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1

Transient mottling when infant is exposed to decreased temperature

Cutis Marmorata

2

cyanosis of hand and feet in response to cold

acrocyanosis (underlying cardiac defect should be expected if more intense in feet)

3

Whitish, moist, cheeselike substance - mixture of sebum and skin cells on newborn

Vernix Caseosa (protective)

4

Fine, silky hair covering newborn

Lanugo (shed within 10-14 days)

5

Flat, deep pink, localized areas usually seen in back of neck

Telangiectactic nevi (stork bites)

6

Irregular areas of blue/blue-gray pigmentation usually in sacral and gluteal regions (predominantly in african, native american, asian, or latin descent)

Dermal Melanocytosis (Mongolian spots)

7

Pink papular rash with vesicles superimposed

Erythema toxicum (may apear 24-48 hours after birth)

8

Hyperbilirubinemia risk factors

breast feeding, hemoltyic disease, infection, cephalhematoma, cutaneous or subcutaneous bleeds

9

preferred treatment for hyperbiligubinemia

Bili lam and bili blanket

10

Present in 50% of newborns and appears to be an inability of the liver to conjugate bilirubin present in the bloood

physiologic jaundice

11

if jaundice is present in the first 24 hours or it is intense and persistent it is considered

pathological

12

What does tenting indicate

dehydration and malnutrition

13

What is schamroth technique

Placing nail surfaces of corresponding fingers together: normal - diamond shaped, Clubbed - angle between distal tips increases

14

Small, white, discrete papules on the face and bridge of the nose - common during the first 2-3 months

Milia (plugged sebaceous glands)

15

Caused by occlusion of sweat ducts during periods of heat and high humidity

Milaria (heat rash)

16

Scalp lesions that are scaling, adherent, thick, yellow, and crusted

Seborrheic dermatitis (cradle crap)

17

Honey colored crusts caused by staph or strep

Impetigo

18

Tuft of hair overlying the spinal column usually lumbosacral area

Faun Tail Nevus (spina bifida occulta)

19

Evenly pigmented patches present at birth or shortly after

Cafe au lait spots (suspect neruofibromatosis if >5 patches >1cm diameter in children under 5)

20

What is axillary freckling or inguinal freckling associated with

neurofibromatosis

21

periodic cessation of breathing during sleep do to airflow obstruction

Obstructive sleep apnea

22

Which lymph nodes is it NEVER normal to be enlarged in children

Supraclavicular

23

Initial symptoms: pharyngitis, fever, fatigue, malaise. Exam findings: enlarged anterior and posterior cervical chains, splenomegaly, hepatomegaly

Infectious Mononucleosis (eptstein-barr virus)

24

Initial symptoms: sore throat and runny nose, headache, fatigue, and abdominal pains

Strep Pharyngitis (throat culture needed to confirm)

25

Subcutaneous edema, crosses suture lines, MC occiput, soft, poorly defined margins

Caput Succedaneum

26

Subperosteal bleed, does not cross sutures, MC parietal, firm, well-defined edges

Cephalhematoma

27

Premature union of cranial sutures - small head circumference, rigid sutures, misshapen skull

craniosynostosis (usually not accompanied by mental retardation)

28

No ridging, ear on flat side migrates forward, forehead protrudes, bald spot on side flattening

Positional head deformity

29

Palpaple ridge, ears even or ear on flat side appears to be more posterior, forehead does not protrude, no bald spot or central bald spot

Craniosynostosis

30

At what months do the anterior and posterior fontanels close

Posterior about 2 mos.
Anterior about 24 mos.