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42 Cards in this Set
- Front
- Back
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Expected Weight increase for 0-3 months |
30g/day (regain birth weight by 2 weeks) |
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Expected Weight increase 3-6 mo |
20g/day (double birth weight by 4-6 mo) |
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Expected Weight increase 6-12 mo |
10g/day (triple birth weight by 1 year) |
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expected weight increase 1-2 years |
250g/month |
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expected weight increase 2years-adolescene |
2.3kg/year |
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expected increase in HEIGHT 6-12 months |
25cm/year (birth length increase by 50% at 1 year) |
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expected increase in HEIGHT 1-2 eyars |
12.5 cm/year |
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height increase 2 years-adolescence |
-birth length DOUBLES by 4 yo -birth length TRIPLES by 13 yo |
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expected HEAD circumference growth 0-2 months |
0.5cm/week |
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expected head growth 2-6 mo |
0.25cm/week |
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expected head growth by 1 year |
must increase 12cm total since birth |
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growth rate that is LESS THAN EXPECTED for a child |
FAILURE TO THRIVE |
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what is affected first in failure to thrive? |
-weight, then length (usually head is ok) |
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most common cause FTT |
inorganic: bad parent-child bond |
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head circumference 2-3 standard deviations below the mean |
microcephaly: ALWAYS associated with a small brain |
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microcephaly may be associated with: |
CP and seizures, and usually associated with intellectual impairment |
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premature closure of one or more cranial sutures |
craniosynososis |
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metabolic abnormalities causing craniosynostosis |
HYPERthyroidism, HYPERcalcemia |
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When do cranial sutures close? |
most brain growth is complete by age 2 and definitely by age 5 |
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most common form of craniosynostosis: ELONGATED skull (dolihocephaly/scaphocephaly) |
sagittal suture closes prematurely |
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congenital causes of microcephaly |
-TORCH -FAS -trisomy 13, 18, 21 -familial -maternal PKU |
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SHORTENED skull (brachycephaly) |
premature closure of CORONAL suture |
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brachycephaly is more common in Boys and is associated with: |
Neurologic complications: optic nerve atrophy |
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Confirming diagnosis of craniosynositis |
skull xray and CT |
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Plagiocephaly |
positional asymmetry of the infant head |
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plagiocephaly may be associated with: |
congenital muscular torticollis |
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head circumference >95% for age |
MACROcephaly (doesn't necessarily reflect brain size) |
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who should NEVER get a live vaccine (varicella, MMR, OPV-polio) |
immunocompromised kids |
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Non-live vaccines ("repeat" vaccines) are NOT infectious: induce immunity for shorter amounts of time so need boosters |
DTap, Hep, IPV-polio, HIB, influenza, Pneumoccocal, meningococcal |
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newborns born to Hep B mothers receive what at birth? |
Hep B IG |
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when is cholesterol/lipid screening indicated in kids? |
for kids >2 with a family history of hypercholesterolemia, hyperlipidemia, or eary M.I. (<55 yrs) |
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children with elevated cholesterol levels should have: |
Fasting lipid panel: total cholesterol, TRIG, HDL, LDL |
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risk factors for iron deficiency anemia: |
-cow's milk BEFORE 9 mo -prematurity -low birth weight |
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when do we screeen for Hemoglobin levels? |
9-15months and 4-6 years |
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when to screen for TB in a kid? |
only if falls under "at risk" |
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features of Pb intoxication |
-usually <6yo -anorexia, apathy/lethargy, ANEMIA, irritability, vomiting-------->ENCEPHALOPATHY |
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why are we worried about chronic Pb intoxication? |
could lead to MR |
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since Pb is usually asymptomatic, screening is recommendd for: |
-all kids 9mo-6 years in old house, or play with someone who lives there, or if house is good but under renovation
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treatment for paraphimosis (can't return retracted foreskin) |
surgery! |
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inflammation of glans of penis d/t candida or Gram negative |
balanitis |
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when do kids first start getting teeth? |
3-16 mo (average 6 months old) |
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cavities |
usually from breastfeeding a lot or carrying around a bottle as a habit |
