Peds exam 2 Flashcards
Signs of cognitive impairment in babies (disability)
no response to contact, voice, or movement
irritability
poor or slow feeding
poor eye contact during feeding
diminished spontaneous activity
most common chromosome abnormality (genetic)
down syndrome
what causes down syndrome (what is the etiology?)
unknown to medicine
highest risk for downs syndrome
mother is age 35 or older.
risk of down syndrome if mother is age 35
risk is 1 per 350 births
risk of down syndrome if mother is age 40
risk is 1 per 100 births
most common cancer associated with down syndrome
leukemia
most common congenital anomaly associated with down syndrome
congenital heart defects and diseases
down syndrome kids have __________ which is increase movement in joint flexure beyond what is possible
hyperflexibility
what is the thyroid function like in down syndrome
hypo hypothyroid
second most common genetic cause of cognitive impairment after down syndrome
fragile X syndrome
most common INHERITED cause of cognitive impairment
fragile x syndrome
clinical manifestations of fragile x syndrome
large head
long face
large protruding ears
large testes
prognathism
under bite
longer jaw than usual
therapeutic management of fragile x syndrome
prozac and tegretol for behavior control
stimulants for hyperactivity similar to ADHD
intervention behavior programs