Peds In Numbers + PE Flashcards
When’s the baby get teeth?
9-12m
Breast milk storage?
3-6m
When can I give solid foods to baby?
4-6m
Posterior font. Closes @…
2-6m
Anterior font closes….
12-18m –> midway though year 2
Umbilical cord will fall off…
7-10d ; turns bluish then falls off
—> come in if pus or red
Caput Seccedaneum
edema that can cross suture lines, soft tissue swelling of the scalp that involves the presenting delivery potion of the head, can be ecchymotic.
*resolves in a few days
Subgaleal hemorrhage/subaponeurotic Hemorrhage
superficial edema or hematoma that crosses suture lines, suually located on crown.
- head feels squishy, tachycardia due to hypovolemia, looks like cephalohematoma but crosses midline.
tx: IVF ressuscitation and observation
Cephalohematoma/subperiosteal hemorrhage
hematoma that does not cross the suture lines. no discoloration of scalp, resolves in weeks to months.
normal rr for babies & toddlers
babies = 40-60 toddlers = 12-14
What is sail sign?
thymus visable on xray till age of 3
When do you fix an umbilical hernia in baby?
3-4 yoa if >2cm or probs. usually will resolve on own in 1 year
Barlow vs Ortolani exam
barlow = adduction and push low ortolani = abduction and push up
What do you do for a baby who has hip laxity?
re-examine at 2 weeks. will usually resolve by then. if not do U/S<6m or xray >6m
tx for kid with hip dysplasia?
Pavlik hip harness if <6 months if >6m surgery
Erb-Duchene Paralysis
C5-C6 nerve roots –>usefl hand on useless arm(unable to abduct shoulder or externally rotate and supinate arm)
*waiters tip
Klumpke Paralysis
C7-C8 nerve roots, useles hand on useful arm, can have ipsilateral ptosis and miosis
*claw hand
Metatarsus adductus on PE what do you do?
toes curled inward on PE, if overcorrect w/abduction just reassure parent, if not needs orthosis or corrective shoes
Club Foot on PE what do you do?
serial casts and stretching at first if that doesnt work surgery between 3-6m and always before 1yr
Strawberry Hemangiomas in children vs Cherry Hemangiomas in adults
strawberry = benign vascular tumors of children, regress by 5-7 yoa
cherry = benign vascular tumors of adutls that are small and red but do not regress
HR and RR do newborn?
Rr = 40-60 HR= 120-160
Causes of conjunctivitis in newborn at d1, d2-7, d7+, 3+ weeks?
Tx?
Day 1 = chemical irritation due to silver nitrate
Day 2-7 = gonorrheae
Day 7+ = chlamydia
Week 3+ = herpes
*erythromycin or silver nitrate