Podcast
Questions and Answers
What is the typical heart rate of a preschool child (3-5 years old) when they are asleep?
What is the typical heart rate of a preschool child (3-5 years old) when they are asleep?
What is the typical blood pressure of an adult?
What is the typical blood pressure of an adult?
What is the typical respiratory rate of a toddler (1-2 years old)?
What is the typical respiratory rate of a toddler (1-2 years old)?
Which of the following is NOT a physiological difference between children and adults?
Which of the following is NOT a physiological difference between children and adults?
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What is the typical temperature range for a preschooler (3-5 years old)?
What is the typical temperature range for a preschooler (3-5 years old)?
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What is the typical resting heart rate of a school-aged child (6-11 years old)?
What is the typical resting heart rate of a school-aged child (6-11 years old)?
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Why might medication dosages need to be adjusted for infants and children?
Why might medication dosages need to be adjusted for infants and children?
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What is the typical resting heart rate for a neonate (0-1 month old)?
What is the typical resting heart rate for a neonate (0-1 month old)?
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What are some developmental differences between children and adults? (Select all that apply)
What are some developmental differences between children and adults? (Select all that apply)
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Which of the following factors contribute to differences in safety and prevention needs in pediatrics? (Select all that apply)
Which of the following factors contribute to differences in safety and prevention needs in pediatrics? (Select all that apply)
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What is a common childhood acute illness?
What is a common childhood acute illness?
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Why are fractures in infants and children more likely to have a bigger impact than in adults?
Why are fractures in infants and children more likely to have a bigger impact than in adults?
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Which of the following represents a common childhood chronic disease? (Select all that apply)
Which of the following represents a common childhood chronic disease? (Select all that apply)
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What is the significance of understanding that younger children metabolize medications differently than adults?
What is the significance of understanding that younger children metabolize medications differently than adults?
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What is the primary reason for using vital statistics?
What is the primary reason for using vital statistics?
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What do "windows of development" represent?
What do "windows of development" represent?
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At what age does a child transition from being a toddler to a preschooler?
At what age does a child transition from being a toddler to a preschooler?
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Which of the following is NOT a key difference between pediatrics and adult medicine?
Which of the following is NOT a key difference between pediatrics and adult medicine?
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Which age group is considered "early adolescence" based on the AAP definition?
Which age group is considered "early adolescence" based on the AAP definition?
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Which of the following is a physiological difference between children and adults mentioned in the text?
Which of the following is a physiological difference between children and adults mentioned in the text?
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Why are infants and young children considered obligate nose breathers?
Why are infants and young children considered obligate nose breathers?
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Which of the following terms is used to describe the period of growth and development from birth to approximately 21 years of age?
Which of the following terms is used to describe the period of growth and development from birth to approximately 21 years of age?
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Which of these age groups is not considered adolescence?
Which of these age groups is not considered adolescence?
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Which of the following is a component of the pediatric physical exam, as described in the text?
Which of the following is a component of the pediatric physical exam, as described in the text?
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Which of the following is NOT a subspecialty of Pediatrics?
Which of the following is NOT a subspecialty of Pediatrics?
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What is the specialty of medical science concerned with the physical, mental, and social health of children from birth to young adulthood?
What is the specialty of medical science concerned with the physical, mental, and social health of children from birth to young adulthood?
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What is the significance of immunization in Pediatrics?
What is the significance of immunization in Pediatrics?
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What is the main purpose of Pediatric care?
What is the main purpose of Pediatric care?
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Why is nutrition considered an important aspect of Pediatrics?
Why is nutrition considered an important aspect of Pediatrics?
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Which of the following is NOT a listed subspecialty of Pediatrics mentioned in the text?
Which of the following is NOT a listed subspecialty of Pediatrics mentioned in the text?
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What is the difference between a pediatric patient and an adult patient?
What is the difference between a pediatric patient and an adult patient?
