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68 Cards in this Set
- Front
- Back
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Goal of outpatient pediatrics
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Provide a medical home for infants, children, adolescents, and young adults
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Scheduling of visits
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More visits early on
Yearly visits by age 3 |
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Characteristics of the medical home
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Accessible
Family-centered Continuous Comprehensive Coordinated Compassionate Culturally effective |
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Definition of surveillance
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Skilled observation of children
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Definition of screening
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Helps to detect particular conditions or diseases
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Goal of screening and preventative care
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Early intervention, especially with developmental issues
Lead to community resources |
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Routine screenings
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State newborn metabolic screening
Post-partum depression Vision Hearing Anemia Lead Development - autism and speech Blood pressure High risk behaviors |
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State newborn metabolic screening
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For genetic abnormalities:
PKU CAH Congenital hypothyroidism CF Fatty acid oxidation disorders Galactosemia Organic acid disorders Hemoglobinopathies |
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Post-partum depression screening
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4 months
Edinburgh postnatal depression scale |
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Vision screening
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Visual acuity - Snellen chart
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Hearing screening
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Otoacoustic emissions
Audiometry |
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Anemia screening
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12 monhts
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Lead screening
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12 months
Risk assessment |
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Autism screening
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18 months and 2 years
M-CHAT |
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High risk behavior screening
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Adolescent self-report questionnaire
Confidential interview |
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Hyperlipidemia screening
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Start at age 2 if family history of cardiac risk
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STD screening
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All sexually active patients
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Tuberculosis screening
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Travel abroad
Travel to high risk areas |
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Mental health screening
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Based on patient concerns
Depression Anxiety ADHD |
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Hepatitis B vaccine
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Birth, 1-2 months, 6-18 months
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Rotavirus vaccine
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2 months, 4 monhts
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DTaP vaccine
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2 months, 4 months, 6 months, 12 months, 4-6 years
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Pneumococcal vaccine
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2 months, 4 months, 6 months, 12-15 months
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Haemophilus influenza type B vaccine
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2 months, 4 months, 12-15 months
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MMR vaccine
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1 year, 4-6 years
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Varicella vaccine
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1 year, 4-6 years
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Hepatitis A vaccine
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1 year
2 doses separated by 6 months |
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Influenza vaccine
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Yearly starting at 6 months
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Tdap vaccine
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11-12 years
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HPV vaccine
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11-12 years
3 doses |
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Meningococcal vaccine
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11-12 years
2-10 if high risk |
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Restarting vaccine series
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Never in a normal child
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Anticipatory guidance - 3-5 days
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Nutrition:
Breastfeeding plan and support - nursing, pumping, formula supplementation Breastfeeding education and milk storage Breastfeeding resources Recommendations for mom - sleep, nutrition, postpartum depression |
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Anticipatory guidance - 2 weeks and 2 months
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Fever and illness
Elimination Nutrition Sleep Healthy habits and safety |
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Anticipatory guidance - 2 weeks and 2 months - fever and illness
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No ear thermometer
For URI: Bulb suction Nasal saline Humidifier No cold medications |
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Anticipatory guidance - 2 weeks and 2 months - elimination
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Normal stool frequency
Normally 6-10 wet diapers a day Change in stool pattern |
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Anticipatory guidance - 2 weeks and 2 months - nutrition
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Breast feed on demand
Introduce bottles by 2 months - 3-4oz every 3-4 hours Iron containing formula or iron supplementation No microwave heating No extra water No honey |
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Anticipatory guidance - 2 weeks and 2 months - sleep
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Back to sleep
Bedtime routine |
