Flashcards in Peds Deck (34):
What is primary prevention?
Prevention of a disease process so it will not affect a child
What is secondary prevention?
Identification of subclinical disease before the development of overt symptoms
What is tertiary prevention?
Identify the disease or disorder and treating it appropriately
True or false: developmental trauma and variations are always realized once born?
False- may not be realized until certain milestones are approached
Where does OMT fall in the types of prevention: primary, secondary, or tertiary?
True or false: both ends of the maternal age spectrum have their concerns for the health of the child
Why isn't the osteopathic approach to children the same as adults?
Because the structure and function of the child is markedly different from that of an adult, and are constantly changing in relation to each other
What are the two organ systems that are maturing in the first 1-12 months?
What are the three things that osteopathic treatment for children is based off of?
-Understanding of body unity
-Interrelationships of structure and function
Is proprioception a primary or secondary function of the musculoskeletal system?
When does myelination of the CNS and PNS complete?
Not until the second decade of life
How does the sacrum fuse: from bottom up, or top down?
Specific segmental motions cannot be appreciated by an examiner until what age? What is the one type of dysfunction that is an exception to this?
Development of segmental motion appears to parallel what process?
The progressive myelination of the innervation to the postural muscles
Do Fryette's motion characteristics apply to the infant? Why or why not?
No, because RROM is usually related to local muscle contraction or fascial pull, rather than bony joint SDs
What is the general shape of the infant's spine?
When does the cervical curve begin to develop?
When does the lumbar curve begin to develop?
once the child being to stand and walk
When does the lumbosacral angle form?
4 months gestation
What should be done prior to using a stethoscope on a pediatric pt?
Touch them with hand before touching them with equipment
What is the Barlow test? Ortolani?
Barlow pushes backwards
Ortolani reduces the femoral head back into the acetabulum
Why are children so much easier to treat with OMT?
Do not have fibrotic changes that adults have
What is the most common chronic disease in children?
What should always be treated last (if treated at all) for asthma kids? Why?
OA, since increased vagal stimulation may lead to increased bronchoconstriction
What are the areas that should be treated with OM? (4)
-Temporal bones (cranial)
What is the way that children should not feed, in order to avoid OM? Why?
Do not lie on their back, since the angle of the eustachian tube is horizontal, and may cause reflux
What is the treatment for colic in kids?
Decompress the condylar parts
Why does female infants in bathtubs = badness
Risk factor for UTIs
What is the treatment for bladder retention in children?
What are "Growing pains"? Where do these usually occur?
Misnomer for the aches that can sometimes be had as kids mature--not related to growth
Usually occurs in the midshaft of long bones (not at joints)
How often do growing pains usually occur?
Once a night for a number of weeks
What age group is usually affected with growing pain? Which gender?
4-8 years old
True or false: growing pains occur only at night