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Timmy comes in because he pet his cat the wrong way and got scratched 3 times on the arm with one big laceration. What vaccine(s) would be inquiring about?
Jake fell off his scooter and we are taking x-rays in the clinic. The provider will be making sure he does not move his arm for 1 month. What will be documenting his chart?
Procedure note for splinting or cast
What type of diabetes do children usually have?
Type 1 Diabetes
What are buzz words you should never write in a chart unless advised by a provider?
Lethargic, inconsolable, listless
Once you leave the room, the doctor asks you to describe the patient as lethargic in the HPI, you should
Describe the patient as lethargic in the HPI
When the caretake expresses the pt has had significant changes in alertness, activity and/or appetit, this can indicate
serious infection or process
Mother was treated for GBS, the pt was born healthy at 40 weeks by normal vaginal deliver and the pt has a parent with CAD found at 60yo
The pt was born healthy at 40weeks
Your pt is 5 mo. They are not able to answer the doctor's questions yet or follow the doctor's commands. Your neuro exam can still include:
appropriate for age
good head and body control
interacts well with the examiner
normal moro reflex
moves 4/4 extremities
A flat fontanel is a contradiction for the exam findings
sunken forehead, bulging forehead
14 y/o female with PMHx of asthma presents to the ED wtih SOB. What lung noise will your physician most likely hear on asculatioant of the pt
Which of the following are PE findings you can expect to document in a patient with dehydration?
poor skin turgor
dy mucuous membranes
3 yo pt is brought to the ED by his mother for a fever and a "barking" cough. what is your DDx?
Adam was sent home from daycare after his teacher noticed that was drinking less than normal and didn't seem to feel well, Mother states that he has blisters in his mouth and covering both hands. what is your DDx?
Which of the following are important details to make sure you document on a pt diagnosed with RSV
CXR or RSV-panel
What life-threatening illness might your physician be concerned about if the pt presented for a very red tongue and a constant fever that began 5 days ago?
Your doctor suspects PID as a DDx for a 16 yo female complaining of vaginal discharge and dysuria with a histoy of unprotected sex. Which of the following are components of the owrk up to confirm this diagnosis?
Match the past history to the appropriate body system?
diabetes = general
otitis media = ENT
atrial septal defect = cardiac
croup = pulmonary
chicken pox = skin
pyloric stenosis = gastrointestinal
craniotomy = neruological
Match the flowing age groupings and approximate grade
neonate = 4 weeks
infant = 1month to 1 years old
toddler = 1-4 yo
preschool = 3-5 yo
kindergartner = 5
1st = 6
2nd = 7
Why do we document vaccines?
Lack of vaccination puts the pt at more risk, Vaccination status is an important component of the patient's social history
How are swallowed foreign bodies investigated/diagnosed?
Which of the following terms would we NOT write on a chart unless approved by a provider?
Fussy, lethargic, listless, tired, inconsolable
Subjective or Tactile fevers are described as
A fever, that has not been measured at home, reported by the patient or another historian.
Which of the following are important to document about fevers?
Onset, Maximum temp, sub vs obj, timing
These words or descriptions are great to include in a normal pediatric exam in the General/Constitutional section
Cries normally with tears during exam, but is easily consolable
Playing games in the room
These words can be used to describe respiratory distress in a pediatric patient
Retractions, tachypnea, belly breathing, accessory muscle use, nasal flaring
Which diagnoses is common in pediatric patients and is "largely harmless"?
The patient's mother is the primary caretaker and there is no second hand smoke exposure in the home. The child's immunizations are UTD. Which category of history would this information belong under?
Pain with bowel movement and abdominal pain are commonly associated with which diagnosis?
Which of the following symptoms are common amongst patients with pelvic inflammatory disease?
Maladorous vaginal discharge
Which of the following diagnoses can be made clinically?
match the history with cateogory
croup = medical
appen = surgical
immuni = social shx
IDDM in fam = family
A 6 yo male pt presents with mild diffuse abdominal pain and painful bowel movements over the past 72 hours. Mother states he's been somewhat fussy recently and is recovering from a 'stomach bug'. He's been able to tolerate PO but this is decreased in the setting of his recent GI illness.
At what age is the threshold for tachycardia same as it is for an adult?
Match the following
unprotected sex = PID
<3months = pyloric stenosis
<2 yo= intussusception
narcotic use = constipation
fever in ped pt = febrile seizure
Pertussis and croup are both upper respiratory conditions that are treated with antibiotics
What is the hallmark symptom of asthma?
Reaching for the client's feedback may involve a simple question or a statement of specific illustrative examples of possible concerns. T or F
what are the three types of ankle fx and how do you treat?
what are risk factors for elder abuse and neglect?
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