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
- Moves Both Arms and Both Legs
- Fine Motor
- Opens Hands Briefly
- Tracks Objects to the Midline
- Language/Communication
- Produces Sounds Aside from Crying
- Reacts to Loud Noise
- Social / Cognitive
- Social Smile
- Recognizes Parents
- Soothed When Spoken to or Picked Up
2 mins
Age 4 Months - Developmental Milestones
- Gross Motor
- Keeps Head Steady Without Support
- Pushes Up on Elbows While on Tummy
- Fine Motor
- Holds a Toy in Hands
- Moves Hands Towards Mouth
- Language/Communication
- Cooing
- Turns to Voice
- Social / Cognitive
- Chuckles
- Enjoys Looking Around
- Looks at Hands With Interest
- Opens Mouth When Hungry
2 mins
Age 6 Months - Developmental Milestones
- Gross Motor
- Sits Propped Up On Hands
- Rolls
- Fine Motor
- Raking Grasp
- Language/Communication
- Makes Squealing Noises
- Blows "Raspberries"
- Turn-Taking in Sounds
- Social / Cognitive
- Laughs
- Enjoys Looking at Self in a Mirror
- Recognizes Familiar People
- Closes Lips to Signal Fullness
- Puts Objects in Mouth
- Reaches for Desired Toys
2 mins
Age 9 Months - Developmental Milestones
- Gross Motor
- Sits Up Independently
- Fine Motor
- Transfers Objects Between Hands
- Uses Fingers to Pull Food Toward Self
- Language/Communication
- Produces Various Sounds Like "mamamama" and "bababababa"
- Raises Arms to be Lifted Up
- Social / Cognitive
- Separation Anxiety
- Shows Facial Expressions
- Looks When Calling Name
- Smiles or Laughs at Peek-a-boo
- Looks for Dropped Objects Out of Sight
- Bangs Two Items Together
2 mins
Age 1 Year - Developmental Milestones
- Gross Motor
- Pulls Up to Stand
- First Steps
- Fine Motor
- Drinks From an Open Cup with Assistance
- Two-Finger Pincer Grasp
- Language/Communication
- Understands “No”
- Waves "Bye-Bye"
- "Mama & Dada"
- Social / Cognitive
- Plays Pat-A-Cake
- Puts Block in Cup
- Searches for Hidden Toys
2 mins
Age 18 Months - Developmental Milestones
- Gross Motor
- Walks Independently
- Climbs On/Off Furniture Without Help
- Fine Motor
- Drinks from Open Cup Independently
- Scribbles
- Eats with Fingers
- Tries to Use a Spoon
- Stacks Three Blocks
- Language/Communication
- Attempts Three-word Phrases
- Follows One-step Commands
- Social / Cognitive
- Checks While Moving Away
- Points to Objects
- Engages With Toys Simply
- Copies Parent Doing Chores
- Extends Hands for Washing
2 mins
Age 2 Years - Developmental Milestones
- Gross Motor
- Kicks a Ball
- Runs
- Walks Up Stairs With Help
- Fine Motor
- Stacks Six Blocks
- Feeds Self With a Spoon
- Language / Communication
- Two-Word Phrases
- Points to Book Items as Prompted
- Demonstrates Varied Gestures
- Identifies Body Parts When Prompted
- Social / Cognitive
- Shows Empathy
- Holds and Manipulates Objects Simultaneously
- Engages With Multiple Toys
2 mins
Age 3 Years - Developmental Milestones
- Gross Motor
- Starts Dressing Independently
- Rides Tricycle
- Fine Motor
- Stack Nine Block Tower
- Threads Items Together
- Copies Circle
- Uses Fork
- Language / Communication
- Engages in Two-way Conversation
- 75% Speech Understood by Stranger
- Says First Name
- Social / Cognitive
- Avoids Hot Objects When Warned
- Joins Other Kids in Play
2 mins
Age 4 Years - Developmental Milestones
- Gross Motor
- Unbuttons Some Buttons
- Catches a Large Ball
- Serves Food or Pours Water With Help
- Fine Motor
- Copies Line, Circle, Stick Figure
- Language / Communication
- 100% Speech Understandable
- Identifies Colors
- Social/ Cognitive
- Cooperative Play
- Imaginary Friends
- Likes Being a “Helper”
- Avoids Danger
2 mins
Age 5 Years - Developmental Milestones
- Gross Motor
- Buttons Some Buttons
- Hops on One Foot
- Fine Motor
- Prints Letters
- Language / Communication
- Counts to 10
- Uses Simple Rhymes
- >3 Back-and-forth Exchanges
- Answers Simple Questions
- Tells a Story
- Social / Cognitive
- Names Some Letters When Pointed
- Follows Rules
- Sings, Dances, Acts
- Does Simple Chores
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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