Shared Flashcard Set

Details

CMS III - PEDS Test #1 - Growth/Development/Congenital Syndr
Winter Semester 2011
76
Medical
Graduate
04/03/2011

Additional Medical Flashcards

 


 

Cards

Term
performed placing the child’s head and neck off of a flat surface with his arms folded at the chest. The examiner suddenly lets go of the head, neck and hands. The patient brings his arms back toward his chest with the hands in a “C”shape
Definition
Moro
Term
occurs when the infants body is turned to the side, he assumes the “fencer’s” position.
Definition
Tonic neck reflex
Term
occurs when pressure is applied to the the palm or plantar aspect of the child hand or foot.
Definition
Hand Grasp Reflex
Term
occurs when the child’s foot feels a hard surface
Definition
Step reflex
Term
occurs when the pt is place in ventral suspension position and one side of the trunk is stimulated. The child’s trunk and hips swing toward the side of the stimulus.
Definition
Galant reflex (trunk incurvation)
Term
child has a strong sucking sensation
Definition
Suck reflex
Term
the opens his mouth once it is stimulated on the corner of the mouth or cheek
Definition
Rooting reflex
Term
extension of the head, then trunk, then legs when held prone seen btw 2-3 mo
Definition
Landau response
Term
The stroking of the lateral aspect of the infant’s foot causes the extension of the big toe and fanning out of the little toes. This response is normal until 12 months, due to the incomplete myelination of the corticospinal tracts.
Definition
Plantar reflex or Babinski sign
Term
child is turned to one side,extensor mm tone increases on that side and in the flexor mm tone on the opposite side “fencer position”
Definition
Asymmetric Tonic Neck Reflex (ATNR)
Term
child adducts legs across midline
Definition
Crossed Adduction
Term
child keeping head vertical despite a tilt of the body
Definition
Head Righting
Term
as child is pushed laterally by the examiner, he flexes his trunk toward the the force to regain center of gravity.
Definition
Protective Equilibrium
Term
examiner allows the child to free fall in ventral suspension, the child’s extremities extend symmetrically to distribute his weight over a broader and more stable base on landing.
Definition
Parachute
Term
When does anterior propping, lateral propping, and posterior propping reflex occur?
Definition
Ant = 4 to 5 mo
Lat = 6 to 7mo
Pos = 8 to 10
Term
When does the parachute reflex develop?
Definition
5 to 6 mo
Term
focuses on face and tracks vertically and horizontally, turns toward light
Definition
Term
Term
Blinks at approaching objects, tracks 60 deg horizontally, 30 degrees vertically
Definition
1 mo
Term
Tracks across midline, follows mvmt
Definition
2 mo
Term
Eyes and head track 180 degrees, looks at hands
Definition
3 mo
Term
reaches for object, smiles at familiar adult
Definition
4 to 5 mo
Term
Smiles in mirror
Definition
5 to 6 mo
Term
Rakes at raisin
Definition
7 to 8 mo
Term
Notes visual details, pokes at holes in pegboard
Definition
8 to 9 mo
Term
Neat pincer grasp
Definition
9 months
Term
Stacks blocks, places peg in round hole
Definition
12-14months
Term
gold standard for diagnosis of sleep d/o
Definition
polysomnography (sleep study)
Term
BMI <17.5
Loses >25% of ideal body weight
Cessation in Mestruation
Definition
Anorexia Nervosa
Term
Self induced-vomiting, Overexercising, Dieting/Fasting, Laxative and Diuretic usage, Erosion of tooth enamel, low K
Definition
Bulemia
Term
Decreased school performance
Change in peers
Delinquent Behavior
Deterioration of family relationships
Definition
Alcohol/ Drug Abuse
Term
What is the gateway drug?
Definition
Alcohol
Term
Inflated self-esteem, delusions of grandeur
Talks constantly and rapidly, easily distracted
Depression (anorexia, overeating,oversleeping)
Definition
Bipolar
Term
What is Periodic Breathing?
Definition
3+ respiratory pauses lasting > 3 seconds with < 20 seconds of breathing between pauses ( normal in neonate !)
Term
Respiratory pause =
Definition
=/> 20 seconds or <20 seconds + cyanosis/ pallor/ hypotonia/ bradycardia < 60 bpm
Term
Which type of apnea No chest wall motion; no nasal airflow, a nervous system problem?
Definition
Central Apnea
Term
Which type of apnea is Chest wall motion present; no nasal airflow
Definition
Obstructive apnea
Term
Syndrome caused in premature infants by developmental insufficiency of surfactant production and structural immaturity of the lungs
Definition
RDS
Term
Leading cause of death in preterm infants
Definition
RDS
Term
What is the triad of RDS?
Definition
Grunting, Flaring, and Retractons
Term
What is the MC cause of RDS in term infants?
Definition
Transient Tachypnea of the Newborn (TTN)
Term
What is the MCC of congenital Pneumonia?
Definition
GB Strep is most common cause
E. Coli is most common among LBW
Term
What are the common causes of spontaneous pneumothorax?
Definition
Due to pressure from mechanical ventilators or from meconium aspiration
Term
Infant is on mechanical ventilator and you notice, Respiratory distress, Decreased breath sounds
and Change in location of heart and lungs due to air, what is your dx?
Definition
Spontaneous Pnuemothorax
Term
What condition Occurs following ventilation after RDS?
Definition
Bronchopulmonary Dysplasia
Term
How is congenital diaphragmatic hernia dx?
Definition
Dx on prenatal U/S
Term
Which type of hernia is MC?
Definition
Bochdalek hernia
Term
Present with respiratory distress and cyanosis in first minutes of life, what do you suspect?
Definition
Congenital Diaphragmatic Hernia
Term
Pt presents with Excessive salivary secretions, choking, coughing, cyanosis at feeding, respiratory distress, gastric distention (distal TEF), what condition do you suspect?
Definition
Tracheoesophageal Fistula
Term
Inadequate cartilaginous framework of trachea (focal or diffuse)
Diminished airway patency
Dynamic collapse of trachea with expiration=> airway obstruction
Definition
Tracheomalacia Pathogenesis
Term
Musty/mousy odor (urine/sweat), Complications: Mental retardation/ Growth retardation
Definition
PKU
Term
Phenylalanine hydroxylase deficiency
Definition
PKU
Term
Pernicious vomiting
Seizures (25%)
Blue eyes; fair skin
Seborrhea/Eczema
Movement disorder
Hyperactivity
Aggressive behavior
Hyperreflexia

