGBCPL
- Tonic-neck/Boxing/Fencing
(4 months) - Dancing/Stepping (4 months)
- Darwin/Palmar (4-5 months)
- Moro/Startle (4-6 months)
- Plantar (8-10 months)
- Galand Reflex (9-10 months)
- Babinski (12 months)
- Cross-Extension (12 months)
- Parachute (18 months)
- Landau Reflex (2 years old)
Sigmund Freud
- Psychosexual/Psychoanalytical
- OA PHA LA GE
- Oral Stage (birth-1 year)
- Anal Stage (1-3 years)
- Phallic Stage (3-6 years)
- Latent Stage (6-puberty)
- Genital Stage (puberty-death)
Erik Erikson
- Psychosocial
- Trust vs. Mistrust
(0-18 months) - Autonomy vs Shame & Doubt (2-3years)
- Initiative vs. Guilt
(3-5 years) - Industry vs. Inferiority
(6-11 years) - Identity vs. Role Confusion
(12-18 years) - Intimacy vs. Isolation
(19-40 years) - Generativity vs. Stagnation
(40-65 years) - Ego Integrity vs. Despair
(65 and above)
Jean Piaget
- Cognitive Development
- Sensorimotor Stage (birth-2 years)
- Pre Operational Stage (2-7 years)
- Concrete Operational Stage (7-11 years)
- Formal Operational Stage (12 and above)
Lawrence Kohlberg
- Moral Development
Level 1: Preconventional Morality
(0-9 years)
- Obedience & Punishment
- Individualism & Exchange
Level 2: Conventional Morality
(early adolescence - adulthood)
- Good Girl - Good Boy
- Maintaining Social Order
Level 3: Post Conventional
- Social Contract & Individual Rights
- Universal Principle
Play
- Infant - solitary
1-4 months (mobile)
4-7 months (rattle)
7-10 months (large cubes & books)
11-12 months (push & pull, play hammer) - Toddler - Parallel play
- Preschool - Associative/Cooperative
- School Age - Competitive (indoor)
- Adolescent - Competitive (outdoor)
Fear
- Infant: stranger anxiety
- Toddler: separation anxiety
- Preschool: mutation, ghost, dark
- School Age: bully, losing, failure
- Adolescence: relationship, death
Important Person
- Infant: Mother, Caregiver
- Toddler: Parents
- Preschool: Parents, siblings,
- School Age: Teacher
- Adolescence: Peers, Relationship
Birth - 90 minutes
- Thoroughly Drying (30 seconds)
- Skin to Skin Contact (30 seconds)
- Properly Cord Clamping & Cutting (1-3 minutes)
- Non Separation (90 minutes) & Breastfeeding (60 minutes)
90 minutes - 6 hours
- Vaccine
- BCG (0.05 ml) (right deltoid)
- Hepatitis ab (0.5 ml) (right vastus lateralis)
- Vitamin K (0.1 ml) ( left vastus lateralis) - Anthro Metric
Abdominal Circumference
31-33 cm/ 12-13 inches
Fetal Length/Height
45-55 cm/ 18-22 inches
6 hours after
- Bathing
Within 24-72 hours
Newborn screening
Apgar Score
- every 1 and 5 minutes
- 0-3: severely depressed (CPR)
- 4-6: fair/guarded (Oxygen/Suction)
- 7-10: good (Routine Newborn Care)
Vital Signs
- HR: 120-160 bpm
- RR: 30-60 cpm
- BP: 60-80/40-50
- T: 36.6- 37.5
- SO2: >95%
Anterior Fontanelle
- Bregma
- Anterior
- Diamond
- Closed: 12-18 months
Posterior Fontanelle
- Lambda
- Posterior
- Triangle
- Closed: 2-3 months
Shock vs Increased ICP
Shock
- ⬇️ BP
- ⬆️ HR
- ⬆️ RR
Increased ICP
- ⬆️ BP
- ⬇️ HR
- ⬇️ RR
Varus Deviation
Foot turn inward (paloob)
Valgus Deviation
Foot turn outward (palabas)
Equinos
Forefoot are lower than the heel
Calcaneus
Heel foot
G6PD Deficiency
- Glucose 6 Phosphate Dehydrogenase Deficiency
- Problem: Hemolytic Anemia
- Mgt: RBC transfusion & Splenectomy
Galactosemia
- lactose intolerance
- Problem: diarrhea & vomiting
- Mgt: No breastfeeding & Formula Milk (lactose free/soy milk)
Congenital Adrenal Hyperplasia
- ⬆️ GSM
- Cushing symptoms
Congenital Hypothyroidism
- Cause: hyperthyroidism (mother)
- Mgt: within 10 days (Levothyroxine)
Phenylketonuria
- inability to metabolize protein
- Mgt: Phenylalanine free milk & low protein diet
Maple Syrup Urine Disease
- inability to metabolize protein
- Mgt: low protein diet, B complex (IM/IV) & Dialysis