Peds Flashcards
Best scoring system for ADD/ADHD with most sensitivity and most specificity?
Conners Abbreviated Symptoms Questionnaire
10 yo presents with fatigue, backache, fever, bruising from where dog jumped on him, pale, cervical lymphadenopathy, hepatomegaly with scattered bruises. dx?
Acute Lymphoblastic Leukemia(ALL) = MC in childhood, get CBC!
-don’t confuse with mono or CMV – ALL more likely to have hepatomegaly, PALLOR, ecchymoses & back pain(bone pain)
Achondroplasia
sx seen in peds? dx?
- Large anterior fontanelle*(mcc of this), macrocephaly, prominent forehead, low nasal bridge, short extremities, TRIDENT deformity of the hands
dx: genetics showing mut of FGFR3
Tx of Pinworms?
OTC Pyrantel Pamoate 11 mg/kg PO once or Albendazole 400 mg or Mebendazole 100 mg
then REPEAT DOSE IN 2 WEEKS*
Formal screening for developmental probs should be done at which WCC?
9, 18, 24 & 30 months
Who needs a third dose of MMR vaccine?
those aready vaccinated exposed/at increased risk during outbreak
At what WCC should you specifically screen for Autism Spectrum Disorder(ASD)?
18 & 24
Parents should limit TV to no more than…
2hrs
Failure to take —— during pregnancy is linked to an increased risk of autism.
Folic acid
AAP screening for anemia at age…
12 months
AAP screening for lead at what age?
12 & 24 months
AAP screening for dyslipidemia at ages…
10 & 20 yoa
Breastfeeding is recommended for AT LEAST…
6 months
Which water soluble vitamin do you to supplement in babys who are breastfeeding? How much?
400 U/day of vitamin D
Parents who bottle feed should avoid using —- milk due to the risk of —-.
Cows milk, anemia
Solid foods such as cereals or puréed Baby foods are introduced at —- age. Delayed introduction appears to limit incidence of——.
4-6 months, food allergies
What age should you stop BOTTLE FEEDING? Why? What should you introduce at this time?
Around 12-14 months. Stop bottle feeding to protect teeth. After weaning can give whole or 2% cows milk to promote CNS development
Infants with eczema should be started on puréed peanuts as early as —-.
4-6 months
How often do babys poop? (Breastfed vs bottle)
Breastfed: after each feeding or at least 2x a day
Bottle: poop less. A minimum of 1 stool q2-3 days
Newborn sleep cycle?
Cycle q3-4hrs. Average 18-20hrs a day.
All kids should idealy visit a dentist by —- yoa.
3
What is the age range for fluoride supplementation?
6 months to 16 yoa
What is colic? What age does it peak? Cause? When does it resolve? TX?
Infant who is difficult to manage or fussy despite being otherwise healthy. Defined as three or more hours of uncontrollable crying or fussing at least three times a week for at least three weeks. May show signs of pain or discomfort. Gassy.
- peaks 3-4 weeks of age
- possible causes: immature digestive system sensitive to certain food proteins, immature nervous system, mismatch of the infants temperament with those of the caregivers.
- usually resolves around 3-4 months
- TX: support! Can try simethicone, Aceta medicine drops or switching to a hypoallergenic/soy formula.
What age are Temper tantrums most common? What should You instruct parents to do?
1 - 3 years of age. Acknowledge the child’s ones during a temper tantrum and act calmly when handling negative Haviar‘s to avoid reinforcement. It’s important to ignore attention seeking tantrums and not give into demands. Predictable home environment and consistent routines and rules will help prevent these.
At what age should parents start thinking about toilet training?
18 - 30 months of age.
