The "Well-Child" and Child Development Flashcards
Preterm vs post term baby skin
Preterm – Red, Gellatinous
Post – Leathery, cracked, wrinkled
Non skin physical signs of immaturity
no languo, plantar crease,
Flat/folded Ponna
Scrotum empty w/out rugae/prominent clitoris
Important details for “Cradle Cap”/Seborrhea
Usually self limited
Gentle exfoliation, topical ketoconazole, or weak steroid
Important details for transient neonatal pustular melanosis
Etiology Unknown, Lesions Fade, No treatment needed
Make sure it isn’t herpes
Important details for acropustulosis of infancy
Benign, Distal extremities
First year of life, may reccur
Can use topical steroids
What is Milia?
Retention of keratin in phosphosebaceous units
Resolves in a few weeks
What is Curtis marmorata?
Vascular response to cold caused by especially superficial capillaries
Most common rash?
Erythema toxicum neonatorum
Appears in 1-2 days
Disappears in first week
Port Wine Stain is indicative of…
Sturge Weber Syndrome
Treatment for hemangioma
Laser Ablation
Difference between cephalohematoma and caput secundum
Cephalohema. – Subperiosteal, Doesn’t cross suture lines
Caput – Edema about periosteum, Does cross suture
Signs of glaucoma
Milky anterior chamber
Increased Intraocular Pressue, Abnormal angle
What should you think when you see a white reflex
RB, Congenital Cataracts
Rule of fum for ear placement
Line from inner epicanthal fold should transect upper third of the ear
What does a bifid uvual indicate
Submucosal cleft palate
What are Epstein’s pearls?
Benign inclusion cysts on the palate
What should you be assessing on a newborn chst exam
Clavicles
Symmetry/Pectus
Respiratory Rate
Signs of Distress
On X ray, Respiratory Distress Syndrome should manifest as…
Ground Glass appearance
Most common cause of abdominal mass in newborn
Kidney (hydronephrosis)
Umbilical hernia is also common
Two tests used to assess hip dysplasia
Barlow - Downward Pressure
Ortoloni - Abduct Hips
Newborn reflexes to tes
Moro Plantar/Palmar Rooting Response/Suck Reflex Steppig Response Babinski
Most common autosomal trisomy in live births
Trisomy 21
Important Down syndrome details
Epicanthal folds, upslanted palpebral features
Flat nasal bridge, Protruding tongue, low ears
Sunuab Crease, Excess skin at nape of neck
Important Trisomy 13 details?
Patau syndrome. 6 months survival.
Cleft lip, clenched hand,
overlapping fingers/polydactyl, clubfot
Aplasia cutis congenita, heart defects,
