Pediatrics Flashcards Preview

PANCE > Pediatrics > Flashcards

Flashcards in Pediatrics Deck (30):
1

Most common causes of unconjugated hyperbilirubinemia in infant

-physiologic jaundice
-prematurity
-breast-feeding jaundice

2

Most common causes of conjugated hyperbilirubinemia in infant

-biliary obstruction/atreasia
-choledochal cyst
-hyperalimentation
-alpha 1 antitrypsin deficiency
-hepatitis
-sepsis
-infections (especially UTIs)
-hypothyroidism
-inborn errors of metabolism
-cystic fibrosis
-red blood cell abnormalities

3

About Physiologic Jaundice

-appears AFTER 24hrs
-Peaks at 3-5 days
-bilirubin increases by 15mg/dL or not decreasing

4

About Breast feeding Jaundice

-occurs on 2nd or 3rd day of life
-bilirubin may increase and may persist for 6-8 weeks
-Tx: supplement breast milk w/ formula, feed or pump breast milk ever 2hr until an adequate supply is established. Phototherapy when bilirubin is >15mg/dL

5

Turns head side to side
Clenched fist
Recognizes human face
Eye Contact
Cries
Startles at loud noise

0-2 months

6

Lifts head
Tracks object past midline
Hands open
Smiles responsively
Vocalizes in Play

2-3 months

7

Head steady in supported position
Hands together
Shows displeasure through vocalization
Looks for source of sound

4-5 months

8

Rolls over
Sits leaning forward on arms
Reaches for objects
Raking grasp
Responds to own name
Holds own bottle
imitates speech sounds
Vocal imitation

6-8 months

9

Stands while holding on
Passes object from hand to hand
Feeds self
Imitates waving
Understands "NO"
May say MaMa

9-11 months

10

Stands alone for 2 sec
Bands two objects together
Places pellet in bottle
Hugs dolls or stuffed animals
Routinely gestures to meet needs
Uses one or two words w/ meaning

12-14 months

11

Stoops and recovers
Walks well
Builds tower of two or three cubes
Attempts to use spoon
Waves bye-bye
Uses four or five word

15-17 months

12

Runs well
Kicks large ball
Walks backward
Scribbles
Turns pages of book
Drinks well from a cup
Feeds self
Uses a spoon well
Follows simple commands
Says 20-50 words

18-21 months

13

Throws ball overhead
Jumps
Turns doorknobs
Builds towers of 6-7 blocks
Little spilling during self-feeding
Points to body parts

24 months

14

Stands on one foot for at least 2 sec
Copies circle
Takes Turns
Toilet Trained
Uses pronouns (I, me, you)
Gives names

36 months

15

Hops on one foot
Wiggles thumb
Copies cross
Dresses self
Knows colors
Asks questions

48 months

16

Skips using alternate feet
Holds a pencil correctly
Brushes teeth w/o help
Easily carries on a conversation
May count or recite a part of the alphabet

5yrs

17

Speaks using correct sentence structure
Draws more precisely
Reads one syllable words
Counts to 20
Reads simple sentences
Adds and subtracts primary numbers

6yrs (1st grade)

18

Defines words
Compares and contrasts
Speech reaches adult proficiency
Legible writing
Ties own shoe laces
Reads 2-syllable words
Counts to 100
Adds and subtracts 2 digit numbers

7yrs (2nd grade)

19

Defines more words
Recites days of the week
Begins to learn cursive writing
Reads many more two-syllable words
Performs simple multiplication

8yrs (3rd grade)

20

Comprehends absurdities in sentences
Draws people with detail
Reads 3 and 4 syllable words
Alphabetizes
Does simple division
Comprehends fractions

9yrs (4th grade)

21

Understands abstract words
Draws people w/ great detail
Able to read more complex words
Easily uses addition, subtraction, fractions, division, multiplication, and estimation

10 yrs (5th grade)

22

Tanner Stage 2

Males (11-12) = straight hair at base of penis
Females (11) = minimal straight pubic hair

23

Tanner Stage 3

Males (13) = course dark and curly pubic hair
Females (12) = Increased pubic hair that is dark and course

24

Tanner Stage 4

Males (14-15) = hair is almost completely full
Females (13) = hiar approaches normal adult appearance

25

Tanner Stage 5

Males (16-17) = pubic hair achieves adult appearance
Females (14-15) Pubic hair reaches adult appearance and inverted triangle.

26

Chicken Pox

-human herpes virus
-10-21 day incubation
-Prodrome = Fever, respiratory symptoms (1-3 days)
-Vesicular erythematous rash that starts on torso and face and spreads to extremities (dew drop on rose petal)
-pruritic

27

Erythema Infectiosum

aka Fifths Dz, Slapped Cheek
-human parvovirus b19
-Incubation 4-14 days
-no prodrome
-red face: lacy, pink macular rash on torso

28

Roseola

-Human herpes virus 6 or 7
-Incubation period = 10-14 days
-Prodrome = fever 4 days
-Pink, macular rash
-Fever resolves before rash

29

Rubeola

aka Measles
-measles virus
-incubation of 8-14 days
-Prodrome = fever, cough, anorexia, coryza (1-3 days)
-Maculopapular face to extremities
***Koplik spots in mouth

30

Rubella

aka German Measles
-rubella virus
-incubation of 14-21 days
-No prodrome
-Maculopapular from head to toe
**Teratogenic**