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31 Cards in this Set

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1-2 mo

May lift head when against shoulder. Head lag. Palmer grasp. Smiles 6-8wk

3 mo

Hand to mouth, lift head when prone, holds objects placed in hands, babbles & coos

4-5 mo

Can berate through mouth, drooling, plays with feet, bears wt when held, turns from belly to back, begins reaching and grasping, but and miss object

6-7 mo

Birth wt doubles, sits leaning on hands, lifts head when supine, turns from back to belly, transfers objects between hands, picks up objects with whole hand, vowel sounds, laughter, object permanence, stranger danger at peak

8-9 mo

Sits unsupported, crawls, pincer grasp, rakes at objects, peak stranger danger, first few words with meaning, simple concepts

10-12 mo

Birth wt triples, stand alone, walks with hand held, feed self with fingers, spoon. Couple of words, knows own name

Teeth

6-10 for lower central incisors,


8-12 for upper central incisors

Seperarion anxiety

7-9, toddler

Newborn

0-28 days


Infant

1mo - 1yr


Sensorimotor. Cooing, babbling, 1-2 words. Interactions largely reflexive.

Toddler

1-3yr


Sensorimotor. 2 word combos, turn taking, no, use gestures, needs routine, beginning of independence

Prek

3-5yo


Use words they don't understand, so not understand many words used, full sentences, imitate activities, make choices, needs limits, tries independence, magical thinking, egocentrism

School age

6-11


Describe concepts, thoughts, feelings, interested in learning,

Adolescent

12+


Create theories, communicate like adults, imaginary audience, need independence, likes competition, question authority, needs privacy

Rosving sign

Luq palpatiom = ruq pain


Associated with appendicitis

Psoas sign

Pain with right leg extension


Assosicsted with appendicitis

Obturator sign

Pain with flexion/internal rotation of the hip


Associated with appendicitis

Hypertrophic pyloric stenosis

Common within first 2 months.


Projectile vomiting after feeding - no bile.


Hard olive shaped mass in ruq. May see peristalsis.

Intussusception

Invagination of bowels, causing an obstruction. 5mo-3yr


Currant jelly stools sausage shaped abdominal mass

Hirschsprung

No ganglion in part of intestines.


No meconium within 24 hours. Foul ribbon like stools. Confirmed with biopsy

Ger

Incompitence of les


Hiccups, recurrent vomiting/otitis media, spit up, back arching.


Feed upright, smaller more frequent feedings, may thicken formula.

Pharyngitis

With nasal symptoms = viral. Self limiting.


W/o nasal = possibly bacterial. Group a strep


Peritonsilar/retropharyngeal abscesses.

Epiglotitis

Life threatening illness. Decrease in freq with hib


Tripod, dysphonia, drooling, sudden high fever without cough.


Keep calm, give 02, nothing in mouth, don't leave unattended

Mono

Viral - ebv.


Posterior lymph node, maculopapular rash splenomegaly - no contact sports.

Tonsillitis

Avoid coughing, blowing nose. Use straws. Avoid red/brown drinks & citrus and other irritants.


Early bleed = continuous swallowing of blood.


Late bleed = bright red emesis

otitis media

Viral or bacterial. Uri, ear pain/pulling. Effusion = fluid behind membrane. May perforate resulting in drainage. May result in chronic om, hearing loss, speech difficulties.


<6= treat (tubes, ibuprofen, apap, ear drops) >6= watchful waiting.

Tetralogy of fallot

4 defects result in poorly oxygenated blood. Become cyanotic upon exertion, tet spells, squatting and knees to chest.

VSD

Increased pressure in the LV results in a left to right shunt. Leads to heart failure. Holosystolic harsh murmur

Patent ductus arteriosis

PDA. La > lv > aorta > pa


Harsh continuous machine like murmur at left 1/2 ics

Coarctation of the aorta

Narrowing of aorta.


Increased bp in upper extremities, decreased in lower. Soft-med loud murmur hears in the base.

Transposition of the great vessels

No murmur, but has cyanosis even with o2 admin