Peds Lecture Flashcards
What do you see with fetal alcohol syndrome?
indistinct philtrum micrognathia (smaller chin) low nasal bridge prominent epicanthal folds thin upper lip
about when can you get a reliable history form a child?
Around 8 years old
What do you need to screen breech babies for?
Hip dysplasia
What age is considered neonate?
first month of life
What is the early childhood age range?
1-4 years
What is the middle childhood age range?
5-10 years
What is the adolescent years?
11-20 years
About when should children string 2 words together?
18 months
When is BMI helpful?
Over 2 years of age
When do you start blood pressures in a child?
2 years of age
What are the most common causes of HTN in children?
Renal artery stenosis
coarctation of the aorta
What would be a sign of coarctation of the aorta?
High BP in the upper extremities than lower extremities
What is the most reliable of temperature?
Rectal, but usually do tympanic in clinic
What is the cut off for fever in children?
100.4 degrees
What normally causes bradycardia in children?
neurological condition, heart block, hypoxia, anaphylaxis
Are respiratory rates higher or lower in children?
Higher
What does a slow respiratory rate indicate in children?
Respiratory failure (impending doom sign)
What is the primary way babies eliminate bilirubin?
Feces
Do formula fed or breast fed babies tend to stay jaundice for longer?
breast fed (takes longer to be absorbed)
Where is central cyanosis?
Lips, chest
Sign of pulmonary complications, sepsis
What is acrocyanosis?
On extremities, armpits, neck
More of an issue of temperature regulation
What is direct bilirubin?
Normal bilirubin
Being conjugated, but reabsorbed
If you see indirect bilirubin elevation what does it mean?
There is a back up , hasn’t been conjugated by liver yet
lysis of RBCs
sign of biliary atresia or acute liver failure
Condition with lots of port wine stains, retardation, trigeminal nerve problems.
Sturge- Weber syndrome