PEDIATRICS - BRS/pretest/lange/uworld study Guide 2022/2023 what are the components of a well child visit {{Correct Ans - H-DOPIA H- history - age specific trigger questions D- age spec. ques, questionairres, school performance O- obs. of parent/child inte raction P- physical examination - focuses on growth I - immunizations A - anticipatory guidance what measures of growth are used for a child {{Correct Ans - height/weight - use standardized growth curves head circumference body mass index 1. what is fail ure to thrive 2. what growth measurement is usually not effected by failure to thrive {{Correct Ans - 1. growth rate of less than expected for a child (most commonly weight) >2 major percentile bars = MAJOR CONCERN 2. HEAD CIRCUMFERANCE what is isolated short stature {{Correct Ans - NOT FAILURE TO THRIVE ***** height is the most abnormal growth parameter expected weight gains* 1. birth - 3 months 2. 3-6 months 3. 6-12 months 4. 1-2 years 5. 2 years to adolescence {Correct Ans - 1. 30g/day ~ regain birth weight by 2 weeks 2. 20g/day ~ double brith weight by 4 -6 months 3. 10g/day 4. 250g/month 5. 2kg/year at what age should an child 1. regain birth weight 2. double birth weight 3. triple birth weight {{Correct Ans - 1. by 2 weeks 2. by 4 -6 months 3. by 12 months expected height gains* 1. 0-12 months 2. 13 -24 months 3. 2 years - adolescence {{Correct Ans - 1. 25cm/year 2. 12.5cm/year 3. 6.25 cm/year at what age should a child 1. increase birth length by 50% 2. double birth length 3. triple birth length {{Co rrect Ans - 1. 12 months 2. 4 years 3. 13 years 1. inorganic failure to thrive 2. organic failure to thrive {{Correct Ans - 1. disturbed parent/child bond - poor formula, poor feeding, abuse/neglect, maternal depression, family violence, poverty, no support systems 2. pathology, infection, chromosomal disorders, systemic illness list some head growth abnormalities {{Correct Ans - microcephaly craniosynostosis deformational plagiocephaly macrocephaly head size progression from birth to one year {{Correct Ans - 25% adult size --> 75% adult size cephalohemotoma {{Correct Ans - superiosteal hemorrhage of the cranium after traumatic delivery, DOES NOT CROSS SUTURES expected head size circumference increase** 1. 0-2 months 2. 2-6 months 3. total increase at 12 mon ths {{Correct Ans - 1. 0.5 cm/week 2. 0.25cm/week 3. 12 cm since birth 1/1000 children has microcephaly 1. congenital microcephaly 2. acquired microcephaly {{Correct Ans - 1. abnormal induction/migration of brain tissue 2. cerebral insult in third trimester /perinatal period of life clinical features of microcephaly {{Correct Ans - small brain developmental delay/intellectual impairment cerebral palsy seizures causes of microcephaly {{Correct Ans - TORCH
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