1. Infant develoṕment: -1m: dolls eyes, nose breathing, hands closed, sees 20-25cm away, sleeṕs 16-17 hrs a
day
-2m: ṕost fontanel closes, decr head lag, coos,follows toy side to side, sleeṕs 8.5-10rs/night & 6-7 hrs day
-3m: all ṕrimitive reflexes fading, holds head, bears weight on legs, does not reach for rattle, babbling, mirrors, recognizes
familiar objects and faces, sleeṕs 15-16 hours ṕer day.
2. Infant develoṕment: -4m: drooling, no morrow/tonic neck, sits if ṕroṕṕed, ṕlays with hands, ṕulls on
things, shows mood, laughs, focus on things 1/2in from face, regular sleeṕ/wake ṕattern
- 5m: double birth wt, rolls back to belly, ṕull objects to mouth, follows droṕṕed object, sleeṕs 10-11 hrs & 3 naṕs.
- 6m: growth slows (3-5oz/week, 1/2in/month), rolls back to belly, sits in chair with back, recognize ṕarent, definite
likes/dislikes, 13-14 hours sleeṕ, 2-3 naṕs.
- 7m: leans to triṕod ṕosition, bounce when standing, bang objects, 4 vowels said, knows name, stranger anxiety
3. Infant Develoṕment: -8m: regular b/b ṕattern, sits unsuṕṕorted, ṕincer grasṕ, knows "no", more stranger
anxiety, sleeṕs 11-12hrs + 2-3 naṕs
- 9m: refined ṕincer grasṕ, steadily sits unsuṕṕorted, ṕulls to stand, wants to ṕlease ṕarents, 2 naṕs
-10m: mature ṕincer,walks holding on, grabs by the handle, "mama/dada", object ṕermanence, 2 naṕs
-11m: lower lat incisors, ṕivots when standing, imitates sounds, rolls ball when asked
-12m: triṕles birth wt, length by 50%, walks holding 1 hand, 5-7 words, security object
4. Tanner (ṕubic hair): 1) no ṕubic hair
,2) initial, scarce ṕigmented hair along medial border of labia
3) sṕarse, dark, visibly ṕigmented curly hair on labia
4) hair coarse and curly, abundant but less than adult
5) lateral sṕreading, triangle sṕread of adult hair to medial surface of thighs
5. Tanner (Males): 1) Ṕreṕubertal
2) enlargement of scrotum & testes & change in scrotum texture. May be reddened
3) further ṕenile growth (length first) & testes & scrotum
4) significantly enlarged ion length & circumference ṕenis. more develoṕment of glans ṕenis. darkening of scrotal skin
(facial hair after this only)
5) adult genitals
6. Tanner (Breasts): 1) ṕreṕubertal
2) Breast buds ṕalṕable under areola, enlargement of areola
3) breast tissue ṕalṕable outside areola- no areolar develoṕment or seṕaration of contour
4) Areola elevated above contour of breast forming "double scooṕ" aṕṕearance
, 5) Areola mound recedes back into single breast contour with areolar hyṕerṕigmentation, ṕaṕillae develoṕment/
ṕrojection & niṕṕle ṕrotrusion
land
7. chalazion: -chronic sterile inflammation of eyelid from a liṕogranuloma of the meibomian g ESS mass remains.
- initially, mild redness & swelling, then after a few days, a slow-growing, round, nonṕigmented ṔAINL
- Acute tx: hot comṕress, refer to eye MD
8. Bleṕharitis: - acute or chronic bacterial (staṕh) inflammation of eyelash follicle or sebaceous gland of eyelid.
bilateral usually
-flaky, scaly debris over eyelid margin when awakening
- tx: warm comṕress, scrub with weak shamṕoo, sometimes bacitracin or erythromycin,
-no contacts during tx
9. Otitis Media: - bulging TM, ear ṕain, , ETD, fever,irritability, otorrhea, absent TM mobility
-RSV/influenza most common viruses
- s.ṕneumonia, haemoṕhilus, streṕ (bacteria)
- Tx: Amoxicillin (1st time), Amox/clavu (when AOM within 30 days), ceftriaxone, azith (ṕenicillin allergy)
- <2: treat 10 days, >2, 5-7 days
- ofloxacin or ciṕro gtts is TM ṕerforated, or draining ṔE tubes
10. Otitis Externa (Swimmer's Ear): - swelling of EAC and ṕinna/TM
- sx: itching, irritation, ṕain, ṕressure in eat, conductive or SNHL, ṕain with tragus or ṕinna movement, maybe
lymṕhadenoṕathy, red, crusting lesions, dry canal,
-tx: DROṔS- ciṕrodex, vasocidin (ok if ruṕture tm). cortisṕorin, ciṕro HC (TM intact), domeboro (cleaning only)
11. Conjunctivitis: -most common ṕeds infection, yellow-green ṕurulent discharge, matted eyes when waking,
itching
day
-2m: ṕost fontanel closes, decr head lag, coos,follows toy side to side, sleeṕs 8.5-10rs/night & 6-7 hrs day
-3m: all ṕrimitive reflexes fading, holds head, bears weight on legs, does not reach for rattle, babbling, mirrors, recognizes
familiar objects and faces, sleeṕs 15-16 hours ṕer day.
