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7 Cards in this Set

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At what age does the amount of time an infant cries typically peak?

Around 6 weeks

What is the definition of colic?

There is no firm, agreed-upon definition.




Commonly-used working definition:




"The 3 threes of colic"




Crying in an otherwise healthy baby for no apparent reason for >3 h/day, >3 days/week, in an infant < 3 months old

Describe the features of a focused history for colic.

CURRENT SITUATION:




HPI and COMPLETE REVIEW OF SYSTEMS




PROFILE:




Family history




Birth history




Development history




Feeding history




Colic increases the risk of physical abuse. YOU MUST INQUIRE about shaken baby syndrome.

What are the features of colic on physical exam?

By definition colic presents with normal growth and physical examination

What are the potential negative sequelae?

Physical abuse




Post-partum depression




Early cessation of breast feeding

What is the natural history of colic?

Colic symptoms resolve spontaneously in 60 percent of infants by three months of age and in 80 to 90 percent of infants by four months of age

What is the "5s system" for the treatment of colic?

1) Sucking




2) Shushing (white noise apparently like the whooshing of blood heard in utero)




3) Swinging/swaying




4) Side/stomach position




5) Swaddling (tight)




5)