Appendicitis
What is the most common initial symptom of appendicitis in children?
Periumbilical pain that migrates to the right lower quadrant (RLQ)
How is scabies transmitted?
Prolonged skin-to-skin contact
What is osteogenesis imperfecta?
A genetic disorder characterized by fragile bones due to defective collagen production.
What developmental behavior may occur after hospitalization?
Regression
OI is caused by calcium deficiency.
False
What classic sign indicates RLQ tenderness?
McBurney’s point tenderness
What organism causes scabies?
Sarcoptes scabiei (mite)
What classic physical finding is associated with OI?
Blue sclerae
How can scabies affect identity development?
Visible rash may impact body image and self-esteem.
Pets commonly spread scabies to humans.
False
What position may a child assume to decrease pain?
Side-lying with knees flexed
What is the hallmark symptom of scabies?
Intense itching, especially at night
Besides bones, what other body system is commonly affected?
Hearing (conductive hearing loss)
How does OI affect motor milestone development?
Recurrent fractures delay crawling, standing, and walking.
Morphine is contraindicated in suspected appendicitis.
False
What lab value is typically elevated?
WBC count
What is the first-line treatment for pediatric scabies?
Permethrin 5% cream
What medication is commonly used to increase bone density in OI?
Bisphosphonates (e.g., pamidronate)
How might OI affect initiative?
Fear of injury may limit participation in active play.
The rash may look like small red bumps or burrows with scabies?
True
What assessment finding suggests rupture?
Sudden relief of pain
Should household members be treated?
Yes, all close contacts should be treated at the same time
Why do fractures occur easily in OI?
Defective Type I collagen causes weak bone structure
How can appendectomy affect development?
Missing school and activities may impact sense of accomplishment (industry).
Children with OI may have dentinogenesis imperfecta (fragile teeth).
True