Pediatrics Final

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  1. Pre and Post-natal development as far as average length of spine?
    • is approximately 20cm
    • Within 24months, it grows up to 45cm
  2. The spine is mostly composed of cartilage until 6 years old and it is not contraindication to adjusting (T/F question)
  3. APGAR score contains 5 things:
    • heart rate, respiratory effect (rate), muscle tone, color, reflexes irritability
    • Done at 1 and 5 minutes
  4. GI Tract of pediatrics – they should be havingsolid foods, when can their system start breaking down starches?
    • First occurs in small intestine
    • ~15 months
  5. Breast feeding and Breast milk (hind milk, fore-milk)
    What is in hind milk and fore-milk?
    • Colostrum= contains antibodies, natural volatiles emanating from the breast are obviously colostrum and milk (yellowish creamy in color) (1st stage of breast milk that lasts for several days after birth of the baby)
    • Hind milk=white creamy and fatty, has a relaxant effect on baby, occurs after the initialrelease of milk and contains higher levels of fat, used for weight gain
    • Foremilk= 1st start breastfeeding (watery), at beginning of the feeding and contains water, vitamins, proteins
    • Mature milk=inc. in 48-72hr after birth, mostly water 90%, 10% carbohydrates, proteins,fats (2 types foremilk and hind milk)
    • Transitional milk= occurs after colostrum and last for 2 weeks(high levels of fat, lactose, water soluble vits., more calories thancolostrum.)
  6. New Foods should be introduced to infants at?
    ~6-9 months generally
  7. Common Food Culprits for intolerance?
    • Cow's milk
    • Wheat
    • Corn
    • Citrus Fruits
    • Eggs
    • Yeast
    • Soy products
  8. Signs of Intolerance to foods?
    • Redness around the mouth w/in 1-2hrs
    • Redness around the anus w/in  12-24hrs
    • abdominal bloating, gas and distention
    • Irritability, over activity, restless sleep
    • Constipation
    • Diarrhea
    • Reflux
    • Nasal congestion
    • Eczema
  9. What is Gluten? Examples, What is non- gluten examples?
    • Wheat and other gluten containing grains (barley, oats, rye) it is suggested that they are introduced last.
    • Non-glutengrains (brown rice, buckwheat, amaranth) are better choices when introducinggrains for the first time
  10. What do you want to start with first after breast milk? When should this occur?
    • 9-12 months introduction of new food besides breast milk (Fruits> Veggies> Grains)
    • Start with fruit first then veggies
    • Start with 1 food at a time & continue for 3-4 days w/out sign of intolerance (Fruits> Veggies> Grains)
    • Start w/ juicier fruits (Peaches, pears, melons)
  11. Early signs of subluxations?
    • Newborn: 11/2 years
    • Inability to lift Head
    • Trouble latching on/ difficulty nursing/ prefers 1 side
    • Toe dig is absent
    • Dull look
    • Constantly crying when placed prone
    • Asymmetry of the body
    • Hands never relax or open
    • Lack energy in eyes
  12. Which CN can you test on infant when you pinch the nostrils and mouth opens up and tongue raises?
    CN 12
  13. The rooting reflex:
    When you stroke baby’s cheek and they turn to that side
  14. Palmer Grasp:
    You stick finger in their palms and they grasp it. Then you put your finger on their bottom of their foot and their toes curl
  15. Moral Reflex:
    Do a sudden, settle drop and both arms and legs go out and come back in and you are looking for asymmetry. This can be hip problems or shoulder problems
  16. Galant’s:
    Stroking baby’s spine and body should curve tothat side.
  17. Otitis Media caused by what organism?
    • žPneumococci(30%)   
    • H.Influenza (20%)  
    • Beta-Hemolytic Streptococcus (10%)
  18. Otitis media
    know what chiropractic care can do for that as far as interference from motorfibers from C1-C4 which could lead to your tympanic membrane is not working, inability of functioning of tensor veli palatini muscles, Eustachian tube is blocked (GO over Otitis media)
  19. Diagnosis of otitis media?
    • Red or Yellow tympanic membrane
    • Bulging tympanic membrane
    • Angry Red= Infection
    • Blue= Blood
    • White= Pus
    • Amber= serum
    • Pink= myringitis
    • Pearly gray= Normal
  20. Eustachian Tube angle in a child and adult?
    • Babies= Horizontal
    • Adults= Angled downward
  21. Otitis Media what can you do for this?
    Adjust them, ear circles, lymph drainage, massage, if you think they have food allergy then get them off dairy
  22. Asthma (Dry vs Wet)
    Dry: Adjust thoracics (sympathetic)            Wet: Adjust stay in parasympathetic
  23. The current rate of autism in California is?
    1/50 according to CVC
  24. Gut issues where you see distended belly or gluten intolerance or overgrowth of yeast and bacteria
    Peeling of the bottom of feet, rash between thebutt cheeks (yeast overgrowth)
  25. Zinc deficiency:
    you see white nails on their fingers            - Acne on the kid is also zinc deficiency
  26. Keratosis palaris
    babies with all the little bumps on arms andlegs. This can be helped with essential fatty acids
  27. Food Allergy Panel if you are suspecting food allergy: The difference between IgG and IgE
    • IgE is immediate
    • IgG is delayed sensitivity
  28. Pregnancy: know Webster as far as what are welooking at? Describe the 3 steps
    • 1) Patient prone and push leg to buttock and if the leg that doesn’t go as far is the side of sacrum posteriority
    • 2) Fix sacrum (affecting utero-sacral ligament)
    • 3) Flip them over and go to the opposite side for the round ligament
  29. Common conditions in pregnancy patients as faras what areas to adjust for nausea or overdue
    • Overdue: stay with parasympathetic       
    • Carpal tunnel with inflammation and edema =check cervical and adjust extremities
  30. Relaxants – How much they can hold after pregnancy?
    4-5 months after pregnancy
  31. Bed wetting:
    10-15% of 5 year olds, 5% of 10 year olds
  32. Parasympathetic preganglionic nerve is S2-S4 for motor control of bladder
    • Unconcscious information from bladder= PS
    • Conscious information from bladder= S
  33. What is gluten found in? and what is casein found in? She might list certain foods and ask are gluten or casein found in any of these foods?
    • Casein= Milk, dairy products, organic milk, dairy free milk
    • Gluten= bread, pasta, soy sauce, ice cream, medicines (OTC), miso paste, sushi rice
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Pediatrics Final
Pediatrics Final
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