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Which of these areas are considered particularly IMPORTANT in Pediatrics? (Select all that apply)
Which of these areas are considered particularly IMPORTANT in Pediatrics? (Select all that apply)
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Why can reduced renal function in neonates affect medication clearance?
Why can reduced renal function in neonates affect medication clearance?
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In pediatric patients, how does reduced GI motility affect the absorption of oral medications?
In pediatric patients, how does reduced GI motility affect the absorption of oral medications?
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Which of these is the most significant reason for the use of weight-based dosing for infants and younger children?
Which of these is the most significant reason for the use of weight-based dosing for infants and younger children?
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Which of the following is true about the use of medications in pediatric patients?
Which of the following is true about the use of medications in pediatric patients?
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What physiological factor, when compared to adults, contributes to increased skin absorption in pediatric patients?
What physiological factor, when compared to adults, contributes to increased skin absorption in pediatric patients?
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How does increased water volume affect drug distribution in pediatric patients?
How does increased water volume affect drug distribution in pediatric patients?
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Which of these are NOT true regarding medication pharmacokinetics in pediatric patients?
Which of these are NOT true regarding medication pharmacokinetics in pediatric patients?
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Based on the information provided, which of these is NOT a factor that contributes to the understanding of maternal and infant mortality rates?
Based on the information provided, which of these is NOT a factor that contributes to the understanding of maternal and infant mortality rates?
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Which of the following reasons is the most common cause of infant deaths in the United States?
Which of the following reasons is the most common cause of infant deaths in the United States?
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The data presented on infant mortality rates shows a significant decline over the past several decades. What is the primary takeaway that can be concluded from this data?
The data presented on infant mortality rates shows a significant decline over the past several decades. What is the primary takeaway that can be concluded from this data?
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According to the information provided, which of the following statements is TRUE regarding infant deaths in New Mexico in 2017?
According to the information provided, which of the following statements is TRUE regarding infant deaths in New Mexico in 2017?
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The text mentions “ethical and legal concerns” in relation to infant mortality. Which of the following is the MOST LIKELY reason for this?
The text mentions “ethical and legal concerns” in relation to infant mortality. Which of the following is the MOST LIKELY reason for this?
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What is the primary focus of the given text?
What is the primary focus of the given text?
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What is the purpose of the data on infant mortality rates presented in the text?
What is the purpose of the data on infant mortality rates presented in the text?
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The text mentions that maternal and infant mortality rates are essential indicators of national health. What does this mean?
The text mentions that maternal and infant mortality rates are essential indicators of national health. What does this mean?
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Flashcards
Pediatrics
Pediatrics
The medical specialty focused on the health of children from birth to young adulthood.
Pediatric Subspecialties
Pediatric Subspecialties
Various branches within pediatrics specializing in specific areas of child health.
Adolescent Medicine
Adolescent Medicine
A subspecialty focusing on the health care of adolescents aged 11 to 21.
Child Abuse Pediatrics
Child Abuse Pediatrics
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Pediatric Critical Care Medicine
Pediatric Critical Care Medicine
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Pediatric Nutrition
Pediatric Nutrition
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Communication in Pediatrics
Communication in Pediatrics
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Legal and Ethical Concerns
Legal and Ethical Concerns
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Neonate
Neonate
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Infant
Infant
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Toddler
Toddler
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Preschooler
Preschooler
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Adolescence
Adolescence
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Pediatric History
Pediatric History
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Physical Exam
Physical Exam
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Physiological Differences
Physiological Differences
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Pediatric Pharmacokinetics
Pediatric Pharmacokinetics
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GI Motility
