Week 2 Lectures Flashcards
Add cow’s milk to diet
Cow’s milk safe to add at 12 mo
Roll F –> B
Roll F –> B (comes before B –> F)
-4 mo
Rash described as “a dew drop on a rose petal”
Varicella (chicken pox)
Blisters (dew drop) w/ surrounding erythema (on rose petal) that crusts over => pustules
What reflex indicates baby will start crawling soon
Protective reflexes (ex: extend arm to side when pushed to protect from fall) indicates baby will crawl soon
-protective reflex develops at 6 mo –> crawl at 8-10 mo
Vaccines due at age 12
- Tdap booster
- menigococcal vaccine
- HPV
Head off table
Head off table: 4 mo
JAb- joint attention behaviors
Joint attention behaviors- important for autism
-18-24 mo
Potential complications of Coxsackie viral disease
Coxsackie = Hand Foot Mouth disease
Potential complications
- myocarditis
- aseptic meningitis
Whitlow
= finger herpes infxn
Ex: baby w/ oral HSV lesion sucks on finger
Social smile
Social smile present at birth - 2 mo
Diaper rash + diarrhea + frequent infections + failure to thrive
Zinc deficiency
What reflex indicates baby will start walking soon
Parachute reflex indicates baby will be walking soon
-parachute reflex develops 8-10 mo –> walk at 12-15 mo
Phrases
Phrases at 18-24 mo
Roll back –> front
Roll back –> front at 6 mo
Immunizations due at 2,4,6 mo
- Hep B
- Rota
- Dtap
- HiB
- PCV
- IPV
Parachute reflex
Parachute reflex: arms sprawl out when dropped, around 8-10 mo
Wave “bye-bye”
Wave “bye-bye” 12-15 mo
Sore throat, fever, petechiae on back of throat
6+ petechiae on oral mucosa is almost pathognomonic for strep pharyngitis
Peek-a-Boo
Peek-a-Boo at 8-10 mo
Breast milk vs. formula
(a) which has more lactose
(b) LCFA leevel
(c) cow’s milk exposure
(d) Fe accessibility
Breast milk vs. formula
(a) Breast milk has more lactose
(b) Breast milk has more LCFA
(c) Formula is made w/ cow milk base
(d) Breast milk has less Fe but it is better absorbed
Eye contact
Eye contact present at newborn
Pincer grasp
Pincer grasp: 8-10 mo
Transfer between hands
Transfer btwn hands 6 mo
-when they can use their hands separately
Contraindications to the flu vaccine
Certain types of egg allergy
Coo-ing
Coo-ing = first bit of language
-newborn - 2 mo
At what age should the following continences be attained by
(a) Urinary
(b) Fecal
(a) Urinary continence by age 5
(b) Fecal continence by 4
Describe the type of lymphadenpathy found in Rubella
German Measles- rash, fever, lymphadenopathy
-but not lymphadenopathy in normal areas such as anterior neck, more in unusual places such as behind the neck
Contraindications to breast feeding
Contraindications to breast feeding
- IEM: galactosemia, PKU
- HIV, HSV on the breast
- Mom on chem, Li, drinking alcohol
Vaccine- starts at 6 mo then yearly
Influenza
Jargoning w/ intent
Jargoning w/ intent at 8-10 moa
When is the HepA vaccine given?
1st done- 12 mo
2nd dose- at least 6 mo after the first, before age 2
Spoon feed self
Spoon feed self at 12-15 mo
Scribble
Scribble 18-24 mo
-obv after mature pincher develops (12-15 mo)
Radial rake
Radial rake = early/immature pincher grasp
-6 mo
3 vaccines due at 12 mo
- MMR
- varicella
- HepA
Immunizations due at birth
Hep B
-give HepBIG if mom is HbsAg+
No head lag => ventral suspension
Start getting tone allowing for no head lag at 4 mo
180 tracking
180 tracking at 4 mo
follow things past midline
Turn to name
Turn to name at 12-15 mo
1-3 words
1-3 words at 12-15 mo
Pincer grasp
Pincer grasp- 12-15 mo
Intense itching worse at night
Scabies
-characteristically worse at night
Direction of development
Development occurs proximal to distal and top to bottom
4 vaccines to be given before kindergarden
- last IPV
- DTap
- MMR
- varicella
Tx of enuresis
(a) first line
(b) second line
Tx of enuresis
(a) behavioral- reward system, pee before bed, bell-alarm pad
(b) pharmacologic- DDAVP or imipramine
Blueberry muffin baby
(a) Signs
(b) Cause
Blueberry muffin baby = congenital rubella syndrome
-petechiae + jaundice
Key to diagnosing tinea corpus
Ring worm- key is raised edge
Possible neurological complication of varicella
Cerebellar ataxia
-will self resolve
2 complications of Fifth Disease during pregnancy
Fifth’s disease (Parovirus B19) during pregnancy
- aplastic crisis
- hydrops fetalis
Babbling
Babbling at 6 mo
-comes after coo-ing –> open vowels –> babbling
walk upstairs w/ alternating feet
30 mo
Stranger anxiety
Stranger anxiety at 8-10 mo
Imitation
Imitation at 12-15 mo
Explain why newborns lose weight after birth
(a) How much weight loss is expected
Diuresis of extravascular fluid
(a) Lose 10% of birth weight in 1st week
Differentiate gross vs. fine motor skills
Gross motor skills- required large muscle group mov’t
Fine motor skills- mov’t of small muscle groups
Tx for lice
Give the shampoo for the eggs, but you also have to pick out ALL OF THE KNITS (aka the expression knit picky) out b/c the shampoo can’t penetrate one of the larval phases
If you don’t pick out all of the knits then it’ll just come back
Jump
Jump (both feet off floor) 18-24 mo
copy cross and square
48 mo
How long is the chicken pox contagious for?
Chicken pox contagious until every single lesion is crusted over
-no more blisters
Walk
Walk 12-15 mo
Laughing
Laughing at 4 mo
50 single words (spontaneously)
50 spontaneous single words 18-24 mo