Clinical manifestation of physiological jaundice
*Usually within first 2-4 days of life
*Not lasting longer than first 2 weeks of onset
*Due to fast breakdown of RSCs
*Liver immature and poor dietary intake.
Clinical manifestation of breast fed jaundice
*Usually within first few weeks to month of life
*Secondary to poor intake
What to assess for Determining hydration status
*skin turgor
*mucous membranes
*peripheral pulses
*tears
*capillary filling
Clinical s/s of dehydration
*sunken ant fontanel
*tachycardia
*decreased urinary output
*decreased B/P
What is the most common cause of acute stomach pain
gastroenteritis
What is the most common complication in children with
gastroenteritis?
dehydration
What is the initial treatment in Osgood Schlatter disease
stretching
Recommended treatment for a Sprained ankel
Ice, Elevation, NSAIDa (ice 20 mins off 30-45 mins for first 24-48
hrs)
, What type of X-ray is best for diagnosing Legg-Calve-
Perth?
Frog leg
How to perform Rovsing sign?
apply pressure to left lower abdomen
What is considered a positive sign with Rovsing exam
pain in right side when pressure is released from left side
What assessment would indicate an injury to the ACL or
PCL?
a positive Ant/Post drawer sign
Ideal glucose level for 4 yr old?
90-130
What should be the initial evaluation of suspected growth
hormone deficiency?
*Thyroid function
*screen for hypoglycemia
*possible GI illnesses
Initial evaluation in cases of isolated menarche?
Sexual abuse should be ruled out first
essentials for child's mental health?
*predictable home, childcare, school routine
What is the most common type of seizure in a child?
Febrile seizure
Unilateral, pulsating headache with occasional
photophobia
migraine
microcytic hypochromic anemia
iron deficiency anemia