Broken-hearted
Pt with CHD have higher risk of cardiovascular disease compaired to general population. True or false?
True. Also has increased risk for obesity, HTN and DM.
Most common vitamin deficiency in children
Vitamin D deficiency
Best indicator that patient is at risk for future cavities
previous cavities
what is an option if a baby cannot pass the car seat test?
car bed
"With great power, comes great _____" uncle Ben
Responsibility
First between 9 and 11 unless they have risk factors such as HTN, CKD.
Most common cause of pneumonia after influenza
Streptococcus pneumoniae
how long should children be rear facing?
Who was Tony Stark’s favorite band?
AC/DC
9 yo obese boy with hx of repaired Tetralogy of Fallot come for well visit and sports form. What is the best recommendation for him?
Appropriate physical activity recommended after discussion between the pediatric cardiologist and the primary care provider.
This is the most common barrier to dental care in the peds population
Finding a dentist that takes Medicaid
In Children 12 and under who died during MVC, what percentage where not appropriately secured?
@40%
Which superhero can manipulate weather?
Storm
pt with hx of transposition of great vessels on ACE inhibitor is transitioning from bio male to female. Was prescribed spironolactone, estrogen. What labs do you need to monitor on this patient?
Potassium level due to spironolactone
9 yo male: developmentally delayed, thin, malnourished, and refusing to walk c/o leg pain. “corkscrew” coiled hair, hyperkeratotic lesions on legs w/ perifollicular hemorrhages, and dried blood over gums, tenderness over shins and calves. CBC, CRP, ESR, coag studies all unremarkable. Most likely diagnosis in this patient?
Scurvy
Ascorbic acid (Vitamin C) is an essential cofactor in collagen synthesis, and symptoms resulting from capillary fragility can develop within weeks to months. Gingival bleeding, perifollicular hemorrhages (0.1- to 2-mm purpuric lesions surrounding hair follicles), ecchymosis, and subperiosteal bleeding all result from faulty collagen synthesis. Other cutaneous findings include hyperkeratosis (perifollicular papules) of the lower extremities, and “corkscrew” hairs with a curly, coiled appearance. Musculoskeletal effects include subperiosteal bleeding, hemarthrosis, and muscular hematomas, which result in arthralgia, myalgia, and limp, manifesting with lower extremity joint swelling, soft tissue swelling, and tenderness to palpation over the long bones on examination.
Why is it important to assess the caregivers dental status and encourage they have good dental care?
Children are at risk if caregivers have untreated decay, because they can transmit cariogenic bacteria by sharing the same utensils or kissing their children on the mouth.
When the child is the size where the seat belt fits properly, usually 4 feet 9 inches
Name the Incredibles baby's powers
teleportation, telekinesis, laser eyes, fire power, multiplication, super strength, blobbing, turn to metal, walking through walls, floating, and more!
Which cardiac conditions require subacute endocarditis prophylaxis before dental procedures involving gingival tissue manipulation, periapical region of the tooth or oral mucosa perforation?
Prosthetic cardiac valves, Prosthetic material used for cardiac valve repair
History of infective endocarditis
Unrepaired or palliated cyanotic congenital heart disease
Unrepaired cyanotic congenital heart defect or repaired congenital heart defect, with residual shunts or valvular regurgitation at the site of or adjacent to the site of a prosthetic patch or prosthetic device
Completely repaired congenital heart defect with prosthetic material or device (first 6 mo after the intervention)
Cardiac transplant with valve regurgitation due to a structurally abnormal valve
believed mechanism of osteoarticular infection after having respiratory infection, such as the flu
Seeding into the bone due to microtrauma
More common in boys, believed to be due to higher propensity to microtrauma, which facilities seeding of organisms into bone
- after ingesting and incorporating into enamel during formation
- topically decreased demineralization and promoting remineralization
- inhibiting glycolysis by microorganisms which stops acid formation
AAP recommeds that all these babys get car seat tolerance screenings before going home
<37 weeks gestation, low birthweight babies
90 minute screen for desats, brady or apneas. but recs after failing screen vary
Who is the medical doctor for the x-men?
The Beast