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201: Peds Exam 2 > Assessments > Flashcards

Assessments Flashcards

(61 cards)

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1
Q

In regards to neuro issues, assess/ask about…

A

NV
HA
Gait changes
Loss of motor function
Visual disturbances
LOC changes
Irritability
Altered muscle tone
Trauma
Poor feeding
Lethargy
Fever
Pain
Delays in growth and development
Toxins

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2
Q

Included in head to toe for neuro…

A

LOC
VS
Head, face, neck
CN
Motor
Reflex
Sensory
ICP

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3
Q

CN tested in Doll’s eyes

A

3, 4, and 6

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4
Q

SS Cushing’s triad

A

Increased systolic BP
Decreased pulse
Altered respiratory pattern

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5
Q

SS type 1 chiari malformation

A

Neck pain
HA
Lower extremity spasticity
(Ss start in adolescence to adulthood)

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6
Q

Ss type 2 chiari

A

(Detected prenatal or at birth)
Weak cry
Stridor
Apnea
GI Disturbances
Chronic aspiration
Long feeding time
Weight loss
Progressive hydrocephalus

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7
Q

Ss shunt infection

A

Elevated VS
Poor feeding
Vom
Decreased responsiveness
Seizures
Inflammation

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8
Q

Ss shunt malfunction

A

Vom
Drowsy
HA

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9
Q

Ss bacterial meningitis

A

Sudden onset
Resp illness/sore throat
Fever and chills
HA
Vom
Photophobia
Stiff neck
Rash
Irritable
Drowsy and lethargic
Muscle rigidity
Seizure

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10
Q

Subtle ss bacterial meningitis in infants

A

Poor suck and feed
Weak cry
Lethargic
Vomiting

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11
Q

Kernig

A

1 leg perpendicular- look for pain at spine or inability to extend

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12
Q

Brudzinski sign

A

Neck flexed with knees to chest - look for spine pain or resistance

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13
Q

Triad ss of shaken baby syndrome

A

Retinal hemorrhage
Brain swelling
Subdural hematoma

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14
Q

Ss croup

A

Hoarseness
Barking cough
Stridor

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15
Q

RSV ss

A

Profuse runny nose
Low grade fever
Pharyngitis
Cough and wheeze
Poor feeding

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16
Q

Ss cystic fibrosis

A

Thick mucus
Increased infection
Decreased pancreatic enzymes
Hypersecretion of gastric acids
Salty skin

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17
Q

Ss tetralogy of fallot

A

Cyanosis during crying or feeding

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18
Q

Ss HF

A

Weight gain or decrease
Difficulty feeding
Fatigue
Dizzy
Irritable
Exercise intolerance
SOB
Tired quickly when sucking
Syncope
Decreased # wet diapers

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19
Q

Ss infective endocarditis

A

Intermittent fever
Fatigue
Anorexia
Flu like
Petechiae at eyes, mouth, or limbs

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20
Q

Signs of extracardiac emboli (rt endocarditis)

A

Roth spots
Janeway lesions
Osler nodes
Black lines

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21
Q

Ss rheumatic fever

A

Carditis
Arthritis
Jerking (chorea)
Fever
Joint pain
Strep infection or sore throat
Erythema
Murmur
Subq nodules

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22
Q

Characteristics (not ss) of CM

A

Increased heart size
Poor contractility
Decreased EF
Asymmetrical septal hypertrophy

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23
Q

Ss Kawasaki

A

High fever unresponsive to Abx
Chills
HA
Malaise
Extreme irritability
Rashes (strawberry tongue, erythema)
Peeling
Vom and dia
Pain
Edema
Jaundice
Swollen lymph nodes at neck

