The "Well-Child" and Child Development Flashcards Preview

ICM -- Pulmonology > The "Well-Child" and Child Development > Flashcards

Flashcards in The "Well-Child" and Child Development Deck (47):
1

Preterm vs post term baby skin

Preterm -- Red, Gellatinous
Post -- Leathery, cracked, wrinkled

2

Non skin physical signs of immaturity

no languo, plantar crease,
Flat/folded Ponna
Scrotum empty w/out rugae/prominent clitoris

3

Important details for "Cradle Cap"/Seborrhea

Usually self limited
Gentle exfoliation, topical ketoconazole, or weak steroid

4

Important details for transient neonatal pustular melanosis

Etiology Unknown, Lesions Fade, No treatment needed
(Make sure it isn't herpes)

5

Important details for acropustulosis of infancy

Benign, Distal extremities
First year of life, may reccur
Can use topical steroids

6

What is Milia?

Retention of keratin in phosphosebaceous units
Resolves in a few weeks

7

What is Curtis marmorata?

Vascular response to cold caused by especially superficial capillaries

8

Most common rash?

Erythema toxicum neonatorum
Appears in 1-2 days
Disappears in first week

9

Port Wine Stain is indicative of...

Sturge Weber Syndrome

10

Treatment for hemangioma

Laser Ablation

11

Difference between cephalohematoma and caput secundum

Cephalohema. -- Subperiosteal, Doesn't cross suture lines
Caput -- Edema about periosteum, Does cross suture

12

Signs of glaucoma

Milky anterior chamber
Increased Intraocular Pressue, Abnormal angle

13

What should you think when you see a white reflex

RB, Congenital Cataracts

14

Rule of fum for ear placement

Line from inner epicanthal fold should transect upper third of the ear

15

What does a bifid uvual indicate

Submucosal cleft palate

16

What are Epstein's pearls?

Benign inclusion cysts on the palate

17

What should you be assessing on a newborn chst exam

Clavicles
Symmetry/Pectus
Respiratory Rate
Signs of Distress

18

On X ray, Respiratory Distress Syndrome should manifest as...

Ground Glass appearance

19

Most common cause of abdominal mass in newborn

Kidney (hydronephrosis)
Umbilical hernia is also common

20

Two tests used to assess hip dysplasia

Barlow - Downward Pressure
Ortoloni - Abduct Hips

21

Newborn reflexes to tes

Moro
Plantar/Palmar
Rooting Response/Suck Reflex
Steppig Response
Babinski

22

Most common autosomal trisomy in live births

Trisomy 21

23

Important Down syndrome details

Epicanthal folds, upslanted palpebral features
Flat nasal bridge, Protruding tongue, low ears
Sunuab Crease, Excess skin at nape of neck

24

Important Trisomy 13 details?

Patau syndrome. 6 months survival.
Cleft lip, clenched hand,
overlapping fingers/polydactyl, clubfot
Aplasia cutis congenita, heart defects,

25

Important Trisomy 18 details?

Edwards Syndrome. Survival to school age.
Prominent occiput, low set ears, rocker bottom feet, heart defects

26

Important hearing screening?

Oto-acoustic emissions - Seounds sent to ear canal while microphone measures cochlear response inside the ear
Automated aud. brain resp. test - Sounds presented thru earphones. Electrodes measure brainstem activity.

27

Breastfeed for how long? then what?

6 months
then add in solids

28

Contraindications for breast feeding?

HIV, HTLV, Untreated TB, Chicken Pox, Herpes
Chemotherapy/Radiation
Alcohol/Street Drugs

29

Contraindication for the baby to do breastfeeding?

Galactosemia

30

Role or Prolactin and Oxytocin in breast feeding?

Prolactin - Production
Oxytocin - Letdown

31

What is the 4 by 4 rule

4 yellow bowel movements by day 4
(6 wet diapers is good too)

32

Approximate level of jaundice when infant has yellow...

Face - 5mg/dl)
Umbilicus - 15
Soles of Feet - 20

33

What is Acute bilirubin encephalopathy

Infant sleepy, but arousable
mild hypotonia, high pitched cry.
Difficult to console, hypertonia, neck/trunk arching.
Seizures, Resp. failure

34

What is kernicterus?

Chronic/Permanent sequae of bilirubin induced. neuro. dysfxn.
Choreoathetoid cerebral palsy (dystonia, tremor, chorea)
Sensorineural hearing loss
Limited upward gaze

35

Features of Severe Jaundice

First 24 hours
Bilirubin above 95% on nomogram
Jaundice past 2 weeks
Elevated indirect (conj.) bilirubin

36

Babys weight doubles by....
triples by...

2 -- 5 months
3 -- 12 months

37

What is craniosynostosis?

Premature fusion of the sutures, leading to pathologic abnormal skull shape

38

When to do a lead screening?

Home built before 1950
Spend time somewhere built before 78, remodeled recently
Any other kids around yours with lead poisoning?

39

Cholesterol indicator...

Kids aged 9-11 and 17-21 should have a nonfasting cholesterol screen done

40

Behavioral tasks and problems for a newborn

Sleep problems
Colic

41

Behavioral tasks and problems for a toddler

Autonomy, Aggression
Temper Tantrum
Toilet Training
Feeding Probs

42

Developmental milestones at 3 months

Motor - Raises head and chest when on stomach
Social -- Social Smile

43

Developmental milestones at 7 months

Motor - Sits with, then without support of hands, object from hand to hand
Social -- Interested in mirror images
Language -- Responds to own name

44

Motor milestone around 9 months

Pincer grasp

45

Developmental Milestones at 12 months

Motor -- 2-3 steps w/out support, Puts objects in container
Language - mama, dada
Cognitive - Finds hidden objects easily
Social -- Shy, anxious with strangers, enjoys imitation

46

Developmental milestones 2yo

Stairs (with support)
Tower of 4+ blocks
2-4 word sentences

47

Developmental milestones age 3-4

Motor - Hops/stands on one foot, draws with 2-4 appendages
5-6 word sentences
Cognitive - Names colors