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Pedit Test 2
| Question | Answer |
|---|---|
| puberty in girls | 12 |
| puberty in boys | 14 |
| school age freud | latency |
| school age erickson | industry vs inferioty |
| school age paiget | concrete |
| age 6-7 morals | rewards only |
| school age games | need rules |
| friends | secret societies |
| sex ed | middle childhood |
| enuresis | bed wetting 6-8 ceases |
| turner | missing an x |
| kleinfelter | extra x |
| grunting (impending respiratory failure), severe retractions, diminished breath sounds, apnea, poor systemic perfusion, tachycardia or bradycardia, | resp distress |
| otitis media with effusion= | fluid with no infection, |
| AOM | infection of the middle ear, |
| Headache, fever, abdominal pain, inflamed tonsils. Manifestation subside in 3-5 days, diagnosis= throat culture, tx= oral penicillin, warm saline gargles offer comfort, not infections after 24 hours | strep |
| prolonged inspiratory phase. Characterized by hoarseness, “barking” cough, inspiratory stridor, varying degrees of respiratory distress, affect larynx/trachea/ bronchi (epiglottitis, laryngitis, LTB, tracheitis), | croup |
| airway management/ maintain hydration/ high humidity with cool mist/ nebulizer | TM croup |
| LBT | Laryngotracheobronchitis, most common form of croup, generally affects children <5yrs, organisms responsible= RSV, parainfluenza virus, mycoplasma pneumoniae, influenze A and B, manifestation= stridor/suprasternal retractions/ barking or “seal” cough |
| acute inflammation of supra-glottic structures, medical emergency, sudden onset, high fever, dysphasia and drooling, | epiglotitis |
| sore throat/pain/tripod position/retractions/stridor/mild hypoxia/distress/respiratory obstruction, | |
| prolonged expiratory phase. Chronic disease affecting airways in lungs, bronchoconstriction, inflammation inside airways resulting in sensitivity- hyperreactivity, mucous hypersecretion, smooth muscle hypertrophy, allergens can cause obstruction | asthma |
| exocrine gland dysfunction that produces multi-system involvement, most common lethal | cystic fib |
| meconium ileus at birth, failure to thrive, constipation, voracious appetites with poor weight gain, recurrent respiratory infections, chronic cough, malabsorption of intestines. | CF |
| Presentation= wheezing, dry unproductive cough, obstructive emphysema, patchy atelactasis, cyanosis, clubbing of fingers and toes, repeated bronchitis and pneumonia. | CF |
| increase water | DRH |
| decrease water | votming |
| tachypnea, increased HR, apnea, deep shallow resps, | dehydration |
| •Hirschsprung disease: | congenital aganglionic megacolon, mechanical obstruction from inadequate motility of intestine, |
| ab pain, mc burney’s point, rebound tenderness, loss of appetite, vomiting, low grade fever. | •Appendicitis: |
| •Appendicitis:perf | alert, ab pain is suddenly relieved but as peritonitis develops it returns along with signs of acute abdomen, child will guard area of pain, ab distention, high fever, may appear dehydrated. |
| after sx? | AMBULATE |
| failure of esophagus to develop as continuous passage, may occur separately or in combination. | •TE fistula: |
| •Pyloric stenosis: | hypertrophy of circular muscle of pylorus obstructs sphincter |
| •Intussusception: | telescoping or invagination of one portion of intestine into another. Occasionally due to intestinal lesions, cause is unknown. Bloody, red stools. |
| encorpesis | primary before age 4 secondary after continent. |
| primary amenorrhea | no SSC and NM by 15 OR SSC but NM by 16.5 |
| secondary amen. | preg. |
| obese | over 95% |
| overweight | over 90% |
| % kids overweight | 30 |
| ADD before age | 7 |
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