Pediatrics Flashcards
2 month old milestones x2
smiles
eyes to midline
4 month old milestones x2
eyes follow beyond midline
aware of caregiver
6 month old milestones x4
(dog)
- rolls
- babbles (barks)
- sits
- grasps
9 month old milestones x2
-crawling
-grasps with thumb
+/- a word
12 month milestones x5
rules of 2
- stand +/- walks on two legs
- 2+ words
- 2 block tower
- pincer with 2 fingers
- too scared of strangers
18 month milestones x3
runs/walks backwards
uses cup
2 word sentences
2 year old milestones x4
- stairs
- jumps
- 6 block tower
- sentences, 50-70 words
3 year old milestones x2
trike
copies circle
4 year old milestones x3
- 250 words/4 word sentences
- plays with others
- draws cross, triangle
6 year old milestones x2
skips
draws stick figure
Baby weight milestones timing birthweight? double? triple? quadruple?
BW: 2 wks
double: 4 months
triple: 1 year
quadruple: 2 years
What is height increase at 1 year? 4 years? 13 years?
1 year up 50%
4 years double
13 years triple
How much weight should kids gain each year?
5 lbs from age 2 to 13
Constitutional vs familial short stature
familial= does not catch up constitutional= catches up
4 ways to define failure to thrive
less than 3rd %ile for corrected GA
weight less than 80% of ideal
weight falls 2 major curves
weight: length less than 10%ile
two types of strabismus
exo-out
eso- in
1st sign of retinoblastoma
leukocoria
loss of RED reflex
amblyopia is ? treatment is?
loss of vision due to misuse or disuse
patch the good eye
When to screen kids for lead?
How and when to treat?
houses older than 1950
give dimercaprol/ calcium disodium edetate if greater than 70 mcg/dl
Workup for child abuse
CPS skeletal survey PTT,PT,CBC,LFTs Head CT STD testing
What to give at birth for maternal hep B
HBIG
How to handle shots for low birth weight/preemies
same as usual schedule
When to avoid rota vaccine?
ok in HIV!
But not with history of intussusception
SIDS peak
2-4 months
Aside from sleeping incorrectly, what are risks for SIDS?
4
mom <20
smoking
prematurity
overheating
Car seat stages rear facing until? forward carseat until? booster until? backseat until?
rear until 2 years
forward until 5 years or until outgrows
booster until 4’9”
backseat until 13
