Peds Flashcards
When can a child sit up unassisted?
6m
When can they hold a spoon?
15-18m
When can they stand?
9m
When does separation anxiety occur?
9m
When can they say mama/dada?
12m
When can they walk?
12-17m
When can they copy a circle/ throw a ball/ ride a tricycle?
3yr
When can they draw a cross?
4yr (cross has 4 points)
When can they ride an actual bike?
5-6 years
When does the palmar grasp go away?
5-6 m
When does the anterior fontanelle close?
12-18m
When does the posterior fontanelle close?
2-3 m
When should strabismus clear?
4-6 m
At what age will a premature baby catch up on milestones?
2 yr
How many diapers indicate that breastfeeding is effective?
6-8 wet diapers/day
In newborns, a bilirubin of what indicates a need for phototherapy?
15
This is a white reflex on fundoscopic exam?
Leukocoria
Why would leukocoria occur?
Retinoblastoma or congenital cataracts
At what ages would precocious puberty be the diagnosis?
Puberty happening before 8yr in girls and 9yr in boys- refer to endo
If no period by when would there be a need for further investigation?
15
Females reach max height by:
Period
What are the risks associated with anorexia?
Bone loss and heart disease
What are the risks associated with bulimia?
Dental erosion and esophageal damage
This is a fracture along a growth plate and if not corrected may stunt growth?
Salter-Harris fracture
This is an undescended test in a child?
Cryptorchidism
What do we worry about in the future with cryptorchidism?
Testicular cancer
When do Mongolian spots typically resolve?
By age 5
This is a bulging, inflamed TM?
Otitis media
Treatment for otitis media:
2-3 days of watch and wait and then amoxicillin first line
2nd line augmentin
PCN allergy- macrolide- azithro
What are we worried about in a child with chronic otitis media?
Hearing loss
Do we treat otitis media with effusion?
No, it is common with allergies, best to watch and wait
When do we refer for VUG (vesicoureteral reflux)?
Grade 3
(Grade 1 is mild and grade 5 is severe)
Usually resolves on its own
Diagnosis for VUG?
Voiding cystourethrogram
Child with thin upper lip, smooth philtrum, and low nasal bridge?
Fetal alcohol syndrome
This is a nephroblastoma, unilateral, and does not cross midline. Patient may present with flank pain and hematuria.
Wilm’s tumor
Acne treatment:
- Benzoyl peroxide
- Topical antibiotics
- Oral antibiotics
If nothing works- refer to derm
A female with a short stature and webbed neck?
Turner syndrome
Anticipatory guidance for a patient with Turner’s syndrome?
Delayed period and possible infertility
Pain over anterior tibial tubercle near tendon insertion site.
Osgood-schlatter syndrome
Treatment of Osgod-schlatter syndrome?
NSAIDs, ice, and will stop once finished growing
Child complaining of nasal pain and drainage from one nare?
Foreign body
Scar that grows over incision or injury that is difficult to get rid of?
Keloid
Abnormal fluid accumulation around the testes. Most resolve on their own but need to monitor until a year and then treat because it can lead to infertility.
Hydrocele
Fever for days, strawberry tongue, and a peeling rash.
Kawasakis
Treatment for Kawasakis?
High dose ASA (benefit outweighs risk) and IVIG
Child with projectile vomiting and olive shaped mass?
Pyloric stenosis
How do we diagnose pyloric stenosis?
US
Stomach pain with jelly like stools, sausage shaped mass
Intussusception
How do we diagnosis intussusception?
US
