Adolescent health Flashcards
Binge +purge to deal with stress/negative emotions and preoccupation with losing weight suggests what?
Bulimia Nervosa
What is psychological treatment for anorexia?
Family Therapy
What is psychological treatment for Bulimia nervosa?
Cognitive behavioural therapy
What are MEED admission criteria for feeding disorder?
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
What are the symptoms of refeeding syndrome?
delerium/parasthesia/hallucination/weakness/coma /death
What are lab findings of refeeding syndrome?
Low PO4-, K+ and MG 2+. May have raised glucose.
Rasied CK 2ndry to rhabdomyolysis
Describe genital herpes
Multiple painful crops of blisters on gentials that appear 4-7 days post exposure and quickly burst leaving erosions.
Describe HPV infection
Soft, cauliflower warts in ano-genital region, esp in friction areas.
Describe syphilis rash
solitary, painless, indurated genital ulcers with sharp border.
T.pallidum from swabs
What is treatment for chamydia?
If >13 and not pregnant, doxycycline 100mg BD 7 days.
2nd line azithromycin
What is treatment for Gonnorrhoea?
If suscepitbility known Ciprofloxacin 500mg PO one off
If not known, Ceftriaxone 1g IM one off.