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Flashcards in Miscellaneous Deck (17):
1

What is the nexus criteria?

To clear a c spine need all the following: No posterioir midline cervical tenderness, no intoxication, no focal neuro deficits, pt is AAO x3, no distracting injuries.

2

At what age do teeth usually erupt?

Age 6-10 months

3

Triad of septic optic dysplasia

optic nerve hypoplasia, midline defects, pituitary abnormalities

4

Why do you test tryptase levels a few weeks after serious anaphylaxis to insect sting?

Approximately 1% to 10% of patients who experience severe anaphylaxis after an insect sting have underlying mastocytosis or a clonal mast cell disorder. For patients who experience a severe anaphylaxis episode to a flying insect sting, a baseline serum tryptase should be obtained 1 to 2 weeks after the reaction. Those who have serum tryptase measurements of 11.4 ng/mL or greater should be referred to an immunologist or hematologist for consideration of a bone marrow biopsy, with specific attention to analysis for c-kit mutations, CD25, and mast cell staining.

5

At what age wcex do we give out ASQ?

9,18,30

6

At what age do we do Mchat?

18 and 24 mo

7

What should you do about an avulsed tooth?

If permanent, put back in socket within 5 minutes, if cannot put in childs saliva or cold milk and go to dentist. If a deciduous tooth, do not replace it

8

what is defined as delayed eruption of teeth?

16months. Think of hypothyroid, hypopit, rickets

9

What are contraindications to tonsillectomy or adenoidectomy

Contraindications to tonsillectomy or adenoidectomy include velopharyngeal conditions that predispose to velopharyngeal insufficiency (submucosal cleft), anemia (hemoglobin < 10 g/dL [100 g/L]), disorders of hemostasis, and acute nonobstructive upper airway infection

10

By when do most kids have control of bowel/bladder?

75% by 36 months

11

When should babies sleep through the night?

4 months

12

When can you start sleep training?

6-8 months of age

13

When do breath holding spells usualyl appear

6-18 months, usually around 1, can last until 5

14

What is PANDAS

pediatric autoimmune neuropsychiatric disorder associated with Streptococcus (PANDAS). About a month after a strep infection, child will get OCD symptoms. Check ASO if suspicious (this stays possible for 6 months after infection).

15

What percent of patients with ODD go on to have conduct disorder?

30%

16

Average length to complete toilet training

6-7 months

17

at what age do we start testing vision and with what?

age 3 with dot E test