when should solid foods be introduced?
around 6 months
not before 4 months - increases obesity risk
low fat milk should not be given before
2 years
when can full fat milk be given as a drink?
12 months
should first foods be gluten free?
yes
avoid nuts and seeds until
5 years
physical activity between 5 - 18
??? a day of moderate vigorous intensity
??? days/week vigorous intensity
> 60 mins a day
> 3 days a week
red flags for development
- not reaching for objects by ?
- unable to sit unsupported by?
- unable to walk by ? (Check what?)
- no speech by ?
not reaching for objects by 6 m
unable to sit unsupported by 12 m
unable to walk by 18 m - check CK
no speech by 18 m
autism triad
impaired communication
impaired social interaction
restricted flexibility of thought / imagination
tetralogy of fallot
pulmonary stenosis
overriding aorta
ventricular septal defect
right ventricular hypertrophy
commonest congenital heart defect in Downs syndrome
AV septal defect
Downs syndrome
under or over active thyroid common?
underactive v common
Duchenne affects boys or girls? what is very high? appearance of back? weakness of .. ? is their hypertrophy of the calves? ... manoeuvre?
boys CK high arched back weakness of proximal pelvic girdle PSEUDO hypertrophy Gowers manœuvre
most common type of cerebral palsy
spastic
most severe type of cerebral palsy
quadriplegic
is cerebral palsy progressive?
no
serious complication of jaundice
kernicterus - bilirubin induced brain dysfunction
brushfield spots
downs syndrome
patent ductus arteriosus
harsh systolic murmur heard best at LLSE
symmetrical rash on buttocks, extensor surfaces, ankles
red swollen tender knees
vomiting and diarrhoea
hence schonlein purpura
disadvantage of breast milk
^ jaundice
appropriately available and predictable caregiver
secure attachment
caregivers who may have been absent, distant or disinterested
insecure/avoidant attachment
infant cry’s when caregiver leaves the room but doesn’t seem that pleased when caregiver returns
insecure/avoidant attachment
cry when caregiver leaves the room but resist being consoled when they return and seem angry
insecure/ambivalent attachment
reflects an unpredictable experience of caregiving
caregiver may have been reassuring at times but frightening at others
insecure/ambivalent attachment
initially dont want to leave their caregiver to leave the room
insecure/ambivalent attachment