Growth and Development
Motor Vehicle accidents
What is an important education point for adolescents?
one of the most frequent causes of death
What is the height requirement for a school age child to no longer need a booster seat? 4'9"
Zidovudine
What is an antiretroviral used to slow the progression of HIV?
Intense itching with abrasions noted to base of neck
What are manifestations of pediculosis capitis?
Pain, pallor, and jaundice
What are signs and symptoms of sickle cell anemia?
Pain is the hallmark symptom of sickle cell anemia
What are the s/sx of iron deficiency anemia? pallor, increased heart rate and dyspnea
SE of chemotherapy
What is nausea, vomiting, hair loss, mucosistis, constipation, diarrhea, cushingoid effects?
Identity vs Role confusion
What is Erickson's stage of psychosocial development for the adolescent?
Working to demonstrate uniqueness and independence. Ensure they are part of making their own decision.
bath, pat dry, moisturize, assess allergies, trigger avoidance
What are methods to decrease eczema exacerbations?
Also, remember the importance of understanding triggers. How do we know what the child's triggers are?
Strawberry tongue, sandpaper rash, fever, sore throat
What are signs and symptoms of Scarlet Fever?
Normal platelet range
What is 150,000 - 400,000.
What precautions do you want to take if a child has a low platelet count?
Important precautious with Wilm's tumor?
Do not palpate abdomen.
Remember Wilm's tumor is a neoplasm of the kidney and if pressure/palpation applied it could rupture.
Wilm's tumor aka nephroblastoma.
Expected growth for adolescent girls.
What is 15.5 - 55 lbs and height of 2-8 inches?
growth complete approximately 2-2.5 years after menarche
HIV transmission
What is infected blood and body fluids?
We protect ourselves with standard precautions with every patient including HIV patients.
pruritic vesicles on trunk, face, arms, and legs
What is varicella?
When is varicella no longer contagious?
What are comfort measures?
What medication do we not give?
normal WBC count
What is 5,000 - 10,000?
If caring for a child with low WBC count what precautions do you want to ensure?
abdominal mass, weight loss, anorexia, excessive sweating, flushed face, hypertension and loss of motor function
What are possible signs and symptoms of neuroblastoma?
Arises from cells of the sympathetic nervous system and often occuring in the adrenal glands.
Most common abdominal tumor in children, may even be detected in utero.
Growth spurt for boys
What is mid to end of puberty?
Possible complications from a burn
What is infection and delayed growth.
Decreased immune function, increased protein and calorie deficiency, delayed growth
Topical antibiotic
What is treatment for impetigo?
Red beefy tongue, nausea, vomiting, pale, anorexic
What are signs and symptoms of Pernicious anemia?
Pernicious anemia is also called what?
uncontrolled production of leukocytes
What occurs with Acute Lymphocytic Leukemia?
First Tanner stage
What is testicular growth (boys)?
What is breast development (girls)?
Be sure to review the order of the rest of Tanner stages.
Histamine
What is released in response to an allergen?
Consider testing for allergies and the use of antihistamines.
Slapped cheek appearance, fever, headache
What are signs and symptoms of Fifth Disease?
epitaxis, hematuria, tarry stools, joint pain
What are signs and symptoms of Hemophilia?
Child presents with long term pain to leg that is attributed to an injury.
What is a likely scenario with diagnosis of Osteosarcoma and Ewing's Sarcoma?
Osteosarcoma - metaphysis of long bones
Ewing's Sarcoma - diaphysis of long bones