Jay Q Pimping questions from Jay

is a clinical sign in which squeezing the calf muscle elicits an extensor plantar reflex. It is found in patients with pyramidal tract lesions, and is one of a number of Babinski-like responses.

• Place your fingers into the baby's hands and press against the palmar surfaces. The baby will flex all fingers to grasp your fingers
• Birth to 3-4 months
• Persistance beyond 4 mo suggests pyramidal tract dysfunction

• Touch the sole at the base of the toes the toes should curl
• birth to 6-8 months
• peristence beyond 8 montsh suggests pyramidal tract dysfunction

• Hold the baby supine supporting the head back and legs. Abruptly lower the entire body about 2 ft
• The arms should abduct and extend hands open and legs flex. Baby may cry
• Birth to 4 months
• Persistence beyond 4 months suggests neurological disease like CP, beyond 6 mo strongly suggests it
• Asymetrical response sugests fracture of the clavical or humerus or brachial plexus injury

With baby supine turn the head to one side holding the jaw over the shoulder

• Verticle
• Circular
• Wedge

Paraphimosis

• Erb's
• Klumpke

• 1. The right patient
• 2. The right drug
• 3. The right time
• 4. The right dose
• 5. The right route
• 6. The right documentation