Whitney Shared "Special Patient Populations" - 334 Picmonics
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Special Patient Populations
Age 2 Months - Developmental Milestones
- Gross Motor
- Holds Head Up, But Unsteady
- Fine Motor
- Tracks Objects to the Midline
- Language
- Coos
- Social / Cognitive
- Social Smile
- Recognizes Parents
1 min
Age 4 Months - Developmental Milestones
- Gross Motor
- Sits With Support
- Rooting Reflex Disappears
- Moro Reflex Disappears
- Fine Motor
- Reaches Across Midline
- Language
- Turns to Voice
- Laughs
- Social / Cognitive
- Enjoys Looking Around
2 mins
Age 6 Months - Developmental Milestones
- Gross Motor
- Palmar Reflex Disappears
- Sits Propped Up On Hands
- Rolls
- Fine Motor
- Transfers Objects Hands to Hands
- Raking Grasp
- Language
- Babbles
- Responds to Name
- Social / Cognitive
- Stranger Anxiety Develops
2 mins
Age 9 Months - Developmental Milestones
- Gross Motor
- Pulls to Stand
- Starts Cruising
- Fine Motor
- Three-Finger Pincer Grasp
- Holds Bottle or Cup
- Language
- Starts Sounding "Mama" or "Dada"
- Social / Cognitive
- Waves Bye
- Separation Anxiety
- Plays Pat-A-Cake
2 mins
Age 1 Year - Developmental Milestones
- Gross Motor
- Stands Well
- First Steps
- Throws Ball
- Points to Objects
- Babinski Reflex Disappears
- Fine Motor
- Two-Finger Pincer Grasp
- Language
- "Mama & Dada"
- Social / Cognitive
- One-Step Commands with Gesture
2 mins
Age 18 Months - Developmental Milestones
- Gross Motor
- Climbs Up Stairs
- Runs
- Fine Motor
- Stacks Three Blocks
- Eats with Spoon
- Removes Clothing
- Language
- 10-25 Word Vocabulary
- Social / Cognitive
- “Mine”
- Pretend Play
2 mins
Age 2 Years - Developmental Milestones
- Gross Motor
- Jumps
- Fine Motor
- Copies a Line
- Stacks Six Blocks
- Turns Pages
- Language
- Two-Word Phrases
- Half of Speech is Understandable
- 200 Words by Age 2
- Social / Cognitive
- Parallel Play
- Begins Toilet Training
- Rapprochement
2 mins
Age 3 Years - Developmental Milestones
- Gross Motor
- Walks Up/Down Steps with Alternating Feet
- Rides Tricycle
- Fine Motor
- Stack Nine Block Tower
- Copies Circle
- Uses Utensils
- Language
- Three-Word Sentences
- 75% Speech Understood by Stranger
- Social / Cognitive
- Knows Gender / Age
2 mins
Age 4 Years - Developmental Milestones
- Gross Motor
- Hop on One Foot
- Fine Motor
- Copies Square
- Uses Fork Well
- Language
- 100% Speech Understandable
- Identifies Colors
- Social/ Cognitive
- Cooperative Play
- Imaginary Friends
2 mins
Age 5 Years - Developmental Milestones
- Gross Motor
- Skips
- Walks Backward
- Fine Motor
- Copies Triangle
- Ties Shoelaces
- Independent Dressing / Bathing
- Prints Letters
- Language
- Counts to 10
- Five-word Sentences
- Friends
- Social / Cognitive
- Uses Toilet Independently
2 mins
Tetralogy of Fallot (TOF)
- Features
- Blue Baby Syndrome
- Mechanism
- PROVe Acronym
- Pulmonary Infundibular Stenosis
- Right Ventricular Hypertrophy
- Overriding Aorta
- Ventricular Septal Defect (VSD)
- Diagnosis and Treatment
- Boot-Shaped Heart
- Squatting for Tet Spells
- Surgery
2 mins
Atrial Septal Defect (ASD)
- Pathophysiology
- Hole in Septum between the Atria
- Symptoms
- Often Asymptomatic
- Wide and Fixed Split S2
- Cyanosis and Dyspnea
- Easily Fatigued
- Diagnosis
- Chest X-ray shows Increased Pulmonary Vascular Markings
- Echocardiogram
- Treatment
- Surgery if CHF as Child
- Antibiotic Prophylaxis
- Most Close Spontaneously
2 mins
Ventricular Septal Defect (VSD)
- Pathophysiology
- Opening at Intraventricular Septum
- Most Common Congenital Heart lesion
- Symptoms
- High-pitched Holosystolic Murmer (over left sternal border)
- Dyspnea and Respiratory Distress
- Loud Pulmonic S2
- Diagnosis
- Echocardiogram
- Treatment
- Small VSDs Close Spontaneously
- Large VSDs Require Surgery
- Complications
- Endocarditis
- Eisenmenger's Syndrome
- CHF
2 mins
Patent Ductus Arteriosus
- Continuous
- Machine like murmur
- Often Due to Congenital Rubella
- Prematurity
1 min
Persistent Truncus Arteriosus
- Common Arterial Trunk
- Single Trunk Emerges from Both Ventricles
- Symptoms
- Cyanosis
- Pulmonary Congestion
- Heart Failure
- Single S2 Sound
- Diagnosis
- Echocardiogram
- Chest X-ray
- Treatment
- Early Surgical Correction
- Avoids Pulmonary Hypertension
2 mins
Coarctation of The Aorta
- Pathophysiology
- Constriction of a Portion of Aorta
- Turner Syndrome
- Symptoms
- Asymptomatic Hypertension
- BP Higher in Upper Extremities, Right Arm
- CHF
- Diagnosis
- Echocardiogram
- Cardiac Catheterization
- 3 Sign on Chest X-Ray
- Rib Notching
- Treatment
- Surgical Correction
2 mins
Transposition of Great Vessels
- Pathophysiology
- Pulmonary and Systemic Circulation are in Parallel
- Incompatible with Life Without a Shunt
- Symptoms
- Severe Cyanosis at Birth
- Single S2 sound
- Diagnosis
- Echocardiogram
- Chest X-ray shows "Egg-shaped Silhouette"
- Treatment
- Prostaglandin
- Avoid NSAIDs
- Surgical Correction
- Balloon Atrial Septostomy
2 mins
Mitral Regurgitation
- Characteristics
- Holosystolic
- Blowing Murmur
- Loudest at Apex
- Radiates toward Axilla
- Louder by Squatting
- Hand Grip
- Expiration
1 min
Mitral Stenosis
- Characteristics
- Murmur Follows Opening Snap
- Late Diastolic Murmur
- Enhanced by Expiration
- Low-Pitched Rumbling
- Dilation of Left Atrium (LA)
- Recurrent Attacks of Rheumatic Fever
2 mins
Child and Elder Physical Abuse Assessment
- Physical Abuse
- Inconsistent Injuries
- Delay in Treatment
- Various Stages of Healing
- Child Abuse
- Symmetrical Burns
- Sexually Transmitted Infection
- Bloody/Torn Undergarments
- Shaken Baby Syndrome
- Elder Abuse
- Poor Hygiene
- Overmedication
2 mins
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