Psychosocial

Question 1

• crying episodes in an otherwise healthy infant
• birth to 6 wks: up to 2 hours a day is normal
• older than 6 wks: 3 hours a day is normal
• Tx: have another caregiver takeover

Answer 1

Colic

Question 2

• Sickle cell trait
• UTI
• Diabetes
• Seizure or sacral anomaly

Answer 2

Organic causes of enuresis

Question 3

-MC cause of diurnal enuresis

Answer 3

Behavioral Withholding

Question 4

• stooling is perceived as painful
• tx: clearing out the colon, maintaining consistent stool habits, return to diapers
• associated with UTIs

Answer 4

Encopresis

Question 5

• toddler who is angry, frustrated, or in pain
• ages 6-18 mo
• child cries and becomes pale or cyanotic
• may pass out and have a hypoxic seizure with a post-ictal period
• check for anemia

Answer 5

Breath holding spells

Question 6

• a physical symptom that occurs in the context of stress or conflict
• unintentionally produced but with no physiologic explanation
• MC in teenage girls
• one or more symptoms or deficits affecting voluntary motor or sensory function that suggest a neurologic or other condition
• symptoms are preceded by conflicts or other stressors

Answer 6

Conversion Disorder

Question 7

• -occur rapidly during the first third of the night
• FHx
• MC in boys
• deep breathing, dilated pupils, tachycardia, sweating, and tachypnea
• disoriented with no recollection

Answer 7

Night terrors

Question 8

• occur during the last third of the night

- can be woken easily and will recall the event

Answer 8

Night mare

Question 9

• lethargy, abdominal pain, poor appetite

- inattentiveness or hyperactivity

Answer 9

Lead poisoning