Random Flashcards
Potential energy from dietary fat
9 kcal/g
Potential energy from carbs
4 kcal/g
Potential energy from protein
4 kcal/g
How many half lives for a drug to reach steady state (97%)
5 half lives
Ex: drug with 6hr half life x5 = 30 hours to reach steady state
47, XXY
Klinefelter syndrome
Barr body (inactive X chromosome)
-Gynecomastia
-Small, fibrotic testes
-Eunuchoid body shape, female hair pattern
-Tall with long extremities but normal arm span
-Low testosterone, high FSH and LH and estrogen
Aplasia cutis congenita Cleft lip/palate Microcephaly Polydactyly, overlapping fingers GU anomalies
Trisomy 13 (Patau) C/b meiotic nondisjunction
Supravalvular aortic stenosis / PPS Cocktail party personality Elfin facies Hypersensitive to sound Hypercalcemia
Williams syndrome
Infant <6mo Irritable Fever Soft tissue swelling Xray: cortical hyperostosis of the mandible (also ulna, rib, clavicle, scapula, skull, ilium)
Caffey disease
Infant cortical hyperostosis
Baby at birth with:
- Hypoglycemia
- Micropenis
- Direct hyperbili
- Normal wt/length
Congenital growth hormone deficiency
When is chickenpox contagious
1-2d prior to the rash and until the lesions are crusted over
Who needs prophylaxis for meningococcal disease and what is the ppx
- Same household
- Child care contacts within previous 7d
- Direct secretion exposure (kissing, sharing utensils, intubating, mouth to mouth) within previous 7d of <24h of starting abc
- Passenger on a flight >8h sitting directly next to them
Rifampin 600mg BID x2d
(or rocephin x1, cipro x1)
Progressive distal weakness and sensory loss
No DTRs
High arched feet (pes cavus)
Muscle atrophy and “stork legs”
Charcot-Marie-Tooth (CMT) disease
Birth weight doubles
5 mo
birth weight triples
1 year
Birth length doubles
4 years
Average birth length
50cm
What and when to do autism screening
MCAT
18 and 24 months
Average birth head circumference
35 cm
Craniosynostosis (coronal sutures)
Midface hypoplasia
Proptosis
Crouzon syndrome
Craniosynostosis
Syndactyly
Mitten hands
Intellectual disability
Apert syndrome
Rooting reflex
Present at birth
Gone by 4 mo
Parachute reflex
Present 6-9 mo
Stays for life
Moro reflex
Present at birth
Gone by 3-6 mo
Babinski
Upgoing until 12mo is normal
Still upping after 2-3 years: CNS lesion
Tonic neck response
Fencing reflex
Present at 35 weeks gestation
Most prominent at 1mo
Gone by 6 mo
Stepping reflex
Gone by ~2mo
Palmar grasp reflex
Gone by 3-4mo
Calculate age based on kids drawing of a person
1/4 point for each:
2 eyes, 2 ears, nose, mouth, hair, 2 arms, 2 legs, 2 hands, 2 feet, neck, trunk.
Base of 3 then add points
MC type of craniosynostosis
Scaphocephaly / dolichocephaly
Premature fusion of the midline sagittal suture
Long narrow skull
Mid parental height for a boy
(Dad + Mom + 5in)/2
(Dad + Mom + 13cm)/2
Mid parental height for a girl
(Dad + Mom - 5in)/2
(Dad + Mom - 13cm)/2
Eyes follow 180 degrees
2 mo
Cooing
2 mo
Lifts head and chest prone
2 mo
Laughs
4 mo
Rolls front to back
4 mo
Voluntary grasp
5 mo
Babbles
6 mo
Rolls back to front
6 mo
Sits
6 mo
Transfers toys hand to hand
6 mo
Rakes with 4 fingers
6 mo
Object permanence
9 mo
Stranger anxiety
9 mo
Babbles
9 mo
Dada/mama nonspecific
9 mo
Crawls
9mo
Pulls to stand
9 mo
Pincer grasp (immature)
9 mo
Pincer grasp (mature)
12 mo
Points
12 mo
Dada/mama specific
12 mo
1-2 words
12 mo
First independent steps
12 mo
Walks well independently
15 mo
Squats to pick up
15 mo
Crawls up steps
15 mo
Drops objects in and take out of container
15 mo
3 cube tower
15 mo
4 cube tower
18 mo
6 cube tower
2y
Name 2-4 body parts
18 mo