GEN PEDS
You see a 3 week old infant who is dual feeding, parents report giving ~20 oz formula/day.
What do you want to prescribe and why?
What is Vitamin D 400 IU daily
-All breastfed infants should receive it; formula fed infants need to drink 32 ounces milk/day to have enough vitamin D
Rolls supine to prone
What is 6 months of age?
50% of speech is intelligible
What is 2 years of age?
Pulls to stand, begins creeping and crawling
What is 9 months of age?
Vaccines given at 2 months of age
What is Hib, PCV, Dtap, Polio, Hep B and Rotavirus
I just had my routine 12 month WCC, my pediatrician ordered these routine screening lab tests
What is CBC and lead?
I go to school and am able to copy a square, hop on one foot, draw a person with four to six body parts, plays well in a group, follows 3 step commands.
What is 4 years old?
Says mama/dada specific
What is 9 months of age?
Fine pincer grasp, points for desired object
What is 12 months of age?
Vaccines given at 12 months of age
What is MMR, Varicella, PCV, Hep A, Dtap, Hib
I am 2.5 years old and I drink 40 ounces of cow’s milk a day. What should I be screened for?
What is iron deficiency anemia?
Rooting, sucking, moro, palmar reflexes disappear
What is 3-4 months?
I can walk well and dance, point to my eyes, use a spoon and cup. When someone speaks to me, I respond with…
What is jargoning or 3-5 words (15 months of age)?
Ages you can draw different shapes:
Diamond, square, circle, triangle, X
3 yo: circle, X
4 yo: square
5 yo: triangle
6 yo: diamond
You are seeing a 3 year old for her WCC. She is due to get her flu vaccine. She had a minor rash to eggs in the past. She has a history of asthma. You discuss 1. If you are able to administer the flu vaccine in clinic
2. If able, which flu vaccine formulation is not indicated
1.Can give the vaccine due to minor allergic reaction to egg, if severe reaction should be given under observed circumstance
2.Do not give live flumist (intranasal) to patient with asthma due to possible bronchopspasm
I can walk down the stairs holding the railing, take off my clothes, follow two step commands, say 10-15 words and throw a ball overhead. My pediatrician sends me for what diagnostic testing?
Hearing evaluation/testing
I am 2 years old
Walks well, turns pages in a book, says 3-5 words
What is 15 months of age?
Laughing out loud and vocalizes when alone
What is 4 months of age?
At this age, it would be a red flag if the infant was not smiling or still had head lag
What is 4 months of age?
A 4 year old patient comes for their routine well visit. The mother would like to know what contraindications to giving the vaccines today are?
MMRV, Dtap, Polio
Previous anaphylaxis
Live vaccines:
Immunocompromised individual
Previous live vaccine in last 28 days
Pregnancy
IVIG (antibody containing product in last 6-11 mo)
Varicella: neomycin or gelatin allergy
The birth weight doubles by ___ months of age
What is 4-6 months of age?
Triples by 1 year of age
Length doubles by 4 years of age
I am 5 years old, my teacher expects me to do these things…
Skip (skipping into school)
Walk backwards heel to toe
Copy a triangle
Cut with scissors
Write my name
Independent dressing
Draws 8-10 part person
Counts to 10, read 25 words
Has a group of friends
Rhyming
Uses 2000 words, responds to why questions
Retells story with clear beginning, middle, end
At this age, it would be a red flag if the patient was not babbling with consonants
What is 9 months?
*Should be 6 month milestone
At 3 years of age, my motor skills should be…
Balance on one foot for 3 seconds
Goes up stairs, alternating feed, no rail
Pedals TRIcycle
Walk heel to toe
Copy circle
Cuts with scissors (side to side)
Catch ball with stiff arms
You see a 12 mo in clinic today who needs to get his MMR and varicella vaccine. They only want one vaccine today; they would like to either separate his two doses or administer MMRV.
1.If separating vaccines, they will need to return after how many weeks/days?
Can he receive MMRV?
What is 28 days/4 weeks?
(Same for placing PPD)
MMRV associated with increased risk of febrile seizures when given at 1 yo