Growth, Development, Preventative Peds Flashcards by Marissa Justine

PPSV23 in Pediatrics - Dosing Regimen

8 weeks after last dose of PCV 3

Repeat Dose 5 years later x 1

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Subcutaneous Vaccines

MMR, MMRV

Varicella

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Measles Vaccine & PPD test

Measles vaccine can suppress tuberculin reactivity; wait 4-6 weeks to do PPD

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Hib Vaccine & Cut Off Age

5 years of age, unless

HIV, functional/asplenia, leukemia, immunocompromised

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First Dental Visit

within 6 months of first tooth eruption and no later than 12 months

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BP Monitoring starts at age

monitor earlier if risk factors (prematurity, etc)

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DTAP Contraindications

history of encephalopathy w/in 7 days of administration
anaphylaxis
?history of progressive neurological disorder

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SubQ or IM Vaccines

PPSV23

IPV

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MMR Series

12-15 months

4-6 years of age

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Hep B testing for infants of Hep B + mothers

at 9-12 months or 1-2 months after last administration

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Hep A Vaccines

Between 12 and 23 months, 2 doses at least 6 months apart

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Hearing Screen

Before leaving the hospital with goal of all infants by 3 months

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Cholesterol Screening

non-fasting between 9-11 & 17-21 years of age

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Risk Factors to Measure a fasting lipid profile x 2

Mi/ACS/Stroke before 55 in males and 65 in females
parent with total cholesterol >240 or known dyslipidemia
BMI >95th percentile or obesity-related illness

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Lead Screening

Recommended at 1 and 2 years of age

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Leave to treat with Lead Poisioning

Unknown, but continue to follow/primary prevention if 5-44

chelation recommended >45

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AAP Tooth Paste

rice size w/ first tooth

pea sized after 3 years

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PPD Test, 5mm

Close contact w/ TB individual
Clinical Evidence of TB
Immunosuppressive conditions or treatment

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PPD Test, 10mm

< 4 yeaers of age
other conditions (DM, RF)
Born/Travel to high prevalence regions
Exposure to right risk adults (HIV, homeless, IVDU, incarcerated)

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Delayed tooth eruption

no teeth by 12-13 months

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SIDS most common at what age

2nd and 3rd months

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Colic

> 3 hours a day, >3 days a week, for at least 3 weeks

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Testing for Children who Immigrate to US

CBC, Lead, TSH

NMSS if <2 years

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MMR Contraindications

anaphylaxis to gelatin or meomycin

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MMR Common Adverse Events

Fever 6-12 days after | joint pain 6-21 days after (rubella)

Varicella Vaccine for post-exposure

within 3-5 days

Menningococcal Serogroup B Indications

2 or 3 doses | children >10 w/ increased risk

HPV Vaccine Schedue

2 doses: 9-14 | 3 doses: 15-45

Breakthrough Varicella Rash

Maculopapular | usually limited to less than 50 lesions

Back to sleep until

1 year!

Rotavirus Contrainidciations

history of intusspecption | SCID

Congenital Heart Screen Passing

>/= 95% in right hand and foot | no more than 3% difference

Which Vaccine NOT to give to preterm infants

rotavirus

Two Doses of Influenza Required until

9 years old!

MCV4 Vaccine

All: 11-12 years,then 16 | Increased risk: two doses starting at 2 months of age

Standard seat belts at age..

8-12y and at least 4'9

Peds Dedicious Teeth Rule

``` 7+4 7 months: 1st tooth 11: 4 teeth 15: 8 teeth etc ```

Hep B Vaccination for infants <2 kgs

1 month of age or hospital discharge

head circumference in first 2 months of life

0.5cm/week for first two months, 10 cm for year

HC in 2nd year of life

2-3 cm

HC in childhood

5-6 cm total

Weight Patterns

dbl by 4 mths triple by 12 months quadruple by 2 years ~5lbs / year

Height Patterns

increase 50% in first year double by 4 triple by 13

Genetic Short Statue and Bone Age

bone age = chronological age

Constituational Growth Delay and Bone Age

Bone age behind chronological age

Failure to thrive

<3% weight <5% W for H 2 growth curves crossed

Overweight =

85th to 95th percentile

Obesity =

>95th percentile

BMI =

wt/height^2

Pediatric Bariatric Indications

>120% of the 95% + comorbidity | >140% of the 95%

MCHAT administered at`

18 and 24 months

Scaphocephaly

most common! premature closure of the sagittal suture long, narrow skull

Weight Gain in Infants

30g/d x 3 months 3-6m: 20g/d 6m-1 year: 10g/d

Object Permaenance

between 9-12 months

Anterior Plagiocephaly

premature closure of the coronal suture | drawn up appearance of orbit on the affected side

Brachycephalpy

bilateral closure of coronal sutures | associated with Apery Sydrome, Crouzon Disease

Trigonocephaly

premature closure of metopic suture | pointed forehead

Peak Height Velocity & Staging

stage 2-3 in girls (11.5) | stage 3-4 in boys (13.5)

Thumb Sucking should stop by

age 5

Separation Anxiety ages

can start at age 6, most noticable 9-18m of age

Head Banging and guidance

can start around age 8-9m, lasts till around 4 years

When should colic disappear by

3 months; rare past 4 months

1st permanent teeth to erupt

1st molars around 6 years of age