Tiny Patients, Big Problems
The Golden Years
Expecting the Unexpected
PAT & TICLS
Aching Bones & Vague Pain
100

This age range defines a pediatric patient.

 What is 18 years or younger?

100

The age defining a geriatric patient.

What is 65 years (or older)?

100

The term for the three-month period of pregnancy.

What is a Trimester?

100

The three major components that make up the Pediatric Assessment Triangle (PAT).

What are Appearance, Work of Breathing, and Circulation to Skin?

100

An EMR should never assume this, when dealing with a confused geriatric patient.

What is that their confusion/disorientation is simply a sign of their age?

200

The primary cause of cardiac arrest in pediatric patients, unlike adults.

What is respiratory failure?

200

The two most significant sensory losses commonly experienced by older adults that increase the risk of falls and medication errors.

What are hearing and sight?

200

The medical term for when the fetus's head is visible at the vaginal opening during contractions.

What is Crowning?

200

The 'S' in the TICLS mnemonic, which is used to evaluate the "Appearance" component of the PAT.

What is Speech/Cry?

200

The reason an elderly patient may experience less severe or "vague" pain during a life-threatening event like a heart attack

What are dulled nerve sensations?

300

The mnemonic used to assess the "Appearance" component of the Pediatric Assessment Triangle.

What is TICLS (Tone, Interactiveness, Consolability, Look/Gaze, Speech/Cry)?

300

This condition, characterized by brittle, weakened bones, is why hip fractures are common in the elderly.

What is Osteoporosis?

300

The three stages of labor.

What are: First Stage (Dilation), Second Stage (Expulsion/Delivery), and Third Stage (Placental Delivery)?

300

When using the toe-to-head assessment technique, this age group is the most appropriate.

What is the toddler/preschool age range (ages 1-5)?

300

The three actions an EMR must take when communicating with a patient who has a known hearing impairment.

What are: 1) Speak slowly and clearly, 2) Maintain eye contact, and 3) Offer paper/pencil if needed?

400

The two key anatomical differences in a child's airway compared to an adult's, making them more vulnerable to obstruction.

What are a larger tongue and a smaller, more flexible trachea/windpipe?

400

The three actions an EMR must take if elder abuse or neglect is suspected.

What are: 1) Carefully document findings, 2) Do not confront the suspected abuser, and 3) Report per local protocols?

400

The critical position change for a pregnant patient in the third trimester presenting with shock/dizziness to relieve pressure on the vena cava.

What is the left lateral recumbent position (placing the mother on her left side)?

400

A child who has a normal appearance, increased work of breathing, but normal circulation to the skin is classified as this general pathology.

What is Respiratory Distress?

400

The overall result of the natural aging process on the body's systems.

What is a decline in the functioning of all body systems?

500

This common term for a child's fever-induced seizure occurs in 2-5% of children between 6 months and 5 years old.

What is a Febrile Seizure?

500

This is the scientific term for the study of the social, cultural, psychological, cognitive, and biological aspects of aging.

What is Gerontology?

500

The longest recorded human pregnancy lasted this many days, far exceeding the average of 280 days.

What is 375 days?

500

This is the percentage of blood a child from 0-5 can lose while maintaining stable central blood pressure and normal mental status.

What is 30% total blood volume?

500

This phenomenon, where the sudden onset of confusion and disorientation is worse at night, often affects hospitalized older adults with dementia.

What is Sundowning?

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