Showing posts with label Peds. Show all posts
Showing posts with label Peds. Show all posts
Wonder Me!
Upon examination, a classic "blue-dot sign" (ie, a tender nodule with
blue discoloration on the upper pole of the testis) may be seen; this
finding on the upper scrotum is a typical finding in torsion of the
appendix testis (see the image below). However, in the acute setting,
differentiating testicular torsion from torsion of the appendix is often
impossible, and scrotal exploration should be performed whenever the
diagnosis is uncertain
Wonder Me!
The side-effects include: Fever. Up to half of the children who receive
DTP vaccine may have a fever in the evening after receiving the
injection. The fever should disappear within a day. Note that a fever
that begins more than 24 hours after a DTP injection is not likely to be
a reaction to the vaccine.
Wonder Me!
Source: https://youtu.be/WrlVbDmCVyw & Leik & Hollier
@Birth: B ---there's only one HepB vax
Visit every 2 months:
@2mo: 2 B DR. HIP (@ 2mo: HepB, DTaP, Rotavirus, Hib, IPV, PCV)
@4mo: 4 DR. HIP (@4mo: DTap, Rotavirus, IPV, PCV)
@6mo: B DR. HIP In 6mo (HepB, Dtap, Rotavirus, Influenza, PCV in 6mo)
12mo - 18mo: 1 MAD HPV (MMR, HepA, Dtap, Hib, PCV, Varicella)
2yo: n/a
3yo: n/a
4-6yo: VERY DIM between 4-6pm (Varicella, Dtap, IPV, MMR)
11-12yo: Tada! Human! Men! (TdaP, HPV, Meningoccocal)
16-18yo: Men get boosted!
Legend:
B: Hep B
D: DTaP
R: Rotavirus
H: Hib
I: IPV
P: PCV
M: MMR
A: HepA
V or Very: Varicella
Tada: TdaP
Human: HPV
Men: MCV
NOTE for California elementary school entry: (by Qt)
Hep B: needs 3 doses (Mnemonics: Hep B = B = Bday = given at Birth, then 2 mo. later, than 4 mo. later (@ birth, 2,6 = 3 doses)
DTaP: needs 5 doses (DR HIP, DR HIP, DR HIP, MAD HPV, & Very DIM)
IPV: needs 4 doses (DR HIP, DR HIP, DR HIP, & Very DIM)
Varicella & MMR: needs 2 doses (Varicella & MMR: live vaccines = must be given after 1 yo (@12mo & @5yo generally speaking)
MCV & HPV: not given until middle school generally
Misc notes (Vax not required for school):
Influenze not given until 6mo and older
R = Rotavirus = only given at very young age, during first few initial visits (@2,4,6mo)
HepA = given @ 1 MAD HPV
Wonder Me!
The 2008 report recommends a daily intake of vitamin D of 400 IU/day for all infants and children beginning in the first few days of life.
The 2008 report recommends a daily intake of vitamin D of 400 IU/day for all infantsand children beginning in the first few days of life. Human milk typically contains avitamin D concentration of 25 IU per liter or less. Therefore, a supplement of 400 IU per day of vitamin D is recommended for all breastfed infants.Jun 17, 2015
The 2008 report recommends a daily intake of vitamin D of 400 IU/day for all infantsand children beginning in the first few days of life. Human milk typically contains avitamin D concentration of 25 IU per liter or less. Therefore, a supplement of 400 IU per day of vitamin D is recommended for all breastfed infants.Jun 17, 2015
Vitamin D Supplementation | Breastfeeding | CDC
https://www.cdc.gov/breastfeeding/recommendations/vitamin_d.htm
Wonder Me!
Roseola is like a rose.
Imagine the stem (and fever) climbing for a few days and then abruptly it blooms (rash comes out)
Source: http://pediatricmnemonics.blogspot.com/2015/09/viral-exantem-mnemonic.html
Imagine the stem (and fever) climbing for a few days and then abruptly it blooms (rash comes out)
Source: http://pediatricmnemonics.blogspot.com/2015/09/viral-exantem-mnemonic.html
Wonder Me!
Graphic as a way to memorize, sorry if it seems vulgar. thanks
MALE GENITAL DEVELOPMENT:
Tanner 1 - First (prepubertal) stage has no genital development
Tanner 2 - 2 enlarged testicles
Tanner 3 - Penis elongates (viz: the tip of the penis elongates as the the shape of the mid point of the letter '3' looking sideway)
Tanner 4 - Penis increases in girth (Viz: #4 has a little more girth than previous #'s)
Tanner 5 - adult state
FEMALE BREAST DEVELOPMENT:
Beginning with Tanner 2, you simply spell out the word breast (BR-EA-S-T)
Tanner 1 Prepubertal stage
Tanner 2 BReast lumps or breast buds
Tanner 3 Elevation (or Enlargement) of the areola so that breast and areola continue to grow as 1 mound
Tanner 4 Separation of the the breast tissue mounds ast eh areola becomes a smaller mound on top of the larger breast mound
tanner 5 Total breast development - adult-sized breasts & completed breast growth
PUBIC HAIR DEVELOPMENT: (same as male & female)
Tanner 1: Prepubertal; no pubic hair
Tanner 2: Viz just 2 little hairs, very fine, with few, if any, curls
Tanner 3: Dark, coarse, curly hairs viz curly 3s
Tanner 4: Viz the triangle in #4 completely filled iwth black
Tanner 5: Viz Roman numeral 'V', with hair spreading laterally onto the medial aspects of the thighs
~By Qt (collected and revised from internet) (Copy okay with credits)
MALE GENITAL DEVELOPMENT:
Tanner 1 - First (prepubertal) stage has no genital development
Tanner 2 - 2 enlarged testicles
Tanner 3 - Penis elongates (viz: the tip of the penis elongates as the the shape of the mid point of the letter '3' looking sideway)
Tanner 4 - Penis increases in girth (Viz: #4 has a little more girth than previous #'s)
Tanner 5 - adult state
FEMALE BREAST DEVELOPMENT:
Beginning with Tanner 2, you simply spell out the word breast (BR-EA-S-T)
Tanner 1 Prepubertal stage
Tanner 2 BReast lumps or breast buds
Tanner 3 Elevation (or Enlargement) of the areola so that breast and areola continue to grow as 1 mound
Tanner 4 Separation of the the breast tissue mounds ast eh areola becomes a smaller mound on top of the larger breast mound
tanner 5 Total breast development - adult-sized breasts & completed breast growth
PUBIC HAIR DEVELOPMENT: (same as male & female)
Tanner 1: Prepubertal; no pubic hair
Tanner 2: Viz just 2 little hairs, very fine, with few, if any, curls
Tanner 3: Dark, coarse, curly hairs viz curly 3s
Tanner 4: Viz the triangle in #4 completely filled iwth black
Tanner 5: Viz Roman numeral 'V', with hair spreading laterally onto the medial aspects of the thighs
~By Qt (collected and revised from internet) (Copy okay with credits)
Wonder Me!
