Pedia Objective Exam Flashcards
compare growth and development
growth - inc in size and dimensions
dev - milestones achieved
discuss head, trunk and growth of ex
head - fastest in infacny
trunk - fastest in infacny and adolescence
ex - fastest 1 yr to puberty
discuss the stature of newborns
large head, prominent abdomen and short trunk/ex
higher COG = guardbelt on chest area
discuss manner of arrival
mother borne
bed borne
bed ridden
amb c/s AD
stretcher or w/c borne
discuss body built
P/N - poorly nourished; below expected weight
F/N - fairly nourished; border expected weight
W/N - well nourished; on expected weight
discuss height
birth: 50 cm
21 mo: 75 cm
4 yo: 100 cm
early school age: 5cm annually
prepubescence/adolesecence: 5-8 cm annually
discuss head circumference
from glabella, supraorbital ridges then occippital protuberance
birth: 34-35 cm
4 mo: 41 cm
12 mo: 47 cm
maturity: 57 cm
what can be found in head to foot observation
deformities
drooling
facial/body assym
cortical thumb/listing or spooning
scars wounds
swelling atrophy
LLD
AD
postural and gait dev
discuss drooling grade
mild: on one pos
mod: 2 pos
profuse: all pos
discuss fontanelles
ant: fuse by 18 mo
post: 1/2 month
if soft beyond expected time: hydrocephalus
discuss play behavior
if sponty or solitary, dual, group
most imporntant
how to docu general behavior
if attnetive, cooperative, passive, cries, hyperactive, passive then % OTT
how to docu eye contact
meaningful, non, fleeting for time
attention span based on age
18-23 mo: 1 min 20 sec
2-3: 4 mins
9-10: 45-60 mins
how to docu attention span
Pt was able to maintain attention for time doing task
how to docu concentration span
Pt was able to do task for time then distracted by and able to return or not
how to docu frustration tolerance
Pt shows frustration after doing % of the task and need prompting
discuss postural analysis
note pos and view
opisthonus - ext
pitched frog
strap hanger
synergy
how to docu FMT
Pt was unable to intiate sit even c visual, verbal, tactile cues and also unable to maintain sitting position when PT sitted the pt.
discuss tone and spasticity assessment
use modified ashwort
how to docu sensory perceptual skilss
visual tracking
assessment started c toy at midline in front of pt face –> R side of pt –> midline –>left side of pt. Pt was unable to follow the toy and looking elsewhere
how to docu automatic reations
righting reaction
Pt was able to turn to prone upon passively turning head towards (R)
special tests
ortolani: reduce
barlow: disloc
galleazi: LLD
telesoping: CHD
silfverskoid: contracture of gastroc/achilles
staheli: hip felxion contracture
how to docu gross motor skills
pull to sit
Pt was in supine and pulled on (B) hands. Pt was able to maintain head and trunk and has contraction of biceps
sitting
assumption: Pt was able to side indep from supine through rolling to prone then using (B) UE to position self in sitting
maintenance: Pt was able to maintain ring sitting for ~5 mins c occasional hand held support. Pt was able to maintain trunk and head control a falling anteriorly.
age of hand preference
2-4 yo
age of hand dom
5-6 yo
age of handedness
7 yo
