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22 Cards in this Set

  • Front
  • Back

Definition of short stature

past age 2 years, height is below 2.3%

goal of evaluating for short stature

differentiate between benign and pathological etiologies

differential for short stature (5)


  1. familial short stature
  2. constitutional growth delay
  3. turner syndrome
  4. IBS or systemic disease
  5. growth hormone deficiency

calculation of child's height by parents' heights

average parents' heights


for boys add 2.5 inches, for girls subtract 2.5 inches




rough approximate

dx of familial short stature

if bone age = child's age


one or both parents are short




genetic, will be a short adult

dx of constitutional growth delay

bone age < child age


usually delayed puberty and longer period of growth


end result is normal adult height

temper tantrums are a typical behavior in this age group

2-4 years old

four goals of misbehavior

attention


power


revenge


display of inadequacy

4 potential underlying problems to temper tantrums

hearing or vision problems


chronic illness


language delay


learning disability

long term aggressive behavior can accurately be identified in children as young as

3/4 years old

antisocial behavior can continue into adulthood if intervention has not stopped by

3rd grade

if a child of age 9-10 is still chronically aggressive,

odds of successful intervention are low

____% of children >6 months have night waking

25-50%

screening tool for evaluation of sleep habits

BEARS


B: Bedtime issues


E: Excessive daytime sleepiness


A: Night Awakenings


R: Regularity and duration of sleep


S: Snoring

night terrors/nightmares




which occurs in the second half of the night and which occurs in the first half

sleep terrors first half


nightmares second half

vision at birth

20/400

by this age, infant can follow an object

3 months

by this age, infants have developed stereopsis and binocular vision

6 months

by this age, vision reaches 20/20

3-5 years

the most common disorder at birth

significant hearing loss

categories of IQ deficit

Mild 50-69


moderate 35-49


severe 20-34


profound <20

4 types of parenting

authoritative *


authoritarian


permissive/indulgent


neglectful