Pediatrics Flashcards
What is the point of the ICF framework of functioning, disability and health?
It provides a standard language and framework for talking about and managing health and disability.
What are the F words associated with: body function and structure, activity, participation, environmental factors, and personal factors. https://images.cram.com/images/upload-flashcard/47/96/65/33479665_m.png
Fitness, function, friendships, family factors, fun https://images.cram.com/images/upload-flashcard/47/96/69/33479669_m.jpg
What two pediatrics pearls did Dr. Rosenbaum begin the lecture with? \n\n\nHints:\n(1) who do pediatricians treat?\n(2) what interacts heavily with the child’s illness?
1) Treat the ‘childandfamily’ unit\n2) Think about how the pediatric condition interacts with the child’s development in both directions
Children with functional challenges and developmental difficulties can’t necessarily be ‘fixed’, so what does health mean for them?
The ability to adapt and self manage in the face of social, physical, and emotional challenges. \nFunctioning can be understood as the evidence of health.
How can you learn developmental milestones?
Pay attention to the children around you, learn their age, ask parents to brag about them. Develop pictures in your head of what a child looks like at a certain ages instead of memorizing motor, language, social milestones in isolation.
What do the 4 Ss in SSHADESS stand for?
Strengths (what are you proud of, how would friends describe you?)\nSchool (truancy, academic success, safety)\nSexuality (Attraction, sexual activity, protection, pregnancy, STIs)\nSafety (bullying, weapons, fights, sexual abuse, jealous boyfriend, family member’s being hurt)
What does SSHADESS stand for in its entirety?
Strengths\nSchool\nHome (family and living situation)\nActivity (spending time with friends, bullying, change in activities/socializing, loss of interest in activities)\nDrugs (substances used by patient, patient’s friends, reason for using)\nEmotion/Eating (sleep, self harm, stress, healthy eating)\nSexuality \nSafety
Identify two ways to help teens open up in interviews.
Explain your obligation to provide confidentiality, and the limits of that confidentiality (risk of harm to patient or other)\nExplain that you will interview the teen both with and without her parents.
At what age can a person consent to sexual activity, provided the partner is close in age?
Age 12
At what age can a person consent to someone of any age, provided there is no power differential?
16
At what age is sexual activity with anyone, regardless of power differential, allowed
18
How close in age must a person be to a 12 or 13 year old to engage in sexual activity legally
1 year (less than 2 years)
How close in age must a person be to a 14 or 15 year old to engage in sexual behavior legally.
4 years (less than 5 years)
At what tanner stage do breast buds form?
Stage 2
At what tanner stage does menarche occur?
Stage 4
At what tanner stage does pubic hair begin to grow?
Stage 2
At what tanner stage, does facial hair come in?
Stage 5
At what stage does the secondary mound develop (areola) in females?
Stage 4
What is the order of male puberty?
Testicular growth\nPubic Hair\nPenile Growth\nGrowth Spurt
What is the order of female puberty?
Breasts\nPubic Hair\nGrowth spurt\nMenarche(boobs, pubes, grow, flow)
What are the 6 Ps of sexual history taking?
Partners, number\nPregnancy prevention\nProtection from STI\nPractices, sexual\nPast Hx of STIs\nPersonal identity
Anorexia Nervosa
Low BMI\nIntense fear of weight gain, or behavior interfering with wt gain\nPreoccupation with weight\nDoes not recognize seriousness of low weight
Types of Anorexia Nervosa (2 types)
Restrictive type\nBinge/Purging Type
How is Bulimia different from anorexia?
Wt is not significantly decreased\nCharacterized by presence of uncontrolled, excessive eating (binge), followed by compensatory behavior that occurs at least once a week for at least 3 months
What is atypical anorexia nervosa?
Anorexia without being of a low weight (e.g., previously overweight and has lost weight)\nPresents a similar medical, hormonal and psychiatric risk
What is Avoidant / Restrictive Food Intake Disorder?
Lack of interest in eating and food without body image preoccupation (e.g., chronic illness, fear after choking incident)
Name five of the 11 physical exam findings for restrictive eating disorders described in the lecture
Weight loss and malnutrition\nmuscle atrophy,\ngrowth retardation, \nbradychardia\nhypotention\nsystolic murmor,\nacrocyanosis (bluish/ purple coloring of hands and feet)\ndry skin\ncaratenosis \nlanugo\nperipheral edema
Name three physical signs of non–restrictive eating disorders
Parotid gland enlargement\nRussell’s sign\nNormal weight/overweight with fluctuations
What does the CRAFFT mnemonic stand for in a substance abuse history?
Car: driving while using, or in a car driven by someone using\nRelax: using it to feel better, relax, or fit in?\nAlone: do you use it alone?\nForget: do you ever forget things you did while using?\nFriends and family: do friends and family every tell you that you should cut down\nTrouble: have you ever gotten intro trouble while using