GI Motility
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Topical Absorption
Topical Absorption
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Bioavailability in Pediatrics
Bioavailability in Pediatrics
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Weight-Based Dosing
Weight-Based Dosing
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Renal Clearance in Children
Renal Clearance in Children
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Clinical Trials for Pediatrics
Clinical Trials for Pediatrics
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Pediatric Lab Values
Pediatric Lab Values
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Developmental Differences
Developmental Differences
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CNS Development
CNS Development
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Window of Development
Window of Development
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Child-Specific Diseases
Child-Specific Diseases
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Acute Illnesses in Children
Acute Illnesses in Children
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Chronic Diseases in Pediatrics
Chronic Diseases in Pediatrics
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Unique Environmental Exposures
Unique Environmental Exposures
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Medication Metabolism
Medication Metabolism
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Maternal & Infant Mortality
Maternal & Infant Mortality
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Infant Mortality Rate
Infant Mortality Rate
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Neonatal Mortality Rate
Neonatal Mortality Rate
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Post-Neonatal Mortality Rate
Post-Neonatal Mortality Rate
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Public Health Decisions
Public Health Decisions
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Disparities in Health
Disparities in Health
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SIDS (Sudden Infant Death Syndrome)
SIDS (Sudden Infant Death Syndrome)
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Congenital Malformations
Congenital Malformations
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Neonate Blood Pressure
Neonate Blood Pressure
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Infant Respiratory Rate
Infant Respiratory Rate
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Toddler Heart Rate
Toddler Heart Rate
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Preschool Blood Pressure
Preschool Blood Pressure
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School-Age Respiratory Rate
School-Age Respiratory Rate
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Adolescent Heart Rate
Adolescent Heart Rate
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Higher Pediatric Metabolism
Higher Pediatric Metabolism
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Pediatric Immune System
Pediatric Immune System
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Study Notes
Introduction to Pediatrics & Adolescent Medicine
- Pediatrics is the medical specialty focused on the physical, mental, and social health of children from birth to young adulthood.
- Pediatric care encompasses a broad range of health services, from preventive care to diagnosing and treating acute and chronic illnesses.
Roadmap
- The course will cover introduction to the syllabus.
- It will also cover comparisons between pediatric and adult patients.
- Mortality rates, legal and ethical concerns, and communication skills will also be discussed.
Subspecialties
- Adolescent medicine
- Pediatric cardiology
- Child abuse pediatrics
- Pediatric critical care medicine
- Developmental-behavioral pediatrics
- Pediatric emergency medicine
- Pediatric endocrinology
- Pediatric gastroenterology/oncology
- Pediatric hospital medicine
- Pediatric infectious diseases
- Neonatal-perinatal medicine
- Pediatric nephrology
- Pediatric pulmonology
- Pediatric rheumatology
- Pediatric surgery
- Hospice and palliative medicine
- Medical toxicology
- Sleep medicine
- Sports medicine
- Pediatric transplant hepatology
Areas of Importance
- Immunizations
- Full adult potential
- Growth and development
- Nutrition
How Old is a Pediatric Patient?
- Infants: 0-2 years old
- Children: 2-11 years old
- Adolescents: 11-21 years old
Adolescence Classifications
- Early adolescence: 11-14 years old
- Middle adolescence: 15-17 years old
- Late adolescence: 18-21 years old
Pop Quiz
- 2-month-old
- 17-year-old
- 11-year-old
- 3-year-old
- 18-month-old
- 7-day-old
- 21-year-old
How is Pediatrics Different Than Adult Medicine?
- Histories
- Physical Examinations
- Physiological Differences
- Developmental Considerations
- Prevention and Safety
- Disease and Injury
- Legal/Ethical Concerns
The Pediatric History
- Parent as historian
- Differences between parent and child histories
- Prenatal and birth histories
- Maternal/family histories
- Developmental histories
- Social history
- Immunization history
The Pediatric Physical Exam
- Age and condition specific
- General vs focused
- Newborn
- Infant
- Toddler/Child
- Adolescent
- Physical Milestones
Examples of Physiological Differences Between Pediatrics & Adults
- Body surface area (BSA) larger in proportion to adults
- Thinner skin
- Immature blood-brain barrier
- Faster respiratory and heart rates in infants and young children
- Obligate nose breathers
- Smaller airways
- More prone to lung collapse
Examples of Pediatric Vital Signs vs Adult
- Includes a table of age-specific blood pressure, respiratory rate, and heart rate values. Also included are values for temperature that vary across the different age groups.
