Peds In Numbers + PE

Question 1

When’s the baby get teeth?

Answer 1

9-12m

Question 2

Breast milk storage?

Answer 2

3-6m

Question 3

When can I give solid foods to baby?

Answer 3

4-6m

Question 4

Posterior font. Closes @…

Answer 4

2-6m

Question 5

Anterior font closes….

Answer 5

12-18m –> midway though year 2

Question 6

Umbilical cord will fall off…

Answer 6

7-10d ; turns bluish then falls off

—> come in if pus or red

Question 7

Caput Seccedaneum

Answer 7

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

Question 8

Subgaleal hemorrhage/subaponeurotic Hemorrhage

Answer 8

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

Question 9

Cephalohematoma/subperiosteal hemorrhage

Answer 9

hematoma that does not cross the suture lines. no discoloration of scalp, resolves in weeks to months.

Question 10

normal rr for babies & toddlers

Answer 10

babies = 40-60 
toddlers = 12-14

Question 11

What is sail sign?

Answer 11

thymus visable on xray till age of 3

Question 12

When do you fix an umbilical hernia in baby?

Answer 12

3-4 yoa if >2cm or probs. usually will resolve on own in 1 year

Question 13

Barlow vs Ortolani exam

Answer 13

barlow = adduction and push low
ortolani = abduction and push up

Question 14

What do you do for a baby who has hip laxity?

Answer 14

re-examine at 2 weeks. will usually resolve by then. if not do U/S<6m or xray >6m

Question 15

tx for kid with hip dysplasia?

Answer 15

Pavlik hip harness if <6 months if >6m surgery

Question 16

Erb-Duchene Paralysis

Answer 16

C5-C6 nerve roots –>usefl hand on useless arm(unable to abduct shoulder or externally rotate and supinate arm)
*waiters tip

Question 17

Klumpke Paralysis

Answer 17

C7-C8 nerve roots, useles hand on useful arm, can have ipsilateral ptosis and miosis

*claw hand

Question 18

Metatarsus adductus on PE what do you do?

Answer 18

toes curled inward on PE, if overcorrect w/abduction just reassure parent, if not needs orthosis or corrective shoes

Question 19

Club Foot on PE what do you do?

Answer 19

serial casts and stretching at first if that doesnt work surgery between 3-6m and always before 1yr

Question 20

Strawberry Hemangiomas in children vs Cherry Hemangiomas in adults

Answer 20

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

Question 21

HR and RR do newborn?

Answer 21

Rr = 40-60
HR= 120-160

Question 22

Causes of conjunctivitis in newborn at d1, d2-7, d7+, 3+ weeks?

Tx?

Answer 22

Day 1 = chemical irritation due to silver nitrate
Day 2-7 = gonorrheae
Day 7+ = chlamydia
Week 3+ = herpes

*erythromycin or silver nitrate