Peds exam 3

Closes at 2 months

Closes at 18 months

Primitive reflexes, progressive myelination (head to toe), large head, excessive spinal mobility, cartilaginous vertebral bodies

Small VS changes, HA, vomiting, dizzy, sluggish pupils, parents notice change in LOC

Bluging fontanelle, irritable, dilated scalp veins, high pitched cry

Cushings triad (widening pulse pressure, bradycardia, slow/irregular respirations), fixed dilated pupils, seizures, significant changes in LOC

Cranial nerves, fontanels, cognitive function, VS, posturing, neck pain? headache? GCS

Eye opening, verbal response (baby: cooing, inconsolable, moaning), motor response (spontaneous movements, uncoordinated movements, no pain response)

Involves only one hemisphere or particular area of the brain

Partial seizure; no loss of consciousness, no aura, no post seizure confusion

Partial seizure; consciousness imparied, usually starts after 3 yrs old and goes through adolescence. Post-seizure amnesia/confusion, can progress to more severe seizure acitvity over time

Diffuse activity of brain; may have aura before and postical state afterwards

Spacing out for 1-10 seconds, hard to identify

Loss of consciousness with repetitive muscle movement

Loss of consciousness with muscle stiffening.