Peds HEENT Flashcards
1
Q
Craniosynostosis- Eti
A
- Premature closure of cranial sutures
- Sporatic & idiopathic
- Sagital most common
2
Q
Craniosynostosis- Sx
A
- Scaphocephaly, elongation of head AP
- Bradycephaly, increased growth L to R
- Should not compromise brain development, intracranial volume
3
Q
Craniosynostosis- Tx
A
Preserve normal skull shape
- excise fused suture
- Best if performed within 6 months of life
4
Q
Cleft lip/ palate- Eti
A
- Lip common in male, palate females
- Most common among asians
5
Q
Cleft lip/ palate- Sx
A
- Isolated anomaly or syndromic of genetic disorder
- Nonsyndromic- inherited condition, recurrance 2-3%
- Syndromic- envt, single gene disorders or chromosomal
6
Q
Cleft lip/ palate- Complications
A
- Feeding difficulties
- Airway obstruction
- recurrent otitis media
- language/ speech
7
Q
Cleft lip/ palate- Dx
A
- Detected on prenatal US
- Genetic counseling
8
Q
Cleft lip/ palate- Tx
A
Cleft palate clinic- surg
9
Q
Strabismus/ amblyopia- Eti
A
- Strabismus- ocular misalignment
- 2% children
- Amblyopia- loss of visual acuity not correctable by glasses in otherwise healthy eye
10
Q
Strabismus/ amblyopia- Sx
A
- Refer >3 months to opthal
- Most common cause of amblyopia is strabismus
11
Q
Strabismus/ amblyopia- Dx
A
Penlight on pupils
12
Q
Strabismus/ amblyopia- Tx
A
- Refer to opthal for tx: surg, botox, orthoptics
13
Q
Dental caries- Eti
A
- Most common chronic disease of childhood
- Disease of poverty
- Strep mutans, lactobacilis
- Demineralization of tooth enamel through lower pH
14
Q
Dental caries- Sx
A
- White, chalky decalcified area on gingival margin
- Brown = rampant decay
- Sensitive to temp changes
15
Q
Dental caries- Tx
A
Prevention! Fluoride, brushing
- Chlorhexidine