Examples of Physiological Differences Between Pediatrics & Adults
- Higher metabolism and absorption
- More prone to dehydration
- Poorer temperature control
- Immature immune system
- Need more water & calories than adults
- Immature organ systems
- Medication metabolism affected
Examples of Medication Pharmacokinetics in Pediatric Patients
- Reduced GI motility and increased stomach pH
- Longer time to reach maximum concentration
- Thinner, moister skin, greater cutaneous perfusion
- Less muscle mass, weaker muscles and less muscle blood flow
- Increased skin absorption, increased systemic exposure
- Reduced bioavailability and erratic absorption
- Changes in distribution of water or lipid-soluble drugs
- Lower drug clearance
- Increased water volume
- Reduced metabolic enzyme activity
- Reduced renal function in neonates; elevated renal clearance per kg in >1yr
- Changes in renal clearance of drugs
Medications in Pediatrics
- Smaller doses than adults
- Not proportional to differences in weight
- Commonly use weight-based dosing for infants and smaller children, ie: 2mg/kg/day
- Limited clinical trial information
- Less standardized dosing and outcome guidance
- Often medication used off-label
Examples of Pediatric Lab Values vs Adult
- Includes a table comparing different lab values across various ages, from newborn to adolescents.
Developmental Differences Between Pediatrics & Adults
- Development varies tremendously by age
- Mental and emotional capabilities start egocentric and concrete thinking with limited resilience
- Dependent on sensory experiences
- Limited concentration span
- Windows of development
- Have a longer life expectancy
- CNS development continues throughout adolescence
Examples of Prevention & Safety Differences in Pediatrics
- Need adult assistance and protection
- Do not understand how to keep themselves safe
- Unique and different exposure to environmental factors
- Placental and breastfeeding
- Spend more time outside and on the ground
- Vaccinations
- Exposure to media
Examples of Disease & Injury Differences Between Pediatrics & Adults
- More likely to get sick or severely injured
- Some diseases specific to children
- Younger age at disease onset may increase severity
- Head and neck injuries more common
- Fractures require more force, with bigger impacts
- Infants/children metabolize medications differently
- Limited clinical trials with children
Common Childhood Acute Illnesses
- Common cold (viral URI)
- Respiratory Syncytial Virus (RSV)
- Ear infections
- Roseola
- Gastroenteritis
- Hand-Foot-Mouth Disease
- Fifth Disease
- Group A Strep
- Influenza
- Conjunctivitis
- Fevers
Common Childhood Chronic Diseases
- Dental caries
- Asthma
- Cystic fibrosis
- Diabetes
- Obesity and overweight
- Malnutrition
- Developmental disabilities
- Cerebral palsy
- Consequences of prematurity
- Mental/behavioral disorders
What are Vital Statistics and Why do We Use Them?
- Continuous data on births and deaths
- Local level to states to national level
- Maternal and infant mortality are essential for national health indicator measurements
- Help understand quality/access of care
- Racial, ethnic, socioeconomic disparities
U.S. Infant Mortality Rate
- Includes a table of U.S. and New Mexico infant mortality rates measured over time (1930 to 2017).
*U.S. & New Mexico Infant Death by Cause
- Includes a table listing causes of infant deaths in the U.S. and New Mexico in 2017.
Infant Mortality Rates by State, 2017
- Presents a map of the United States displaying infant mortality rates by state in 2017
Ethical & Legal Concerns
- United States Supreme Court ruling on parental rights and children
Group Work: Ethical & Legal Concerns
- Instructions for group work assignments, including division into groups, election of spokespersons and scribes, answering questions posed to the groups, answers written on a board.
Communication
- Role play for parent and doctor communication (with links to videos)
Group Work: Communication
- A quotation about the expected communication interactions between parents and doctors.
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Description
Test your knowledge on pediatric health indicators and developmental differences between children and adults. This quiz covers typical heart rates, blood pressure, respiratory rates, and more for different age groups, along with medication considerations and common childhood illnesses.