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APEA - Pre predictor > Peds CE 9 > Flashcards

Peds CE 9 Flashcards

1
Q

constipation over 1 year old =

A

most often functional constipation

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2
Q

infants normal stool frequency

A

2-4 x daily; BF babies more often

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3
Q

toddlers normal stool frequency

A

2 x day

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4
Q

preschoolers normal stool frequency

A

1-2 x day

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5
Q

constipation time - chronic vs recent

A

recent < 8 weeks
chornic > 8 weeks

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6
Q

constipation mgmt infant
2

A
  1. sorbitol-containing juice or puree
  2. occassional glycerin suppository
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7
Q

constipation mgmt children
2

A
  1. high fiber diet + fluids
  2. miralax if painful
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8
Q

encopresis

A

involuntary soiling of stool in a child > 4 years

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9
Q

involuntary soiling of stool in a child > 4 years

A

encopresis

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10
Q

encopresis underlying issues

A

constipation

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11
Q

most common GU disorder in boys

A

undescended testes

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12
Q

cryptochidism

A

one or both testes are not in scrotum and can’t be manipulated there (found in infants)

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13
Q

one or both testes are not in scrotum and can’t be manipulated there (found in infants)

A

cryptochidism

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14
Q

at what age should you refer if testes have not descended

A

> four months

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15
Q

undescended testes increase risk of

A

testicular cancer

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16
Q

hydrocele

A

collection of peritoneal fluid in the scrotum

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17
Q

collection of peritoneal fluid in the scrotum

A

hydrocele

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18
Q

a visible cystic scrotal mass

A

hydrocele

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19
Q

hydrocele commonly occurs after what
2

A

scrotal injury or inflammation

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20
Q

hydrocele - communicating and non-communicating

A

comm - fluid is peritoneal fluid; increases in size during the day or with valsalva
non-comm - fluid has no connection to peritoneum, not reducible

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21
Q

at what age are hydroceles expected to resolve

A

12 months

22
Q

developmental dysplasia of the hip (DDH)

A

acetabulum (socket) is too shallow to properly hold the femoral head (ball)

23
Q

developmental dysplasia of the hip (DDH) - screen when
3

A

newborn exam
all health screenings
until 9 months or child walks

24
Q

developmental dysplasia of the hip (DDH) - screen until

A

9 months or child walks

25
Q

developmental dysplasia of the hip (DDH) screening techiniques

A

0-3 months - ortolani and barlow (hip instability)
> 3 months - galeazzi sign (shortneing of femur), asymmetry of leg creases
3-12 months - limitation of hip abduction in 90 degree flexion, femur shortening, asymmetry of leg creases

26
Q

to perform ortolani’s test - where should provider place fingers 2-5

A

on the greater trochanter

27
Q

developmental dysplasia of the hip (DDH) dx test

A

US

28
Q

developmental dysplasia of the hip (DDH) - US for what ages

A

Up to three months

29
Q

club foot - what to do

A

refer

30
Q

common elbow injury in 1-4 year olds

A

nursemaid’s elbow

31
Q

scoliosis

A

curvature of spine 10 degrees or more

32
Q

scoliosis increase in curve is greatest at what stage

A

during pubertal growth spurts

33
Q

scoliosis s/sx
3

A
  1. uneven should or hip height
  2. prominence of one shoulder blade or side of the rib cage
  3. lump in back when bending forward
34
Q

scoliosis - exam how

A

from behind while they touch their toes

35
Q

legg-calve-perthes disease

A

avascular necrosis of the capital femoral epiphysis (femoral head) due to interrupted vascular supply

36
Q

avascular necrosis of the capital femoral epiphysis (femoral head) due to interrupted vascular supply

A

legg-calve-perthes disease

37
Q

legg-calve-perthes disease ages

A

3-12

38
Q

legg-calve-perthes disease - pain to hip or referral to medial aspect of knee
3

A

usually present 2-3 weeks before child complains; pain worse with activity, but not always relieved by rest; limp

39
Q

legg-calve-perthes disease - test

A

trendelenburg test - stand on affected leg causes a pelvic tilt = positive, unaffected side if lower

40
Q

slipped capital femoral epiphysis (SCFE)

A

femoral head shifts posteriorly at the growth plate, changing the angle at which it sits on the femur

41
Q

slipped capital femoral epiphysis (SCFE) classic presentation
2

A
  1. several weeks or months of hip/knee pain with intermittent limp
  2. positive trendelenburg sign
42
Q

slipped capital femoral epiphysis (SCFE) age

A

12-14

43
Q

transient synovitis of the hip aka

A

irritable hip

44
Q

transient synovitis of the hip - age

A

3-8 years

45
Q

transient synovitis of the hip - is a what condition

A

benign condition causing acute limp and hip pain

46
Q

transient synovitis of the hip - what is common before this

A

URI 7-14 days prior

47
Q

transient synovitis of the hip - resolves when

A

7-14 days

48
Q

transient synovitis of the hip - dx testing

A

none, no x ray necessary

49
Q

what condition have + trendelenburg test
3

A

SCFE
legg-calve-perthes
DDH

50
Q

several weeks or months of hip/knee pain with intermittent limp - think

A

SCFE - slipped capital femoral head

51
Q

Pain in hip that goes down to knee that is worse with activity and relieved by rest; has a limp

A

Legg-calve-perthes disease

APEA - Pre predictor (38 decks)

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