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Peds SHELF

QuestionAnswer
Diagnosis of diabetes (1) Symptoms + random glucose >200mg/dL or (2) fasting blood glucose >126mg/dL or (3) 2 hour oral glucose tolerance test >200mg/dL
Kid with a limp, birth-3yo Developmental dysplasia of the hip
Kid with a limp, 4-12yo Legg-Calve-Perthes disease
Kid with a limp, >12yo Slipped capital femoral epiphysis (SCFE)
Galactosemia Increased risk of E. coli sepsis
Osteogenesis imperfecta triad Fragile bone, blue sclera, early deafness
Werdnig Hoffman aka SMA1; will see tongue fasiculations along with hypotonia
Apert syndrome Craniosynostosis + extensive syndactyly of the fingers and toes
Williams syndrome Postvalvular aortic stenosis + cocktail personality
Toxoplasmosis Hydrocephalus with GENERALIZED calcifications and chorioretinitis
Rubella Cataracts, deafness, heart defects
CMV Microcephaly with PERIVENTRICULAR calcifications; petechiae with thrombocytopenia
Herpes Skin vesicles, keratoconjunctivitis, acute meningoencephalitis
Syphilis Osteochondritis and periostitis; skin rash involving palms and soles and is desquamating; SNUFFLES (mucopurulent rhinitis)
HepB vac 1st dose soon after birth, before hospital discharge, with a total of three doses by 18mo
DTaP vac Total of 5 doses before school entry with final dose given at preschool age (4-6yo); Td given at 11-12yo and then every 10 yrs; pertussis booster for all adolescents regardless of immunization status
IPV vac Four doses with the last at preschool age (4-6yo)
Hib vac Depending on vaccine brand, primary series of 2 or 3 doses; booster dose at 12-15mo regardless of primary series brand; if no immunizations until 15-29mo then give only 1 dose; DO NOT GIVE AFTER AGE 5
Pneumococcal vac (unconjugated, PCV7) 4 dose series for all up to 23mo; if no dose given yet and 24-59mo then give only 1 dose if immunocompetent and 2 if high risk; give 23 valent polysaccharide vaccine in addition to PCV7 in functional/anatomic asplenic (sickle cell) kids at 2yo
Varicella vacs At 12mo or older for healthy people who have not had chickenpox with 2nd dose at 4-6yo; 1 dose for 12yo and younger; 2 doses (separated by 4-8 wks) for >12yo
MMR vac 1st dose given at 12-15mo, 2nd dose given at preschool age (4-6yo); kids who did not receive the 2nd dose should get it by 11-12yo
HepA vac All kids >1yo (12-23mo); 2 doses, 6 months apart
Boys, peak growth 13.5yo, 2-3yrs later than girls; continues 2-3 years after girls have stopped
Girls, peak growth 11.5yo, stops at 16yo
Short stature + vision problems R/O craniopharyngioma
Syndromes w/ tall stature Marfans, homocystinuria, Sotos, Klinefelter, Beckwith-Wiedemann
Created by: megankirch
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