6657 Peds Week 2|Pediatric Clinical Assessment and Management Exam: History of Present Illness, Developmental, Social and Family History, Review of Systems, Physical Examination, Differential Diagnosis, Diagnostic Impression, Management Plan, Well Child P

6657 Peds Week 2|Pediatric Clinical Assessment and Management Exam: History of Present Illness, Developmental, Social and Family History, Review of Systems, Physical Examination, Differential Diagnosis, Diagnostic Impression, Management Plan, Well Child Preventive Care, Immunizations, Anticipatory Guidance, Episodic and Chronic Visit Evaluation, Modifier 25 Utilization, Conductive and Sensorineural Hearing Loss, Central Auditory Processing Disorder, Visual Assessment Including Myopia, Hyperopia, Astigmatism, Ptosis Evaluation, Strabismus Screening, Reflexes (Moro, Asymmetrical Tonic Neck, Palmer, Plantar, Rooting, Stepping, Sucking, Galant, Babinski), Sinus Development, Oral Candidiasis Recognition, E/M Coding for Infancy, Early, Middle, Late Childhood, Adolescence and Adult Preventive Visits Exam Questions Verified and Provided with Complete A+ Graded Rationales Latest Updated 2026 Basics HPI and/or reason for visit History (developmental, social, family, medical) Review of systems Physical examination Impression (Differentials) Assessment (Diagnosis) Plan: Well visit - immunizations, anticipatory guidance Episodic or chronic (could be a modifier 25) - tests, referrals, follow up Conductive hearing loss Dysfunction in the outer and/or middle ear. This type of hearing loss may be permanent or temporary sensorineural hearing loss Dysfunction in the cochlea and/or inner ear. This is a permanent type of hearing loss that usually cannot be medically or surgically corrected Central auditory processing disorder When auditory signals are not processed by the brain. The child can "hear" sound, but cannot understand what is being heard. The child's peripheral mechanisms are intact, the brain doesn't process in a typical or efficient manner. Normal vision The cornea bends/refracts light to focus it onto the retina Myopia uncorrected vision is better at near than it is at distance Nearsighted Hyperopia Uncorrected vision is better in distance than closer vision Farsighted Astigmatism A refractive error caused by an abnormality in the curvature of the cornea (aka: spherical aberration) and/or the lens Ptosis Is a dropping of the upper eyelid (unilateral, bilateral) Pathology ptosis Anything affecting the normal innervation or muscular function: The orbicularis oculi muscle surrounds the circumference of the eye and serves to close both the upper and lower eyelid. - Innervated by the CNVII (facial). The levator palpebrae superiors muscle helps to raise the upper eyelid. - Innervated by CNIII (oculomotor). The Müller's muscle is an accessory smooth muscle that serves to help elevate the upper eyelid - Innervated by the sympathetic nervous system. Mechanical - Mechanical ptosis can result from excessive weight on the upper lid. Sources include infections, inflammation, and eyelid tumors Potential sequalae The most serious problem associated with childhood ptosis is amblyopia Ptosis can also hide misaligned or crossed eyes (Strabismus) Tropia (cover, uncover) and phoria (cross cover test) asymmetrical tonic neck When a baby's head is turned to once side, the arm on that side stretches out and the opposite arm bends up at the elbow. lasts until 5 to 7 months old Moro startle reflex in response to loud sound or movement, baby throws back head and extends out arms and legs, cries, then pulls arm and legs back in Lasts until baby is 2 months