Well-child Flashcards
What are the 3 measurement in childhood?
1- Head circumfrance (0-2y)
2- weight to hight (0-18m) - BMI (2y)
3- Blood pressure (3y)
Vision & hearing screening should be:
- Vision: 3 years
- Hearing: 4 years
USPSTF recommendation for:
- Dyslipidemia
- HTN
- Obesity
[child]
- Dyslipidema & HTN: insuffiecent
- obesity: above yrs.
Hypertension screening by AAP:
At 3 years of age
Vision in USPSF screening, can’t be done after the age of:
4
Depression in AAP VS USPSTF
- AAP: annually
- USPSTF: 12-18. Insuffiecent from 7-11
Because we are at high risk of dyslipidemia, we follow the AAP guidelines that states that screening in child should be:
At 6 - 8 - 10 years then annually.
Is there guidelines for screening for vitamin D in children?
No there isn’t
HOWEVER, we give 400IU for all children “AAP”
What if child is insufficient or deficient
5000 IU
When to consider child to have adquate vitamin D?
Above 30
What are the floride recommendations for children (oral and varnish)
- Orally: at 6m if fluoride deficient area.
- varnish: at tooth eruption
When to preform developmental surveillance
9-18-30m
Immunization should be reviewd at which age?
Trick question. Each visit.
Lead poisoning screening in our hospital:
Annual from 3 years.
Usually: they come at school age
[AAP: 6m-6y if high risk]
What is the change that happened for BCG?
From birth»_space; 6months
When to give measles vaccine?
At 9m
When to give MMR
- 12m
- 18m
- 4-6yrs
When to give vericella vaccine
- 18m
- 4-6 years
HPV is the only vaccine that prevents against:
Cervical cancer
HPV is given at:
11yrs - 12yrs.
MCV4 is given at:
9-12m +18yrs ( the last one to be taken)
HepA vaccine should be given at:
18-24m
What is the duration the can be given HPV from minimum to maximum catch-up dose.
9 years - up to - 18 years
How many doses do i give of HPV in children?
Depending on age
- 9 to 14: only 2
- 15- 18: give 3
If it’s two doses of HPV, how long should they be spaced?
At least 5months apart.
[0-6 to 12m]
If it’s three doses of HPV, how long should they be spaced?
- between first & second: at least 1m
- between second & third: at least 3m
- between first & second: at least 5m
[0 - 1 to 2m - 6m]
Counsiling at school aged children is
- diet & lifestyle modification
- Screen time
- sleep
- safety
What is the role of screen time in children
Myopia, school preformance, decreased concentration, obesity, poor sleep quality, depression
How many hours should child sleep?
- 9 in older child
- 12in young child
Why sleep consultation should be done especially in school aged children?
Behavioral issues - difficulty concentration - obesity & high bp
screening in adolescence is every ….. years
4 years
Adolecents are aged
I0-19
Youth vs young ages
Youth: 15-24
Young: 10-24
Leading cause among adolecents
Motor vehicle accidents
When to consider child as obese
BMI more than 95 percentile
Screening in adolescence include:
- violence
- obesity
- depression
- tobacco/alcohol/drug
- sexual activity
Obesity recommendations by USPSTF
6m to 18 years
Role of family physician after detecting risk factors for violent behavior
- identify RF
- connect w/parents
- refer to: psychology - school-based programs - community groups
Depression according to USPSTF should be screened for at the age of
12 years
What is the though of USPSTF on counseling for
- tobacco
- alcohol
- drug use
- recommended by USPSTF
- no sufficient data
- no sufficient data
Best tool for substance use screening
Craft
Screening for sexual diseases should be: “usually not in our community”
- HIV at 15years
- gonorrhea and chlymedia in females younger than 25
Screening for chlamydia is considered in:
Sexually active female
