Pediatrics Study Guide

CLINICAL YEAR 2005-2006
STUDY GUIDES

Jefferson College of Health Sciences
Roanoke, VA

Pediatric Medicine Rotation

For the following medical conditions or disease processes, understand the

physiology and epidemiology

clinical presentation, acute and chronic

laboratory and diagnostic findings

treatment

management, pharmacological and non-pharmacological

prevention

Resources: first-year lectures, required reading, preceptor’s materials, PANCE review books, the Blueprint series, and Uptodate.com

Indicate the history questions and physical exam maneuvers necessary to formulate a differential diagnosis for the following presenting signs and symptoms commonly seen in the pediatric setting:
Poor weight gain Joint pain Sore throat Fever Abdominal pain Earache Rash	Injury Cough and wheezing Cardiac murmurs and defects Diaper rash Anemia Dehydration Headache	Seizure Nuchal, rigidity Changes in level of activity Colic Vomiting Enuresis

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Know the management of the following pediatric diagnoses and be able to identify these entities through history and physical examination skills:
Infectious Impetigo Acute diarrheas Roseola infantum Varicella, mumps, measles External otitis Influenza Peritonsillitis Strep throat Sinusitis Conjunctivitis Periorbital cellulitis Pneumonia Bronchiolitis Suppurative, serous otitis media Croup Mononucleosis Meningitis Herpes simplex, stomatitis, genitalis Viral syndrome, Reyes syndrome Fifth disease Tinea pedis, capitis, corporis Appendicitis Giardiasis	Metabolic Juvenile diabetes mellitus Lead poisoning Phenylketonuria Nutritional Obesity Vitamin deficiency Failure to thrive Anorexia nervosa, bulimia Normal growth Common bleeding problems Allergic Conditions Hives Allergic rhinitis Eczema Plant dermatitis Food allergies, intolerance Congenital Hip dislocation Pyloric stenosis Undescended testicle Inherited Down syndrome Sickle cell disease, trait Bleeding dyscrasias Cystic fibrosis	Developmental Stages Growth and development stages Reflexes associated with gestational age Sexual development stages, Tanner classification Developmental Delays Speech Gross and fine motor Normal milestones Failure to thrive Behavioral Socialization Issues Sleep problems Temper tantrums Thumb sucking Masturbation Phobias Suicide Depression Effects of divorce Safety issues ADHD Suspected child abuse & neglect physical, sexual, emotional Immunizations Be familiar with current guidelines.

Skills you need to have:

Be able to perform the following skills:

A complete physical examination on the pediatric patient

An appropriate problem focused examination for a given problem

Elicit a complete history from a third party

Develop a patient problem list

Evaluate growth and development through the use of:

Denver Developmental Testing

Growth charts

Periodic examination

Clinical procedures, including:

Venipuncture

Routine immunization and allergy desensitization

Obtaining specimens for the throat, urine, blood culture

Interpret a chest x-ray.

**Interpret the following laboratory tests:**
CBC with differential Electrolytes Lead screening test T4 Arterial blood gases	Reticulocyte count Bilirubin PKU screen Urinalysis & microscopic exam Serum lead

Patient Education

Be able to provide patient education about the treatment, disease process, and preventive aspects of care to both patient and parents.

Be able to give parents advice and education about:

Safety

Car seats

Poison control

Nutrition

Growth and development

Anticipatory guidance

Also Be Able To:

Make assessments and provide counseling for:

Need and frequency of return visits

Need for consultation

Know community resources.

Consider cost in relation to patient recommendation regarding treatment, foods, toys.