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Anticipatory guidance - 2 weeks and 2 months - healthy habits and safety
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No smoking
No shaking Rear-facing car seat Crib safety Don't leave unattended Avoid sun Water temperature |
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Anticipatory guidance - 4 and 6 months
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Nutrition
Sleep Healthy habits and safety Fluoride |
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Anticipatory guidance - 4 and 6 months - nutrition
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4-6 times a day
Introduce solids No juice or honey Can give water at 6 months |
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Anticipatory guidance - 4 and 6 months - sleep
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Sleep 8-10 hours a night
Nap 2-3 times a day Place in crib sleepy but awake Back to sleep Transition objects |
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Anticipatory guidance - 4 and 6 months - healthy habits and safety
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No smoking
No shaking Childproofing Lower crib mattress Car seats No small objects or choke hazards Avoid sunscreen and insect repellant |
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Anticipatory guidance - 9 and 12 months
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Nutrition
Behavior and development Sleep Shoes with non-skid soles Healthy habits and safety |
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Anticipatory guidance - 9 and 12 months - nutrition
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Breastfeeding and formula to 1 year, then switch to cow's milk
Use cup 3 meals and 2-3 healthy snacks a day according to appetite Transition to table food Juice limited to 4oz a day |
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Anticipatory guidance - 9 and 12 months - behavior and development
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Independence
Childproofing Language development Praise for good behavior |
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Anticipatory guidance - 9 and 12 months - sleep
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13-14 hours total
2 naps |
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Anticipatory guidance - 9 and 12 months - healthy habits and safety
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No smoking
Child-proofing Car seats Choke hazards Sunscreen Insect repellants Gun safety |
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Anticipatory guidance - 15-18 months
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Safety, illness, and injury prevention
Nutrition Tooth brushing Sleep Healthy habits |
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Anticipatory guidance - 15-18 months - safety and injury prevention
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No smoking
Recheck childproofing Poison control center Supervise closely |
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Anticipatory guidance - 15-18 months - nutrition
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Model healthy eating
Eat as a family Use a cup |
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Anticipatory guidance - 15-18 months - sleep
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1 nap
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Anticipatory guidance - 15-18 months - healthy habits
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Autonomy and independence
Language Limit TV Limited number of rules Help to express emotions |
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Anticipatory guidance - 2, 3, and 4-6 years
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Nutrition
Healthy habits Oral health Safety |
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Anticipatory guidance - 2, 3, and 4-6 years - nutrition
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Low fat or skim milk
3 meals with 2-3 healthy snacks Avoid fast food Pickiness starts here |
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Anticipatory guidance - 2, 3, and 4-6 years - healthy habits
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Fears - reassurance
Toilet train between 2 and 3 Read Limit TV Timeouts - 2 minutes per year of age Consistent consequences and rules School readiness |
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Anticipatory guidance - 2, 3, and 4-6 years - oral health
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Brush teeth
Dentist at 3-4 years old |
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Anticipatory guidance - 2, 3, and 4-6 years - safety
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Choking
Car seat to 40 lbs Booster seat to 80 lbs or 8 years Sunscreen Insect repellant Gun safety |
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Anticipatory guidance - 7-11 years
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Nutrition
Healthy habits Behavior and development Safety |
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Anticipatory guidance - 7-11 years - nutrition
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Food pyramid
Healthy foods Low fat dairy Portion control |
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Anticipatory guidance - 7-11 years - healthy habits
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Routine physical activity
Limit screen time Dentist Talk about alcohol, tobacco, and drugs |
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Anticipatory guidance - 7-11 years - behavior and development
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Consistent rules and guidelines
Logical consequences about behavior Brief and honest answers about sex |
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Anticipatory guidance - 7-11 years - safety
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Booster seat
Backseat until 12 years old Bike helmet Swimming Sunscreen Risk of leaving kid home alone |
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Anticipatory guidance - 12-21 years
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Nutrition
Healthy habits Safety Behavior and development |
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Anticipatory guidance - 12-21 years - nutrition
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Food pyramid
Eat breakfast Healthy snacks 5 fruits and vegetables 3 servings of dairy Avoid fast food |
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Anticipatory guidance - 12-21 years - healthy habits
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Exercise
Sleep 8 hours Healthy choices about drugs, alcohol, and sex Breast and testicular self-exam |
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Anticipatory guidance - 12-21 years - safety
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Seat belt
Helmet Swimming Guns Sunscreen |
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Anticipatory guidance - 12-21 years - behavior and development
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Encourage trying new things
Rules about lifestyle - sex, drugs, and alcohol Family time is important Taking responsibility for own health Suicide |
