SAHYA Part-5

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SAHYA Part-5 Powered By Docstoc
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AIMS

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SOURCES

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MIND
• INTELLIGENCE
• (BEARE OF EXAUGURATION)

• • • • •

INTERACTION WITH SCHOOLS PLAYING EMOTIONS STORIES EMOTIONAL STATUS OF PARENTS

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GENERALS
• • • • • • • • FOOD & DRINS (desires aversions) HOT / CHILLY- not applicable) COVERS SLEEP-POSITION DELERIUM PERIODICITY RECURRENCE VACCINATION HISTORY
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Things to be remembered in paediatric case taking
• Be an observer toDiagnose (For Empirical Prescribers)
– Mood of patient ๘Approaching/Withdrawn

– Skin for indication of medicines
– Orifices for Drugs

– Tongue for Remedies

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Developmental deficits occur by 4 categories of risk

Established riskMaternal diseases at first trimester of gestation,

Teratogenic effects of certain drugs, Exposure to X ray-[2nd half of MC] ,Chromosomal anomalies.etc

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Developmental deficits occur by 4 categories of risk

Biological riskLBW,[>2.5 kg], prematurity,birth asphyxianeonatral hyperbilirubinemia , hypoglycemia,neonatral convulsions, intra uterine infections,septicemia,etc Brought to you by Similiacare.com .

Environmental risks

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Developmental deficits occur by 4 categories of risk

No apparent risk

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•Social Smile

-5 – 45 Days

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Eyes follow pen/pencil – 35- 50 Days Holds head steady - 40- 150 Days

Rolls from back to stomach 80 days11months Turns head to sounds of bell/rattle – 3m-5.5m
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Transfer objects hand to hand - <4m->7m
Rises self to sitting position - 5.5M-11M

Standing up by furniture – <6m-11m Fine prehension pellet – 6.5m-10.5m

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Walk with help - <7m->13m Throws doll -<9m-<16m Walks alone – 9.5m-18m Says two words -11m-19m Walk backward – 11m-19.5m
Walk upstairs with help - 12.5m-24m Points to parts of doll(3parts)-<15m24m
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Anticipate problems in conditions

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H/O Delay in getting pregnant H/O Repeated abortions H/O Excessive vomiting in first trimester LBW Jaundice, Hypoglycemia H/O Neonatal convulsions requiring more than one drug Psychiatric problems in mother

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Age appropriate toys –
• • • • • • • • • • • 0-3 months- bright objects 3-6 months Sound making, to hold, suck and chew 7-12 months Toys noises with, squeezing toys, drums, 12-15 monthsbuilding blocks, picture book and cryon, bus and other toys 15-24 monthstoys to push and pull, toys to ride in, toys to take part and put together
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posted:10/6/2008
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