Pediatrics Flashcards

1
Q

VATER Syndrome

A

Vertebral abnormality
Anal Atresia
TE Fistula
Renal Problems
+ limb and cardiac defects = VACTRL

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2
Q

Common eye infections in newborn

A

First day: clear from silver nitrate
First week: gonorrhea (purulent)
Second week: chlamydia
Third week: Herpes

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3
Q

Erythema Toxicum

A

White wheal of red area of rash
has eosinophils

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4
Q

Subgleal hemorrhage

A

Prolonged jaundice from birthing trauma

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5
Q

Caput succedaneum

A

Bleeding under scalp
Crosses suture lines

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6
Q

Cephalohematoma

A

Bleeding under the skull bone
Does NOT cross suture liens

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7
Q

Wide cranial sutures

A

Hypothyroidism
Down’s

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8
Q

Moro Reflex

A

Baby startles, throws arms out
Asymmetric is clavicle fracture

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9
Q

Nephroblastoma

A

Abdominal mass from Wilma Tumor
Hemihypertrophy, Aniridia

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10
Q

Parvo

A

Slapped cheek (erythema infectiosum)
Aplastic anemia, Hydrops
Associated with Sickle Cell

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11
Q

Rubella

A

Trunk rash
Lymphadenopathy behind ears
They don’t look sick

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12
Q

Congenital hip dysplasia

A

Gluteal fold asymmetry
Posterior-superior dislocation

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13
Q

Legg-Calve-Perthes

A

Avascular necrosis of femoral head
Joint effusion on XRay

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14
Q

Slipped capital femoral epiphysis

A

Gradual or acute separation of proximal femoral growth plate
Rotates into inferior-posterior position
Obesity, limp, pain often to the knee.

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15
Q

Congential Varicella infection

A

Pneumonia (neonatal)
Limb hypoplasia
Cutaneous scar
Seizure, MR

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16
Q

Milestones from birth up to 1 mo old

A

Raises head slightly in prone position
Follows with eyes to midline only
Hands tightly fisted
Alterts, startles to sound

17
Q

Milestones at 2 mo old

A

Raises chest and head off floor in prone
Coos and vocalizes reciprocally
Social smile, recognizes parents

18
Q

Milestones at 4 mo old

A

Lifts onto extended elbows in prone, rolls over
Reaches for objects with both hands, grabs, retains
Orients to voice, laughs and squeals
Initiates social interaction

19
Q

Milestones at 6 mo old

A

Sits, may need support. Rolls in both directions
Reaches with one hand, TRANSFERS from hand to hand
Babbles
Recognizes object or person as unfamiliar

20
Q

Milestones at 9 mo old

A

Sits without support, crawls, pulls to stand
Pincer grasp, finger-feeds.
Imitates speech sounds, nonspecific
Plays gesture games, object permanence, STRANGER anx

21
Q

Milestones at 12 mo old

A

Cruises, stands, few independent steps
Voluntarily releases items
1-4 words, mama dada, commanded by gesture
Imitates, comes, cooperates with dressing

22
Q

Milestones at 15 mo old

A

Walks independently
2-block tower, throws underhand
4-6 words, jargon, one-step verbal commands
Uses cup, indicates wants or needs

23
Q

Milestones at 18 mo old

A

Runs, walks upstairs with hand held, stoops and recovers
3-block tower, spoons, dribbling
10-25 words, points to body parts, plays near others

24
Q

Milestones at 24 mo

A

Walks unassisted, kick ball, throws overhand, jumps
4-6 block tower, fork and spoon, copies straight line
50+ words, 2-3 word phrases, I/me, intelligible
PARALLEL PLAY, removes simple clothing

25
Q

Milestones at 36 mo

A

Pedals tricycle, broad jumps
Copies a CIRCLE
Knows age and gender, group play, shares

26
Q

Milestones at 4 yo

A

Balances on one foot, copes across, catches ball
Tells intelligible stories, maintains self

27
Q

Milestones at 5 yo

A

Skips with alternating feet
Draws a persons with 6 body parts
Asks what words mean
Names 4 colors, cooperative games, understands rules

28
Q

Milestones at 6 yo

A

Rides a bike, writes name, identifies written letters and numbers, knows right from left and all the colors

29
Q

Measure a baby

A

Crown-rump length until 14 weeks
After 14 weeks use femur length, biparietal, head, and abdomen

30
Q

Tanner Stage 1

A

Only papilla above chest wall
Vellus Hair (like abdominal hair)

31
Q

Tanner Stage 2

A

Breast budding, mounds, enlarged areolae
Sparse, light pubic hair at base

32
Q

Tanner Stage 3

A

Breast enlarges beyond areolae
Pubic hair coarsens, curly, extends over pubic bone

33
Q

Tanner Stage 4

A

Breast enlarges, secondary mound
Adult-type hair sparing medial thigh

34
Q

Tanner Stage 5

A

Adult contour breast
Adult-type hair extending to medial thigh

35
Q

Food milestone

A

Introduce solid foods at 6 mo old
Introduce cow’s milk at 1 year old (supplement vitamin D until then)