Peds Flashcards
Definition of delayed puberty
F: no breast bud by age 12-13
M: no testicular enlargement by age 14
Definition of precocious puberty
F: before age 8
M: before age 9
Female athlete triad
Female athlete triad: anorexia/restrictive eating, amenorrhea, osteoporosis
what is the most common renal malignancy in children?
Wilms’ Tumor (nephroblastoma)
Asymptomatic abdo mass extending from flank –> midline
nontender, rarely crosses midline
Definition of failure to thrive in infants
Weight for age <3-5 percentile for gestation corrected age and gender on more than one occasion
OR
Crosses two or more percentile lines
what is the prophylaxis for gonococcal ophthalmia neonatorum?
Prophylaxis: topical 0.5% erythromycin ointment immediately after birth
what is the treatment for gonococcal ophthalmia neonatorum?
need hospital admission
high dose IV/IM cefotaxime
what is the treatment for chlamydial ophthalmia neonatorum (Trachoma)?
SYSTEMIC oral erythromycin x 14 days
only 80% effective
when should lead screening be done?
only if high risk (poverty, living in homes built before 1978) - screen at 12 and 24 months
failure to pass meconium at ______ is worrisome for _______
Failure to pass within 24 hours is worrisome –> intestinal obstruction, Hirschsprung’s, cystic fibrosis
dental milestones
6-10 months:
2.5 years:
6 years:
6-10 months: lower central incisors erupt
2.5 years: complete set of primary teeth
6 years: shed central incisors, eruption of first permanent teeth (upper and lower first molars)