Mnemonics
Hirschsprung = hurt sprung = malfunctioning springs = network of nerves in the rectum is not working (Reproduction okay with credits)
~by Qt
Hirschsprung = hurt sprung = malfunctioning springs = network of nerves in the rectum is not working (Reproduction okay with credits)
~by Qt
Wonder Me!
5th disease
5th = 5 fingers = slapped cheeks = slapping is not virally infectious!
Erythema infectiosum = erythema in-fact-nOThIng in SUMmary = Erythema Rash occurs after infectious stage is over (Reproduction okay with credits)
~By Qt
5th = 5 fingers = slapped cheeks = slapping is not virally infectious!
Erythema infectiosum = erythema in-fact-nOThIng in SUMmary = Erythema Rash occurs after infectious stage is over (Reproduction okay with credits)
~By Qt
Wonder Me!
Exanthems, Common
MANY SENIOR RESIDENTS DO ENCOUNTER EXANTHEMS
1st disease-Measles (Rubeola)
2nd-Scarlet fever
3rd-Rubella (German measles)
4th-Duke's disease
5th-Erythema infectiosum
6th-Exanthem subitum (Roseola)
http://www.dermpathmd.com/mnemonics/mnemonics_dermatitis.htm
MANY SENIOR RESIDENTS DO ENCOUNTER EXANTHEMS
1st disease-Measles (Rubeola)
2nd-Scarlet fever
3rd-Rubella (German measles)
4th-Duke's disease
5th-Erythema infectiosum
6th-Exanthem subitum (Roseola)
http://www.dermpathmd.com/mnemonics/mnemonics_dermatitis.htm
Wonder Me!
2 years: Run, stairs (1 foot at a time), 20-50 words, 2 step command, parallel play
Bad Twins: mom gives two commands to twin boys to run to the stairs, then walk up the 25 stairs. Each walks up the 25 stairs not helping the other.
Bad Twins: mom gives two commands to twin boys to run to the stairs, then walk up the 25 stairs. Each walks up the 25 stairs not helping the other.
Wonder Me!
18 months: Throw, scribble, 4 block tower, 1 step command, uses spoon/cup, points to parts of body
Sir Charming Baby: needs to get note to Rapunzel so scribbles note on paper to throw into high 4 block tower, catapult has cup on end, shoves note in with spoon, and throws note at tower, hitting Rapunzel in the face
Video: https://www.healthination.com/health/building-blocks-milestones-at-18-months-old
Sir Charming Baby: needs to get note to Rapunzel so scribbles note on paper to throw into high 4 block tower, catapult has cup on end, shoves note in with spoon, and throws note at tower, hitting Rapunzel in the face
Video: https://www.healthination.com/health/building-blocks-milestones-at-18-months-old
Wonder Me!
15 months: walks well, imitates, controlled release of blocks (can stack 2)
Little Sister Baby: wants to be just like big sister, walks confidently to the blocks and imitates making a 2 block tower
Video: https://www.healthination.com/health/building-blocks-milestones-at-15-months-old
Little Sister Baby: wants to be just like big sister, walks confidently to the blocks and imitates making a 2 block tower
Video: https://www.healthination.com/health/building-blocks-milestones-at-15-months-old
Wonder Me!
12 months: Walk, pincer grasp, 1 word, patacake, bye bye, peekaboo
Playful Zombie Baby: walking at you, snapping pincers, repeating one word over and over (brrraaaaains), and just wants to play patacake and peekaboo before waving bye bye.
Extra video: https://www.healthination.com/health/building-blocks-milestones-at-12-months-old
Playful Zombie Baby: walking at you, snapping pincers, repeating one word over and over (brrraaaaains), and just wants to play patacake and peekaboo before waving bye bye.
"
1 year = 1 word"
Extra video: https://www.healthination.com/health/building-blocks-milestones-at-12-months-old
Wonder Me!
9 months: crawl, stand (halfway between sitting and goal)
9 months: Crawl, pull to stand, point, specific babbling (mama, dada), stranger anxiety
Watch Dog Baby: crawls to window, pulls to stand to see out, points at stranger in yard and says “mama” to get attention of parents.
Additional video: https://www.healthination.com/health/building-blocks-milestones-at-9-months-old
9 months: Crawl, pull to stand, point, specific babbling (mama, dada), stranger anxiety
Watch Dog Baby: crawls to window, pulls to stand to see out, points at stranger in yard and says “mama” to get attention of parents.









