Pedia Flashcards
Tonic/brainstem reflexes
SAPTA + Landau
Brainstem reflexes with onset at birth
ATNR
positive support
TLR
associated reaction
STNR onset
4-6 mos
Landau onset
4-5 mos
STNR integ
8-12 mos
ATNR integ
4-6 mos
Positive support integ
6 mos
TLR integ
6 mos
Associated reaction integ
8-9 yrs
Spinal reflexes with onset at birth
Palmar grasp
startle reflex
rooting
galant
Majority of spinal reflexes onset is at
28 weeks
Flexor withdrawal integ
1-2 mos
Crossed ext integ
1-2 mos
Traction integ
2-5 mos
Moro integ
5-6 mos
Plantar grasp integ
9 mos
Palmar grasp integ
4-6 mos
sucking/swallowing integ
2-5 mos
rooting integ
3 mos
galant integ
3-9 months
stimulus and response of galant
stroke scapula to iliac crest
I/L flexion of trunk
stimulus and response of traction
grasp forearm and pull up from supine into sitting position
grasp and total flexion of UE
All midbrain/righting reflexes persist except
“NOBOBOH by 5 yrs”
neck on body
body on body
body on head
Average IQ
90-109
Piaget: Insight
sensorimotor
Piaget: immature reflex
sensorimotor
Piaget: symbolic play
preoperational
Piaget: language development
pre operational
Piaget: logical thinking
concrete operational
Piaget: formal operational
abstract thinking
denver developmental screening test measures
deviation from normal development
Bayley Scale of infant development measures
Separate mental and motor scales
Gessell Developmental Schedule measures
Indicator of current developmental level
Wide Range Achievement test measures
Reading, spelling, arithmetic
Peabody Individual Achievement Test measures
achievement; useful for handicapped
genu varum is normal
0-2 yrs
genu valgum is normal
3-7 yrs
pes planus is normal
0-18 mos
walks backward
18 months
emerging hand dominance
18 mos
4 yrs milestones
DASH
downstairs with alternating feet
arches start developing
sits up from supine without rotation
hops on one foot
trisomy 13
patau
trisomy 18
edward
trisomy 21
down syndrome
Mono X syndrome
turner’s
Deletion of 5p
cri-du-chat
XXY syndrome
klinfelter
deletion of 15q
prader willi
Most fatal trisomy
edward syndrome
t6-t12
kyphoscoliosis
L1-L3
severe hip d/l
L4-L5
mild hip d/l + calcaneoverus
S2
clawing of toes
S3-S4
bowel prob
Orthosis for t6-t12
parapodium & thkafo
orthosis for L1-L2
RGO + HKAFO
orthosis for L3-L4
KAFO
Orthosis for L5-S1
AFO + ground reaction AFO
Functional prognosis for level t6-t12
wheelchair for everything
Functional prognosis for level L1-L2
short household amb
Functional prognosis for level L3-L4
household amb
Functional prognosis for level L5-S1
household amb & community amb with difficulty
Functional prognosis for level S2 down
communtiy & household amb
Birth asphyxia commonly leads to
spastic quadri
Prematurity commonly leads to
Spastic di
Vascular injury commonly leads to
spastic hemi
GMFCS 2
walk without AD
GMFCS 3
walk with AD
GMFCS IV
powered mobility for outdoors
grand mal seizure aka
tonic clonic
absence seizures aka
petit mal
BMD & DMD is defect of
xp21
Weak muscles in DMD
Hip ext knee ext neck ext
Fascioscapulohumeral dystrophy will present with difficulty
sipping from straw
triad of osteogenesis imperfecta
blue sclera
deafness
brittle bones
osteochondritis dissecans
paget’s disease
seen in >50 yrs
excessive BREAKDOWN of bone
Osteosclerosis
regions of increased bone dencity
Rickets
Vit D deficiency in children
manifests with genu varum
Ostemalacia
vit d deficiency in adults
increased breakdown
soft bones
ollier’s dse
benign cartilaginous tumor
shortening
deformity
hand enlargement
mafucci syndrome
enchondromatosis with hemangioma
Myotonia congenita
warm up phenomenon
aggravated by cold, fatigue, hunger, emotional upset
infantile hercules/thomsen disease
paramyotonia congenita
stiffness WORSENS WITH EXERCISE
Eulenburg dse
myotonia congenita and paramyotonia congenita are both autosomal ____
autosomal dominant
