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Anemia

Lead poisoning

Hypercholesterolemia

Developmental Dysplasia of Hip

Hypertension

Sports Injury

Childhood Injuries

Preventive Medicine

David Johnson, M.D.

A nine month old child has very pale mucous membranes.

Anemia

· Timing of "screening" is controversial.

· Peripheral hematocrit may be lower than central venous hematocrit

Lead Poisoning

Sources of Lead

· Young children are at risk thru hand-mouth exposure and thru respiratory tract

· Testing

Hypercholesterolemia

· Childhood symptoms of hyperlipidemia are very rare but may include xanthomas, corneal arcus, heart disease, and hypertension.

· Family history will identify 40-60% of children with hypercholesterolemia.

· Total cholesterol = LDL-cholesterol + HDL-cholesterol + Triglycerides/5

· Secondary causes of high total cholesterol include endocrine, renal and hepatic disorders, and drugs.

· Screening is recommended after age · "Physiologic anemia" occurs 2-3 months for patients with a family history of hypercholesterolemia. A fasting level is preferred.

A two week old anemia, lead poisoning, hypercholesterolemia, developmental dysplasia of the Hip, hip dysplasia, hypertension, sports injury, injuries, preventive medicine presents with a unilateral "hip click".

Developmental Dysplasia of Hip

· The presentation can vary from mild instability to true dislocation.

· Incidence: Dislocatable hip = 1:100

Frank dislocation = 1:1000

· Clinical Examination