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Pediatric Physcial Examination
Head and Neck, Chapter 9 pp103-112
29
Nursing
Graduate
05/07/2012

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Cards

Term
Anterior Fontanel
Definition

2cm-5cm in term infant

 

Closed by 12-18 months

Term
Posterior fontanel
Definition

0.5-1cm

closes by 6w-2months

Term
Term Infant Head Control
Definition

Hold head midline by 2 months

Achieve head control by 4 months

Head lag normal 3-4 months

Head lag after 6 months=delay

Term
craniosynostosis
Definition
premature closure of sutures causing asymmetrical growth
Term
Metopic ridge
Definition
visible or palpable ridge at teh crown of the head
Term
metopic suture
Definition
wide margin along the frontal or sagittal suture
Term
Macewen sign
Definition
Infants and young children with increased intracrainal pressure will have a resonant or cracked pot sound when tapping or percussing ont he scalp with the forefinger
Term
Crainotabes
Definition

abnormal softness of the cranium noted o palpationof the skull in the term infant, normal in the first 6 months

can be associated with hydrocephalus or rickets

Term
posterior plagiocephaly
Definition
flattening of the occiput from sleep postition (on the back)
Term
Persistant head tilt may indicate:
Definition
hypotonia, congential torticollis, muscular or gastrointestinal abnormalities, or vision and hearing deficits
Term
meningismus or meningitis
Definition
inflammation of the brain and spinal cord, can manifest in the neck. Fexion of the head foward or ventrally with the infant or young child lying on a flat surface causes pain irritability, and resistance to movment and range of motion. Often flexion of the lower extremities will occur spontaneously with flexion of the head foward.
Term
Positive Kernig or Brudziski sign
Definition
meningeal irritation when the examiner notes pain and resistance to extension of the knees whent he infant or young child is lying knees flexed in the supine position
Term
Opisthotonos
Definition
hyperextension of the neck/spine= severe meningeal irritation
Term
Thyroid disease in young infants/children
Definition
presents with systemic symptoms:hyptonia, lethargy, distended abdomen, and enlarged tongue
Term
Bell Palsy
Definition
Acute unilateral paralysis fo cranial facial never VII r/t postinfectious viral neuritis
Term
Congential hypothyroidisim
Definition
Thyrod dysgensis characterized by prolonged gestation, large for gestational age, delayed first stool and constipation, poor feeding: infant may have dysmorphic facial features, enlarged tongue, sparse hair/eyebrows with low-set hairline
Term
Congenital syphilis
Definition
bacterial infection transmitted placentally characterized by frontal bossing, depressed nasal bridge, chronic rhinitis, facial lesions circumorally.
Term
congenital torticollis
Definition
contracture of sternocleidomastoid muscle casing tilting of head to one side; occurs secondary to birth trauma, cervical spine or spinal cord congenital deformities
Term
craniostenosis
Definition
narowness of skull caused by premature closure of sutures
Term
craniosynostosis
Definition
premature closure of the cranial sutures
Term
down syndrome
Definition
microcephaly or small rounded head, thick epicanthal folds, almond shaped eyes or oblique palpebral fissures; flattened nasal bridge, large protuberant tongue; ears are low-set, small and protuberant
Term
facies of fetal alcohol syndrome
Definition
microcephaly, short palperbal fissures, wide and flattened philtrum/thin lips; dev delay
Term
Hydrocephalus
Definition
ventricle enlargement in dura caused by increased production and blockage of or impaired absorption of csf; increased head circumference
Term
hypothyroidism
Definition
acquired thyroid condition usually cuased by lymphocytic thyroiditis
Term

micrognathia

 

Definition
underdeveloped mandible
Term
plagiocephaly
Definition
asymmetrical head shape or flattening from persistent positioning of infant on one side during the first 6 month of life
Term
potter syndrome
Definition
renal agenesis characterized by low set ears, broad nose, underdeveloped chin line, blank appearance
Term
torticollis
Definition
contraction of sternocleidomastoid muscle causing tilting of head toward involved side; can be sequla of upper respritory infection
Term
Turner syndrome
Definition
genetic disorder, a female phenotype; characterized by a shorte stature, webbed neck, pectus excavatum, primary amenorrhea, no development of secondary sexual characteristics
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