Pedia Hx and PE Flashcards
significance of maternal febrile illnesses or anticonvulsants
spina bifida
significance of maternal diabetes
caudal regression syndrome and sacral agenesis
significance of maternal rubella, thalidomide and alcohol
congenital amputations
earliest signs of motor disability
weak or lost fetal movements
gravida
pregnant
nulligravida
never been pregnant
primigravida
1st time pregnant
multigravida
multiple pregnancy
parity
number of pregnancies that reach viability
FPAL
full: 37-42 wks
premature: 20-36 wks
aborted: 20 wks below
live: buhay
puerperium
time after delivery whre reproductive tracts returns to non pregnant condition
frequency of prenatal care
4-28 wks: once a mo.
28-36 wks: twice a mo.
36-41 wks: once a wk
complications if mother has sudden weight gain
CS or diabetes
complications if mother has sudden weight loss
stunted or delayed fetus
important gross motor motions
head control
sitting
pulling to stand
walking
rolling
normal length
~50 cm
normal weight
boys: 2.9-3.9 kg
girls: 2.8-3.8 kg
~7.5 lbs
normal head circumference
~35 cm
normal RR
40-60 breaths per minute
normal HR
120-160 bpm
age to measure head circumference
< 2 yo
fontanelles open at 1 yo
anterior - closes at 12-18 mo.
visual acuity testing is for what age
> 3 yrs
what warrant visual field testing
pituitary lesions
oropharyngeal exam is done at what age
< 7 yrs
preschool exam
anthro
rapport with pt and parents
VS
adolescent and young adult exam
privacy
inspect private parts
PE may de done s parents unless requested
TANNER OR SMR 1 in females
no breast and pubic hair
birth to 15 yo
TANNER OR SMR 2 in females
breast bud and hair near labia
6-15 yo
TANNER OR SMR 3 in females
enlargment of breast and areola c more hair and pigmentation
8-15 yo
TANNER OR SMR 4 in females
double contour breast and adult type hair but not distribution
9-17 yo
TANNER OR SMR 5 in females
large breast c single contour and adult distribution of pubic hair
10-18 yo
breast budding age
SMR 2
8012 yo
menses age
SMR 3-4
12.5 yo or 9-15 yo
TANNER OR SMR 1 in males
testes has no change and penis is 2.5 cm
no pubic hair
birth to 15 yo
TANNER OR SMR 2 in males
minimal or no enlargement of testes and penis
long downy hair
10-15 yo
TANNER OR SMR 3 in males
6-8 ml testes and significant penile enlargement in length
inc hair and curling
10-16.5 yo
TANNER OR SMR 4 in males
10-12 testes and enlargement of penis diameter
adult type hair but no distribution
12-17 yo
TANNER OR SMR 5 in males
12-19 ml testes and adult penis
adult distribution of pubic hair
13-18 yo
when does penis elongation start
tanner 3
when does testicular enlargement start
SMR 2
peak growth of testis
SMR 4 d/t LH and testosterone
sperm in urine and nocturnal emissions
SMR 3
some desgree of breast growth in males
SMR 2-3