Peds 1 Flashcards
Café-au-lait spots are
light to dark brown pigmented birthmarks that commonly appear on a newborn’s skin
Café-au-lait spots - what should be in your differential and why
neurofibromatosis (NF) - around 85% of patients NF have these spots and NF can cause cognitive issues, refer to neuro
earliest age for construction paper and a pair of rounded pointed scissors
4
physical exam techniques used to idenitfy hip dislocation
2
ortolani’s
barlow’s
DHH - a palpable clunk is considered ___
diagnostic
fever of 102 for the last 3 days, then wakes up from a nap with no fever and has a maculopapular rash =
roseola/exanthem subitum
roseola is caused by
HSV6
roseola course
high fever for 3 days followed by abrupt cessation of fever and the appearance of a maculopapular rash that usually resolves in a few days
high fever for 3 days followed by abrupt cessation of fever and the appearance of a maculopapular rash that usually resolves in a few days
roseola
roseola - when can child return to school
when fever free for 24 hours
GERD - first two tx options (non pharm)
- avoid overfeeding - try small, frequent feedings
- milk thickening agents
GERD - avoid what type of milks/formulas if trying to r/o hypoallergenic conditions
cows milk
soy
GERD - meds
first line PPI (ex. Omeprazole)
then H2 blockers (cimetidine)
vaccines that minimum wait time between next dose include
4
hep B
DTaP/DT
IPV
MMR
children ages 7-10 who aren’t fully vaccinated against pertussis - TDaP
should get a single dose of TDaP vaccine and f/u with TD 4 weeks later
patient in unable to tolerate the pertussis component of the TDaP - what do you do
give them the DT, and then another DT four week later
minimum length of time between varicella vaccine is
3 months if younger than 13 years
when can second dose of hep A be given
6 months after first dose
vaccine not administered to children older than 59 months/5 years
HIB
test for DDH
3
newborn to 3 months - Barlow & Ortolani
>3 months - Galeazzi & Klisic
walking aged children - Trendelenburg pelvic tilt test
the romberg test is used for
the clinical assessment of patients with neurologic problems such as disequilibrium or ataxia
use for the clinical assessment of patients with neurologic problems such as disequilibrium or ataxia
romberg test
what indicated a positive trendelenburg pelvic tilt test
weakness of the hip abductors on the affected side in the presence of unilateral hip dysplasia
Tanner stages 1-5 girls
1 - preadolescent
2 - breast budding (age 11)
3 - continued enlargement (age 12)
4 - areola and papilla form secondary mound (age 13)
5 - mature female breast, projection of the nipple only (15)
