Colic
At what time of day does crying peak?
Late afternoon/evening
By what age can 70-80% of infants sleep 8-12 hour stretch through the night?
9 months
After the age of 10, are boys or girls more likely to nail bite?
boys
School refusal is defined as missing school for ______ days weekly for at least ___ weeks.
2-3 days
2 weeks
At what age does body rocking occur?
6 months
Resolves by 2-3 years
At what age do 60% of cases improve by?
3 months
During what part of sleep cycle do nightmares happen?
REM Sleep
Name two conditions that are associated with later childhood onset of hair pulling
Depression
Anxiety
Abuse
Bipolar
Substance use
Personality disorder
What should physicians ask about when assessing a child with school refusal?
Bullying
By what age do breath-holding spells usually resolve spontaneously by?
5 years of age
Colicky infants are at an increased risk of what?
Child abuse
give one difference between night terrors and nightmares?
Child does not remember episode in night terror
Occurs in non-REM
child is awake but unresponsive, difficult to arouse, and unaware of parent's presence
Parents should not attempt to awaken the child
At what age do you refer a child for thumb sucking?
Referral for dental evaluation at >4-5 years of age
Name two things that overachieving students are at risk for
Anxiety
Depression
Eating disorders
OCD
Self-injurious behavior
Substance use
At what age is separation anxiety most prominent?
9-18 months
Name two conditions that should be ruled out in Colic eval
Sepsis
Heart Failure, SVT, anomalous origin of the left coronary artery
Corneal abrasion, foreign body, hair tourniquets
GI obstruction, GERD, Sandifer
Nonaccidental trauma
Name two differentials for chronic fatigue
EBV
Lyme
Viral hepatitis
Hypothyroidism
Anemia
What medical condition is associated with trichotillomania?
Iron deficiency anemia
What is the difference between school refusal and truancy?
School refusal: parents aware
Truancy: parent is unaware child is missing school
What are two possible causes for breath-holding spells?
Autonomic nervous system dysregulation
Delayed myelination of the brain stem
Vaguely mediated cardiac inhibition
Iron deficiency anemia
What is Wessel's Rule of 3s?
Crying >3 hours a day for >3 days a week for >3 weeks
At what age do most children no longer need middle of the night feedings?
6 months
When does head banging start and when does it stop?
8-9 months
4 years
Name three immediate or long term effects of school absence
School performance
Graduation rates
social functioning
health
adult income
life expectancy
What are two non accidental trauma conditions that present with crying?
Congenital syphilis
Caffey Disease (infantile cortical hyperostosis)