Physical Assessment Flashcards

1
Q

Transilluminator

A

Light indicates fluid
No light indicates solid
Hydroceles, hydrocephalus

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2
Q

Ophthalmoscope

A

Red reflex - light reflects off fundus of eye (red appears as indication of lack of opacity - cataracts, glaucoma, retinal blastoma)

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3
Q

APGAR

A

HR, respiratory efforts, gone, reflex irritability, color
Scored 0-2
HR - 1 for <100, 2 for >100

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4
Q

Hypotelorism

A

Close set eyes

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5
Q

Hypertelorism

A

Far set eyes

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6
Q

Ear issues

A

Can mean renal issues, developed at the same time

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7
Q

Philtrum

A

Flattened can be associated with fetal alcohol syndrome

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8
Q

Cystic hygroma

A

Fluid filled sacs result from blockage in lymphatic system, may require immediate intubation or trach

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9
Q

PMI

A

left of sternum, 4th intercostal space

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10
Q

Pulse pressure

A

Diff between systolic and diastolic, term should be 25-30, premature 15-25
Gest age

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11
Q

Murmur

A

Murmur
Turbulent blood flow
Thrill - palpable turbulence

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12
Q

P wave

A

Depolarization of atria

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13
Q

QRS

A

Depolarization of ventricles

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14
Q

T wave

A

Repolarization of ventricles

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15
Q

Simean crease

A

Single palmar crease
Can indicate Down syndrome

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16
Q

Asymmetry of gluteal folds

A

Hip dislocation
Ortolani and Barlow maneuvers

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17
Q

Talipes equinovarus

A

Club foot

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18
Q

Erythema toxicim

A

Benign
Small white pinpoint papules (red elevation of skin)

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19
Q

Milia

A

Yellow or white papules, due to retained keratin and secretions of sebaceous glands

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20
Q

Epstein pearls

A

Milia in mouth

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21
Q

Hyperpigmented macule

A

Mongolian spot, usually on butt flanks or shoulders

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22
Q

Transient neonatal pustular melanosis

A

Similar to Milia but present at birth, will rupture within 48 hours
Contains neutrophils

23
Q

Nevus simplex

A

Stork bite

24
Q

Nevus flammeaus

A

Port wine

25
Q

TTN

A

Chest X-ray - overexpansion, haziness, increased vascular markings, fluid in the fissures

26
Q

Meconium aspiration xray

A

Hyper inflation, patchy infiltrates

27
Q

RDS XRAY

A

atelectasis, air bronchograms, diffuse granular infiltrates

28
Q

Turner syndrome

A

Occurs in females, SGA, broad chest, wide spaced nipples, edema in extremities, short webbed neck

29
Q

Trisomy 18

A

Prominent occiput, low set ears, small eyes and jaw, clenched hands with overlapping fingers, rocker bottom feet

30
Q

Trisomy 21

A

Brushfield spots, small ears, simean creases, excess skin at nape of neck, large tongue

31
Q

Klinefelter syndrome

A

Males, long limbs, elbow dysplasia, clinodactyly of 5th finger

32
Q

Transposition of great vessels

A

Aorta arises from right ventricle and pulmonary artery arises from left ventricle
Marked cyanosis because aorta carried deoxygenated blood from right ventricle to systemic circulation

33
Q

Aortic stenosis

A

Reduces blood flow to body
Usually asymptomatic at birth
Pallor, mottling, poor perfusion May develop when PDA closes

34
Q

Coarctation of the aorta

A
35
Q

Cafe au lait

A

Presence of 6 or more associated with neurofibromatosis

36
Q

Craniotabes

A

Soft spots on the skull that collapse and recoil with pressure
Result from bone reabsorption due to pressure of skull against maternal pelvis

37
Q

Cicatricial scarring

A

Finding of congenital varicella

38
Q

10-12 inches

A

Newborns can focus on objects at this distance

39
Q

Erbs palsy

A

Injury to brachial plexus, shoulder dystocia
Asymmetric Moro reflex

40
Q

Bell’s palsy

A

Damage to facial nerve caused by pressing against maternal pelvis

41
Q

Neonatal myoclonus

A

Episodes of repetitive jerking or jitteriness that doesn’t stop with restraint

42
Q

Congenital syphalis

A

Purple by or bloody nasal discharge and copper colored maculopapular rash that blisters and peels

43
Q

CMV symptoms

A

Blueberry muffin and hepatosplenomegaly

44
Q

Positive direct antigen test (DAT)

A

Presence of maternal antibodies causing hemolysis
Immune mediated hemolysis

45
Q

Transient neonatal pustular melanosis

A

More common in pigmented skin
Mixture of vesicle and pustules and pigmented macules

46
Q

Port wine stains

A

Can indicate sturge Weber syndrome is over trigeminal area
Can indicate underlying hemangiomas

47
Q

Congenital hypothyroidism

A

If symptoms are present, include large fontanelle, umbilical hernia, coarse facial features, thick skin, delayed bone age

48
Q

Congenital adrenal hyperplasia

A

Female - abnormal genitalia
Male - may be undiagnosed until 7-24 days, symptoms after that are hypoglycemia, hyponatremia, hypotension, shock

49
Q

Prader Willi syndrome

A

Rare genetic syndrome, hypogonadism, lethargy, hypotonia, feeding difficulty

50
Q

Chlamydia eye

A

Symptoms at 5-7 days, conjunctivitis, edema, purulent discharge

51
Q

Stepping reflex

A

Supporting infant under arms and placing foot on edge of surface, infant should support own weight and make stepping motion

52
Q

Babinski reflex

A

Foot goes into plantar flexion after stimulation of sole

53
Q

Galant reflex

A

Apply pressure on spine, pelvis should flex toward side of spine stimulated

54
Q

Tonic neck reflex

A

Turning head to one side, infant should extend upper extremity to side where head is turned and flex opposite extremity