Preventive Pediatrics Flashcards
flexible, continuous and cumulative process in every health encounter, ongoing monitoring based on experience
surveillance
more formal process using validated tools with known sensitivity and specificity
screening
relies on parent’s observations and clinical eyes of pediatricians
developmental surveillance
uses structured tools like scoring and interpretation of parent report questionnaires
screening
anemia surveillance through…
dietary history taking and PE signs of anemia
anemia screening by…
Hct or Hgb test
first fetal ultrasound when?
6-8 wks
test for neural tube defects
maternal serum alpha-fetoprotein
most powerful instruments of pediatricians in identifying concerns that may need monitoring or referral
history taking, observing the child and doing thorough PE
neonate age
0-28 days
infant age
up to 3 yo
preschool age
3-5 yo
school age
6-10/12 yo
early adolescent
10-13 yo
middle adolescent
14-16 yo
late adolescent
17-20 yo
age when call patient by nickname
2-10 yo
pediatric HPI. how to describe symptoms
Character (quality)
Location (spread)
Intensity (quantity or severity)
Timing (onset, duration, frequency, setting)
Aggravating (or relieving factors)
Associated manifestations (pertinent positives)
components of perinatal history under personal/medical hx written when pt is <2 yo and neurodevelopmental
a. prenatal hx and birth hx (labor and delivery) - neonates and infants
b. neonatal hx in all children
sitting without support
7 months
walking alone
13 months
read flag unable to steady head while sitting
4 months
motor red flag inability to sit
9 months
motor red flag inability to walk independently
18 months
receptive language red flags does not follow 2-part commands
30 months
expressive language red flags. does not coo.
6 mos (dapat 3 months)
expressive language red flags. does not babble
10 mos (dapat 6 months)