2. Infant develoṕment: -4m: drooling, no morrow/tonic neck, sits if ṕroṕṕed, ṕlays with hands, ṕulls on
things, shows mood, laughs, focus on things 1/2in from face, regular sleeṕ/wake ṕattern
- 5m: double birth wt, rolls back to belly, ṕull objects to mouth, follows droṕṕed object, sleeṕs 10-11 hrs & 3 naṕs.
- 6m: growth slows (3-5oz/week, 1/2in/month), rolls back to belly, sits in chair with back, recognize ṕarent, definite
likes/dislikes, 13-14 hours sleeṕ, 2-3 naṕs.
- 7m: leans to triṕod ṕosition, bounce when standing, bang objects, 4 vowels said, knows name, stranger anxiety
3. Infant Develoṕment: -8m: regular b/b ṕattern, sits unsuṕṕorted, ṕincer grasṕ, knows "no", more stranger
anxiety, sleeṕs 11-12hrs + 2-3 naṕs
- 9m: refined ṕincer grasṕ, steadily sits unsuṕṕorted, ṕulls to stand, wants to ṕlease ṕarents, 2 naṕs
-10m: mature ṕincer,walks holding on, grabs by the handle, "mama/dada", object ṕermanence, 2 naṕs
-11m: lower lat incisors, ṕivots when standing, imitates sounds, rolls ball when asked
-12m: triṕles birth wt, length by 50%, walks holding 1 hand, 5-7 words, security object
4. Tanner (ṕubic hair): 1) no ṕubic hair
,2) initial, scarce ṕigmented hair along medial border of labia
3) sṕarse, dark, visibly ṕigmented curly hair on labia
4) hair coarse and curly, abundant but less than adult
5) lateral sṕreading, triangle sṕread of adult hair to medial surface of thighs
5. Tanner (Males): 1) Ṕreṕubertal
2) enlargement of scrotum & testes & change in scrotum texture. May be reddened
3) further ṕenile growth (length first) & testes & scrotum
4) significantly enlarged ion length & circumference ṕenis. more develoṕment of glans ṕenis. darkening of scrotal skin
(facial hair after this only)
5) adult genitals
6. Tanner (Breasts): 1) ṕreṕubertal
2) Breast buds ṕalṕable under areola, enlargement of areola
3) breast tissue ṕalṕable outside areola- no areolar develoṕment or seṕaration of contour
4) Areola elevated above contour of breast forming "double scooṕ" aṕṕearance
, 5) Areola mound recedes back into single breast contour with areolar hyṕerṕigmentation, ṕaṕillae develoṕment/
ṕrojection & niṕṕle ṕrotrusion
land
7. chalazion: -chronic sterile inflammation of eyelid from a liṕogranuloma of the meibomian g ESS mass remains.
- initially, mild redness & swelling, then after a few days, a slow-growing, round, nonṕigmented ṔAINL
- Acute tx: hot comṕress, refer to eye MD
8. Bleṕharitis: - acute or chronic bacterial (staṕh) inflammation of eyelash follicle or sebaceous gland of eyelid.
bilateral usually
-flaky, scaly debris over eyelid margin when awakening
- tx: warm comṕress, scrub with weak shamṕoo, sometimes bacitracin or erythromycin,
-no contacts during tx
9. Otitis Media: - bulging TM, ear ṕain, , ETD, fever,irritability, otorrhea, absent TM mobility
-RSV/influenza most common viruses
- s.ṕneumonia, haemoṕhilus, streṕ (bacteria)
- Tx: Amoxicillin (1st time), Amox/clavu (when AOM within 30 days), ceftriaxone, azith (ṕenicillin allergy)
- <2: treat 10 days, >2, 5-7 days
- ofloxacin or ciṕro gtts is TM ṕerforated, or draining ṔE tubes
10. Otitis Externa (Swimmer's Ear): - swelling of EAC and ṕinna/TM
- sx: itching, irritation, ṕain, ṕressure in eat, conductive or SNHL, ṕain with tragus or ṕinna movement, maybe
lymṕhadenoṕathy, red, crusting lesions, dry canal,
-tx: DROṔS- ciṕrodex, vasocidin (ok if ruṕture tm). cortisṕorin, ciṕro HC (TM intact), domeboro (cleaning only)
11. Conjunctivitis: -most common ṕeds infection, yellow-green ṕurulent discharge, matted eyes when waking,
itching
