Pediatrics Flashcards
1
Q
Most common causes of unconjugated hyperbilirubinemia in infant
A
- physiologic jaundice
- prematurity
- breast-feeding jaundice
2
Q
Most common causes of conjugated hyperbilirubinemia in infant
A
- biliary obstruction/atreasia
- choledochal cyst
- hyperalimentation
- alpha 1 antitrypsin deficiency
- hepatitis
- sepsis
- infections (especially UTIs)
- hypothyroidism
- inborn errors of metabolism
- cystic fibrosis
- red blood cell abnormalities
3
Q
About Physiologic Jaundice
A
- appears AFTER 24hrs
- Peaks at 3-5 days
- bilirubin increases by 15mg/dL or not decreasing
4
Q
About Breast feeding Jaundice
A
- occurs on 2nd or 3rd day of life
- bilirubin may increase and may persist for 6-8 weeks
- Tx: supplement breast milk w/ formula, feed or pump breast milk ever 2hr until an adequate supply is established. Phototherapy when bilirubin is >15mg/dL
5
Q
Turns head side to side Clenched fist Recognizes human face Eye Contact Cries Startles at loud noise
A
0-2 months
6
Q
Lifts head Tracks object past midline Hands open Smiles responsively Vocalizes in Play
A
2-3 months
7
Q
Head steady in supported position
Hands together
Shows displeasure through vocalization
Looks for source of sound
A
4-5 months
8
Q
Rolls over Sits leaning forward on arms Reaches for objects Raking grasp Responds to own name Holds own bottle imitates speech sounds Vocal imitation
A
6-8 months
9
Q
Stands while holding on Passes object from hand to hand Feeds self Imitates waving Understands "NO" May say MaMa
A
9-11 months
10
Q
Stands alone for 2 sec Bands two objects together Places pellet in bottle Hugs dolls or stuffed animals Routinely gestures to meet needs Uses one or two words w/ meaning
A
12-14 months
11
Q
Stoops and recovers Walks well Builds tower of two or three cubes Attempts to use spoon Waves bye-bye Uses four or five word
A
15-17 months
12
Q
Runs well Kicks large ball Walks backward Scribbles Turns pages of book Drinks well from a cup Feeds self Uses a spoon well Follows simple commands Says 20-50 words
A
18-21 months
13
Q
Throws ball overhead Jumps Turns doorknobs Builds towers of 6-7 blocks Little spilling during self-feeding Points to body parts
A
24 months
14
Q
Stands on one foot for at least 2 sec Copies circle Takes Turns Toilet Trained Uses pronouns (I, me, you) Gives names
A
36 months
15
Q
Hops on one foot Wiggles thumb Copies cross Dresses self Knows colors Asks questions
A
48 months
