Flashcards in Miscellaneous Deck (17):
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.
At what age do teeth usually erupt?
Age 6-10 months
Triad of septic optic dysplasia
optic nerve hypoplasia, midline defects, pituitary abnormalities
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.
At what age wcex do we give out ASQ?
At what age do we do Mchat?
18 and 24 mo
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
what is defined as delayed eruption of teeth?
16months. Think of hypothyroid, hypopit, rickets
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
By when do most kids have control of bowel/bladder?
75% by 36 months
When should babies sleep through the night?
When can you start sleep training?
6-8 months of age
When do breath holding spells usualyl appear
6-18 months, usually around 1, can last until 5
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).
What percent of patients with ODD go on to have conduct disorder?
Average length to complete toilet training