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24
Q

Labs/VS for Kawasaki

A

Tachycardia
Increased platelets
Decreased hemoglobin

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25
Signs of cardiac disorder
Cyanosis Irregular HR Edema Clubbing Fever Retractions Increased WOB Visible abnormal pulsations Abdominal distention
26
RF dehydration
Vom and dia Decreased oral intake Sustained high fever DKA Burns
27
Palpation of this may indicate pyloric stenosis
Hard movable “olive” at RUQ
28
UTI ss infants
Fever Irritability Vom FTT Jaundice
29
UTI ss children
Fever Vom Dysuria Frequency Hesitancy Urgency Pain
30
Hematuria leading to urine looking like tea/cola/dirty green could be due to…
Acute glomerulonephritis
31
RF for vulvovaginitis
Bacteria or yeast Chemicals in bubble bath, soap, perfumes Poor hygiene Tight pants
32
DTR infant
Brisk
33
Characteristics of Developmental Dysplasia of the Hip
Dislocation Subluxation Dysplasia Discoloration “Clunk” sound
34
Muscular dystrophy ss
Large calves Frequent falls Unbalanced Hard to raise arms Will lose ability to ambulate
35
What is Gowers sign?
Can’t get up off floor in usual way
36
Cerebral palsy ss
Motor impairment Spasticity Weakness Ataxia Drooling that leads to dehydration, dental enamel erosion, odor, and skin issues
37
Included in neurovascular checks
Color Sensation Edema Movement Pulses
38
Ss ASD
HF SOB Fatigue FTT
39
Ss VSD
HF (SOB, fatigue, FTT)
40
Ss PDA
HF Frequent respiratory infections Fatigue FTT
41
Warning signs of cancer related to…
Tumors leading to compression, infiltration, or obstruction Changes in blood cells
42
Ss iron deficiency anemia
Weak Fatigued Delayed growth Concave nails (spooning!)
43
Lead poisoning can lead to…
Behavioral and learning problems Encephalopathy Impaired hearing Seizures Brain damage Decreased growth Anemia Kidney damage
44
Sickle cell ss and why
Pain, tachycardia, tachypnea, and hypoxia due to decreased circulation/clumping of cells due to inability to squeeze through vessels
45
Ss acute lymphoblastic leukemia
Fever Infection Fatigue Pallor Bleeding and bruising Pain HA NV
46
Leukemia ss
Swollen lymph nodes Fever Night sweats Nose bleeds Infections Easy bleeding Pain Red spots Weight loss
47
Ss brain tumor
NV HA Gait Blurry Seizure Motor Weak Swallow problems Behavior/personality Irritable, FTT, delay in very young
48
Neuroblastoma seen in…
Abdomen
49
Ss and complications of retinoblastoma
Cat’s eye/whitewash glow Metastasis to brain, other eye, lymph, bone, liver Sarcomas
50
Ss acute adrenal crisis
Vom Dehydration Hyponatremia Hyperkalemia Hypotension Tachycardia Shock
51
Ss DKA
NV, anorexia Lethargy and decreased LOC Decreased turgor Abdominal pain Kussmal Fruit breath Ketones in urine and blood Tachycardia Coma and death
52
Criteria for dx intellectual disability
Before 18 yo IQ <70 Deficits in 2 of the following: communication, academics, health and safety, home living, leisure, self care, self direction, work
53
Warning signs infant autism
No imitate No interest No eye contact Delayed language No imagination play Losing language and social milestones
54
Neuro assessment in emergency
Awake Verbal Pain Unresponsive
55
Ss shock
Pallor Hypotension Brady or tachyC Resp distress Delayed cap refill Weak distal pulse
56
Qs to ask when assessing a poisoning
Time and type of toxin Route Med bottle available? Did kid have ss: NVA, abdominal pain, disorientation, altered gait, slurred speech? Did caregiver call poison control? Has any tx been performed? SI or depression?
57
Ss sinusitis
Nasal discharge Cough Fever Halitosis Facial pain Eyelid edema Irritability Poor appetite
58
Ss neuroblastoma
Lump in abdomen Lump in chest Bone pain Eye bruising
59
Alterations that may occur in poisoning
BP Temp Resp Pupils Pay close attention to mental, skin moisture and color, and bowel sounds
60
Ss pyloric stenosis
Projectile vomiting Hunger Weight loss Dehydration Olive
61
Ss arteriovenous malformation
Hemorrhaging Seizures HA Vision Speech Memory Paralysis

201: Peds Exam 2 (3 decks)

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