Abnormal EEG
Microcephaly
Prominent maxilla
Wide-spaced teeth
Enamel hypoplasia
Growth retardation
Mental retardation
Definition
PKU
Term
Fatty infiltration of liver + micronodular cirrhosis,
Definition
Galactosemia
Term
Adrenal enzyme def.: 21- hydroxylase deficiency (90%)
Definition
Congenital Adrenal Hyperplasia
Term
Ambiguous genitalia
Poor feeding
Diarrhea
Salt-craving
Short stature
Definition
Congenital Adrenal Hyperplasia
Term
Pyruvate dehydrogenase deficiency
Definition
Lactic acidemias
Term
Heme biosynthetic defects
Definition
Porphyria
Term
Developmental delay
Lethargy
Coma
Persistent diarrhea

Seizures
Recurrent vomiting
Hepatomegaly
Definition
Congenital Metabolic d/o
Term
G-6-PDase deficiency
Definition
Von Gierke Disease
Term
Lysosomal acid maltase def.
Definition
Pompe Disease
Term
What is the MC type of Glycogen storage d/o?
Definition
McArdle Disease
Term
Beta-glucosidase def,
Definition
Gaucher’s Disease
Term
Beta-N-acetyl-hexosamine def
Definition
Tay Sach’s Disease
Term
deposits in CNS lysosomes; hypotonia, hyperacusia, MR, Cherry spot on retina, death by 3 y.o.
Definition
Tay-sachs
Term
Alpha-galactosidase def.
Definition
Fabry’s Disease
Term
Sphingomyelinase def
Definition
Niemann-Pick Disease
Term
alpha-iduronidase def.
Definition
Hurler’s Syndrome
Term
Coarse facies; hepatosplenomegaly; corneal clouding; skeletal changes; heart disease
Definition
Hurler’s Syndrome
Term
Sulfoiduronate sulfatase def.;
Definition
Hunter’s Syndrome
Term
Coarse facies; heart disease; hepatosplenomegaly; no corneal clouding.
Definition
Hunter’s Syndrome
Term
HGPRT def.; purine metabolic disorder; MR; CP; self-mutilation(biting); hyperuricemia; hematuria; renal calculi; arthritis
Definition
Lesch-Nyhan Syndrome
Term
Methionine metabolic disorder; cystathionine synthetase def.; MR; tall, arachnodactyly; pectus; downward dislocation of optic lens; reddish hair; MVP; joint contractions
Definition
Homocystinuria
Term
What screening is used to establish the risk of extreme hyperbilirubinemia in most hospitals?
Definition
Bhutani nomogram
Term
What is the physiologic jaundice criteria?
Definition
Clinical jaundice after 24 hrs
Total Bilirubin rise < 5 mg/dL/day
Total Bilirubin: < 12 mg% (Term) <15 mg% (Pre-term)
Term
What is the MC symptom of sepsis in infants and children? Is this symptom reliable in neonates?
Definition
Fever; not reliable indicator in neonates
Term
Treatment for N. Meningiditis?
Definition
Rifampin or Ceftriaxone
Supporting users have an ad free experience!