Common problems in infancy Flashcards
Model of development
1) attachement
2) separation
3) autonomy
4) mastery
5) problems
infantile colic
3hrs/day
3 days a week
3 weeks in a row
DDx for infantile colic
- cow’s milk intolerance
- otitis media
- GI problem
- other - fracture
GER
- regurgitation in otherwise healthy infant!
50% of infants
resolves by 12-18 months
GER-D - disease
reflux that causes problems
complications of GERD
- esophagitis - pain or anemia
- FTT
- resp problems
sx of croup
- stridor
- hoarse voice
- VIRAL - Paraflu
Does humidity play a role in croup?
NO - efficacy
- steroids Dex
inhalation of Epi! - vasoconstrict
emergency if stridor at rest
aetiology of pneumonia in infants
- MOSTLY VIRAL-
20-40% bacterial
aetiology of pneumonia birth- 1 month
- Strep B
- Coliforms
aetiology of pneumonia 1 month to 1 year
- Pneumococcus
- h flu
- Staph
- chlamydia
aetiology of pneumonia 1 - 5 years
- pneumococ
- mycoplasma
aetiology of pneumonia 5 - 15 years
- pneumococ
- mycoplasm
- strep
Treatment of pneumonia with unknown aetiology
- Amp/gentamicin
Treatment of pneumonia with Strep B
- Penicillin
Treatment of pneumonia with coliforms
- Amp/gentamicin (for gram negatives)
Treatment of pneumonia with pneumococ
- Amox
Treatment of pneumonia with mycoplasma
Erythromycin/macrolide
Treatment of pneumonia with staph
Cloxacillin/cephalosporin
Treatment of pneumonia with chlamydia
erythromycin
Fever
rectal - 38
oral 37.5
axillary 37.2
Highest temperature
late afternoon/evening
Lowest in the morning 4 am
what should you NOT use for the common cold
NO DECONGESTANTS LESS THAN 6 YEARS
most common causes of otitis media
- bacterial - 70-80%
