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7 Cards in this Set
- Front
- Back
At what age does the amount of time an infant cries typically peak? |
Around 6 weeks |
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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 |
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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. |
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What are the features of colic on physical exam? |
By definition colic presents with normal growth and physical examination |
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What are the potential negative sequelae? |
Physical abuse Post-partum depression Early cessation of breast feeding |
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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 |
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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) |