Well child exams Flashcards
What is the recommendation on Autism screening?
USPSTF I recommendation
AAP recommends using MCHAT at 18 and 24 months
Which childhood screening tests have USPSTF SOR A?
NONE
What are the fluoride recommendations?
Oral fluoride supplementation if water supply is deficient- Age 6 months through age 16
flouride application to erupted teeth starting at tooth eruption –> age 5 years
SOR B
What is the recommendation on vision screening?
screen all children once between ages 3-5 to detect amblyopia (lazy eye) or its risk factors - SOR B
AAP recommends yearly screening ages 3-5, instrument based at 12 and 24 months
When do you start screening for obesity?
Age 6
SOR B
When to refer a child for vision
- visual acuity < 20/50 age 3, < 20/30 age 5
- strabismus > 3-6 mo. old
- asymmetry at any age
- abnormal red reflex
amblyopia due to strabismus is leading cause of monocular vision loss in kids
When does AAP recommend screening for anemia?
Universal screening at 12 months
When does APP recommend screening for lipids?
Universal screening once from 9-11 years and again 17-21 years
How do you manage microcytic anemia in children
Treat presumptively as iron deficiency and confirm at least 1 g/dL increase in Hb 1 month after starting iron therapy
When should you start discussing table foods?
4-6 months
When should you start discussing child proofing the house
12 months
When should you begin discussing toilet training
2 years when showing signs of readiness
- able to pull clothes up and down
- able to imitate parents
- can follow 2 step command
- expresses interes
What is enuresis and how do you address it?
bedwetting after age 5
- alarms, desmopressin
- usually resolves on its own
What is a key difference between nightmares and night terrors?
night terrors- during first half of night
nightmares - during second half of night
What are the number 1 causes of unintentional death in following groups
0-1 year
1-5 years
0-18 years
0-1 year –> suffocation
1-5 years –> drowning
0-18 years –> MVA
