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CMC 2 > Wk 13 Peds > Flashcards

Wk 13 Peds Flashcards

1
Q

9 IMP things for documenting peds history

A
  • Birth history*
  • Do they have any chronic or resolved medical problems?
  • Development*
  • Surgeries
  • Medications
  • Diet*
  • Immunizations/Vaccines*
  • Family History
  • Social History*
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2
Q

ROS for infants

A
  • General: Have you noticed any fever, tiredness?
  • Illness: Have you noticed any cough, congestion, runny nose, vomiting, diarrhea, rash?
  • RESP:Haveyounoticedanytroublebreathing?
  • GI:Howiss/heeatinganddrinking?Howisyourchild growing? Wet diapers? Stool diapers?
  • CV:Haveyounoticedyourchildbeingtiredmoreoften? Sweating with feeding?
  • NEURO:Haveyounoticedanychangesinhowthey move? Clumsiness, falling, loss of the ability to do things they have done before?
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3
Q

ROS Pediatric

A
  • General: Have you noticed any fever, tiredness?
  • Illness: Have you noticed any cough, congestion, runny nose, vomiting, diarrhea, rash, sick contacts?
  • RESP:Haveyounoticedanytroublebreathing?
  • GI:Howiss/heeatinganddrinking?abdominalpain? Bowel habits?
  • CV:Haveyounoticedyourchesthurtingorfeelinglike you can feel your heart beating? Have you been lightheaded or dizzy?
  • NEURO:Doesanythingfeelfunnytoyou?
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4
Q

Infant PMH

A
  • Birth history
    – The newborn’s history is really mom’s history * Fertility issues, pregnancy losses
  • Prenatal course/care (inc labs/US)
  • Medications/drugs used in pregnancy
    – Gestational age at birth
    – Birth weight
    – Delivery/Nursery course
    – Medications given (ex Vit K)
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5
Q

5 IMP measures for development

A
  • Gross motor * Fine motor * Cognitive
  • Language
  • Social and Emotional
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6
Q

What year of life is heavily gross motor dev?

A

1st year

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7
Q

What type of dev is heavily done in 2nd year?

A

Fine motor

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8
Q

What is an autism spectrum disorder screening tool?

A

MCHAT

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9
Q

What is the social history acronym for teens?

A

HEADSS
* Home
* Education and Employment
* Activities
* Diet and Drugs
* Sexuality
* Suicide/Depression
* Safety
* (Self-Image)

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10
Q

Pediatric norm vitals

A
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11
Q

IMP growth measurements

A

height
weight
head circumference

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12
Q

7 IMP assessment categories in baby PE

A
  • General * HEENT * CV
  • RESP
  • ABD
  • NEURO
  • Tanner staging
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13
Q

Where do we check infant pulses during CV exam?

A

femoral

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14
Q

HEENT exam

A
  • Head: shape, flattening, fontanelle
  • Eyes: red reflex, EOM
  • Neck: lymph nodes, torticollis
  • Ears: drainage, tenderness, TM
  • Throat: if they cry at any point in the exam, that is a good time to look
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15
Q

5 Concerns during RESP exam

A
  1. Work of breathing - rate, retractions
  2. length of exhale
  3. audible sounds without stethoscope
  4. auscultate
  5. often don’t percuss b/c kids don’t like it
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16
Q

3 types of rectractions and indications

A
  1. supraclavicular
  2. intercostal
  3. subcostal
17
Q

Is it normal to palpate liver?

A

yes, 1-2 cm below right costal margin

18
Q

6 components of Neuro/Msk exam

A
  • Observe
  • Movement - incl gait
  • Tone
  • Strength
  • Reflexes
  • Sensation
19
Q

Tone, reflexes

A
  • Tension present in relaxed muscles (different from strength)
  • What is normal for that age?
  • Hypotonia
  • Hypertonia
  • Clonus
  • The presence of primitive reflexes
20
Q

What are the Tanner stages?

A

Way to evaluate puberty - sexual maturity rating

21
Q

Questions for Tanner staging

A
  • Does the puberty stage match the age of the child?
  • Delayed puberty: illness, malnutrition, chromosomal disorders, etc.
  • Precocious puberty: CNS tumors, genetic syndromes
  • What ages did the parents enter puberty? “Late bloomers”
22
Q

IMP things w/ kids as minors

A
  • Until age 18: patients are considered minors and cannot consent to own medical care unless:
    – Emancipated, lawfully married, unaccompanied homeless minor
    – STI treatment
    – Pregnancy related care (except abortion)
  • Minors cannot consent to STI prevention OR treatment for substance abuse in Utah
  • Family planning services (ie contraception) are available to minors but only if services are not state funded (the U is not able to provide but other institutions such as planned parenthood can)

CMC 2 (10 decks)

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