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Flashcards in Peds Deck (34):
1

What is primary prevention?

Prevention of a disease process so it will not affect a child

2

What is secondary prevention?

Identification of subclinical disease before the development of overt symptoms

3

What is tertiary prevention?

Identify the disease or disorder and treating it appropriately

4

True or false: developmental trauma and variations are always realized once born?

False- may not be realized until certain milestones are approached

5

Where does OMT fall in the types of prevention: primary, secondary, or tertiary?

All three!

6

True or false: both ends of the maternal age spectrum have their concerns for the health of the child

True

7

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

8

What are the two organ systems that are maturing in the first 1-12 months?

Renal
Hematopoietic

9

What are the three things that osteopathic treatment for children is based off of?

-Understanding of body unity
-Self-regulatory mechanisms
-Interrelationships of structure and function

10

Is proprioception a primary or secondary function of the musculoskeletal system?

Secondary

11

When does myelination of the CNS and PNS complete?

Not until the second decade of life

12

How does the sacrum fuse: from bottom up, or top down?

Bottom up

13

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?

Six months
Cranial

14

Development of segmental motion appears to parallel what process?

The progressive myelination of the innervation to the postural muscles

15

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

16

What is the general shape of the infant's spine?

C -curve

17

When does the cervical curve begin to develop?

At birth

18

When does the lumbar curve begin to develop?

once the child being to stand and walk

19

When does the lumbosacral angle form?

4 months gestation

20

What should be done prior to using a stethoscope on a pediatric pt?

Touch them with hand before touching them with equipment

21

What is the Barlow test? Ortolani?

Barlow pushes backwards

Ortolani reduces the femoral head back into the acetabulum

22

Why are children so much easier to treat with OMT?

Do not have fibrotic changes that adults have

23

What is the most common chronic disease in children?

Asthma

24

What should always be treated last (if treated at all) for asthma kids? Why?

OA, since increased vagal stimulation may lead to increased bronchoconstriction

25

What are the areas that should be treated with OM? (4)

-Open inlet
-Temporal bones (cranial)
-Hyoid bone
-T1-T4

26

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

27

What is the treatment for colic in kids?

Decompress the condylar parts

28

Why does female infants in bathtubs = badness

Risk factor for UTIs

29

What is the treatment for bladder retention in children?

IT spread

30

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)

31

How often do growing pains usually occur?

Once a night for a number of weeks

32

What age group is usually affected with growing pain? Which gender?

4-8 years old
Females

33

True or false: growing pains occur only at night

True

34

How long do bouts of growing pains last for?

No more than 20 minutes