Adolescent health Flashcards

1
Q

Binge +purge to deal with stress/negative emotions and preoccupation with losing weight suggests what?

A

Bulimia Nervosa

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2
Q

What is psychological treatment for anorexia?

A

Family Therapy

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3
Q

What is psychological treatment for Bulimia nervosa?

A

Cognitive behavioural therapy

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4
Q

What are MEED admission criteria for feeding disorder?

A

BMI <13 / <70% mBMI
HR <40
Temp < 35.5 tympanic/ <25 axillary
Syncope with BP <90 and >20mmHg postural drop
Clinical dehydration
Unable to sit up from lying flat
Consuming < 500kcal per day

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5
Q

What are the symptoms of refeeding syndrome?

A

delerium/parasthesia/hallucination/weakness/coma /death

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6
Q

What are lab findings of refeeding syndrome?

A

Low PO4-, K+ and MG 2+. May have raised glucose.
Rasied CK 2ndry to rhabdomyolysis

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7
Q

Describe genital herpes

A

Multiple painful crops of blisters on gentials that appear 4-7 days post exposure and quickly burst leaving erosions.

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8
Q

Describe HPV infection

A

Soft, cauliflower warts in ano-genital region, esp in friction areas.

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9
Q

Describe syphilis rash

A

solitary, painless, indurated genital ulcers with sharp border.
T.pallidum from swabs

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10
Q

What is treatment for chamydia?

A

If >13 and not pregnant, doxycycline 100mg BD 7 days.
2nd line azithromycin

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11
Q

What is treatment for Gonnorrhoea?

A

If suscepitbility known Ciprofloxacin 500mg PO one off
If not known, Ceftriaxone 1g IM one off.

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