Pedia 3B - Applied Pediatric Ward Flashcards
Heterophoria
Latent tendency for the eyes to deviate
Amaurosis
Partial or complete blindness
Orthophoria
Ideal condition of exact ocular balance
Heterotropia
Constant misalignment of the eyes
Dyscoria
Abnormal shape of the pupil
Scaphocephaly
Head is elongated in the AP diameter
Turricephaly
Top of the head is pointed
Plagiocephaly
One side of the head is more rounded
Oxicephaly
Tower head
Absence of clavicle
Cleidocranial dyostosis
Presternal edema
Mumps
Supernumerary nipples
Renal anomaly
Pigeon breast
Rickets
Shield chest
Turner’s Syndrome
Hyper-resonant on percussion
Emphysema
Dullness on percussion
Consolidation
Increase vocal resonance
Consolidation
Age Related: Infancy
Behavioral problem:
Child neglect
Age Related: Pre-school
Behavioral problem:
Breath holding
Age Related: School age
Behavioral problem:
Bed wetting
Age Related: Adolescence
Behavioral problem:
Acting out behavior
Lesions - 1’ or 2’
Macule
Primary
Lesions - 1’ or 2’
Papule
Primary
Lesions - 1’ or 2’Excoriation
Secondary
Lesions - 1’ or 2’
Crust
Secondary
Lesions - 1’ or 2’
Wheal
Primary
Lesions - 1’ or 2’
Ulceration
Secondary
Lesions - 1’ or 2’
Scar
Secondary
Finding: Exaggerated reflexes
Disease Associated:
Dse of CNS
Finding: Dark Urine
Disease Associated:
Myoglobiuria
Finding: Sensory changes
Disease Associated:
Peripheral Nerve Dse
Finding: ??
Disease Associated:
Anterior Horn Disease
Type of Rash: Malar Rash
Disease Associated:
SLE
Type of Rash: Erythema marginatum
Disease Associated:
ARD Acute rheumatic disease
Type of Rash: Purpuric Spots over distal portion of extremities
Disease Associated:
HSP Henoch Schonlein Purpura
Type of Rash: Evanescent macular rash
Disease Associated:
JRA Juvenile rheumatoid arthritis
Sexual Maturity Rating:
Nipple and areola form a secondary mound
IV
Sexual Maturity Rating:
Scrotal skin is pink/reddened
II
Sexual Maturity Rating:
Lanugo-like straight lightly pigmented pubic hair
II
Sexual Maturity Rating:
Larger penis with glans and penile breath increased in size
III
Sexual Maturity Rating:
Abundant dark and curly pubic hair spreading to the medial thighs
V
Sexual Maturity Rating:
Breast bud stage
II
Sexual Maturity Rating:
Elevation of papillae only
I??
Lesion: Strawberry nevi
Diagnosis:
Capillary hemagiomata
Lesion: Light or dark brown lesion usually seen in sun-exposed parts of the body
Diagnosis:
Hyper-pigmentation lesions (FRECKLES)
Finding: Single umbilical cord + Imperforate anus
Diagnosis:
Muscle
Renal - Ans?
Cardio
Finding: Large tongue + umbilical hernia
Diagnosis:
Hypothyroidism - Ans ?
Down syndrome
Hernia
Finding: Incessant crying
Diagnosis:
Temp
Feeding
Bowel movement
AOTA??
Finding: Myoclonus knee jerk in 2 week neonate
Diagnosis:
Physiologic
Finding: Concave nails (koilonychia)
Diagnosis:
IDA
Plummer Vinson Syndrome
Finding: Generalized hypotrichosis
Diagnosis:
hypothyroidism??
Finding: Harrison’s groove
Diagnosis:
Rickets or COPD
Finding: Abdominal pain made WORSE by squeezing is likely due to some ________ condition
Diagnosis:
Inflammatory
Information: Parity + Gravidity of the Mother Parts of the History: - Prenatal - Natal - Neonatal
Prenatal
Information: Severity of Jaundice Parts of the History: - Prenatal - Natal - Neonatal
Neonatal
Information: Spontaneous breathing at birth Parts of the History: - Prenatal - Natal - Neonatal
Natal
Information: History of Phototherapy Parts of the History: - Prenatal - Natal - Neonatal
Neonatal
Information: APGAR score of 8 Parts of the History: - Prenatal - Natal - Neonatal
Natal
History and PE Finding: Child swallows dirt, crayon, chalk etc
Condition:
PICA
History and PE Finding: Generalized jaundice except the sclera
Condition:
Lycopenia
History and PE Finding: Excessive thirst and water intake
Condition:
Polydipsia
History and PE Finding: Child regurgitates food into the mouth and chews on it
Condition:
Rumination
History and PE Finding: Patient is blue w/o dyspnea
Condition:
Met-hemoglobinemia
Description: Unsteady gait
PE Findings:
Ataxia
Description: Pulse rate INC w/INSP and DEC w/EXP
PE Findings:
Sinus Arrhythmia
Description: Pulse Volume DEC (or disappears) at end of INSP
PE Findings:
Pulsus paradoxus
Description: Rapid, deep respiration in metabolic acidosis
PE Findings:
Kussmaul’s breathing
Description: ALT periods of deep and shallow respiration w/recurring periods of apnea
PE Findings:
Cheyne stokes?
Compare w/Biot’s
To visualize tympanic membrane of older child, the pinna of the ear is held by fingers of one hand and gently pulled:
Up and back
Younger - DOWN
Major Salivary gland(s) located below and in front of the external auditory meatus is/are the:
DON’T KNOW
Submaxillary
Sublingual
Parotid
Complete set of milk (primary) teeth at 24 months:
20
Accessory muscle of expiration
Abdominal INSP - SCM - Scalenii - Trapezii
DEC vocal fremitus over A Collapsed lung B Pleural Effusion C Lung consolidation D A&B
?? I think D
Primary lesion is flat and flushed w/surface of skin blanching w/pressure
Macule
Bronchial breathing is considered abnormal if heard over the
Lower aspect of the anterior chest NORMAL - Trachea - Midline of upper anterior chest - Either side of the 2nd thoracic spine, over the posterior chest in small infants
Last part of PE (esp in young children)
EARS
The ff information is included in the hx of the PERSONAL habits of the patient EXCEPT
- School performance
- Sleeping
- Toileting
- Games and play
Personal habits
- Feeding
- Sleeping
- Toilet
- Games/Play
- Living condition
The ff are immediate reflection of adequate nutrition of an infant EXCEPT:
- sleeps after feeding
- Plays
- quiet after feeding
- Gaines weight
Sleeps after feeding?
Description: Shrieking cry
Diagnosis:
CNS disease
Description: Peripheral cyanosis, compared to central,
Diagnosis:
Tongue is not blue
Cold extremities
Description: Green colored watery stools
Diagnosis:
Rapid intestinal peristalsis
Difference between diastolic pressure of upper and lower limbs
NONE
Systolic difference = 5-10 mmHg higher in lower limbs
Normal resp rate of a NB
?? 30-50 ??
Normal Tachypnea
0-2m 30-50 >60
2-12m 20-30 >50
1-5y 20-30 >40
6-12y 15-20 >30
12-18y 12-18 >24
Palpable or not, NB has __ fontanels
SIX
Clinical History: G2P3 Type of History: - Prenatal - Natal - Neonatal
Prenatal
Clinical History: Mother's age Type of History: - Prenatal - Natal - Neonatal
Prenatal
Clinical History: Polyhydramnios Type of History: - Prenatal - Natal - Neonatal
Natal
Clinical History: Phototherapy Type of History: - Prenatal - Natal - Neonatal
Neonatal
Clinical History: APGAR Type of History: - Prenatal - Natal - Neonatal
Natal
Finding: Muscle weakness w/rashes
Diagnosis:
Collagen vascular disorders
Finding: Joint tenderness, as a sign of arthritis should be differentiated from
Diagnosis:
Proximal bone tenderness
Tenderness along tendon attachments
Bone pain of leukemia
Finding: Erythema marginatum
Diagnosis:
ARF Acute rheumatic fever
Finding: Tenderness of sacro-iliac joint elicited by
Diagnosis:
Pretzel test
Finding: Ortolani’s maneuver
Tests for:
Hip displacement
Finding: Grower’s test
Diagnosis: ?
DMD
Finding: Tenderness over tibial tubercle suggests
Diagnosis:
Sarcoma
Finding: TRUE migrating pain can be seen in
Diagnosis:
Rheumatic fever
Finding: Excessive tearing may be d/t
Diagnosis:
Allergy
Local irritation of eyes
Crying
Finding: Failure of the fontanels to close by 18 months
Diagnosis:
Hydrocephalus
Ricketts
Hypothyroidism
Finding: Unusually long eyelashes
Diagnosis:
Malnutrition
Some normal
Finding: Hx of Doctor-shopping
Diagnosis:
Possibility of pediatric Munchhausen
What is Sandifier Syndrome
