Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Mgmt PEDS > Endocrine Disorders > Flashcards

Endocrine Disorders Flashcards

1
Q

what is precocious puberty

A

early sexual development

boys

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

average age of puberty development for boys

A

12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

average age of puberty in girls

A
  1. 2 years of age (Caucasian)

9. 6 years of age (African-American)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

most of the time the cause of precocious puberty is unknown, t or f

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

precocious puberty in girls increases risk for what?

A

cancer (breast)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

age of youngest documented mother in history

A

5 years old

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

dx of precocious puberty

A

GnRH stimulation test (definitive) - increase in testosterone, estrogen
x-ray of bone in wrist compared to others the same age (>2 years will receive dx)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

if child is less than 6 yrs old with dx of precocious puberty will likely have a dx of what

A

tumors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

why treat precocious puberty

A 
body image issues
preserve adult height
to stop development 
prevent pregnancy
trt underlying cause
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what do we treat precocious puberty with

A

lupron - given IM, or yearly implant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

around the time of normal puberty (11-12 y.o.) what will we do?

A

stop lupron - may stop sooner (16 months before puberty starts naturally)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

when can a child handle giving themselves injections

A

around 9 y.o.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

type 1 diabetes is typically seen in this age group

A

childhood and adolescence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

2 peak incidences in type 1 diabetes

A

4-6

10-14

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

s/s of type 1 diabetes

A

abd pain
fatigue
bed-wetting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

3 “polys” of diabetes

A

polyphagia
polydipsia
polyuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

children are typically in dka when they are dx as type 1, t or f

A

true

18
Q

at what age can a child stick their finger for blood glucose

A

as early as age 4-5

19
Q

when can a child draw up dose of insulin

A

age 11-12

20
Q

teach a child to carry this with them w/type 1 diabetes

A

candy, sugar cubes

21
Q

mgmt for toddlers with type 1 diabetes

A 
timed meal plan w/snacks 3 times/day
offer choices (which finger do you want to use)
22
Q

when a child is hypo or hypoglycemic what will they present with

A

irritability - temper tantrum

23
Q

can a toddler recognize their sugar is low, yes or no

A

no

24
Q

develop a code word with preschoolers when they feel their blood sugar is low, t or f

A

true

25
Q

what happens to blood sugar with increased activity

A

blood sugar will go down - decrease dose

26
Q

dx with type 1 diabetes with fasting blood glucose of

A

126 or >

27
Q

this age group has the most difficulty adjusting to dx of type 1 diabetes

A

adolescents - don’t want to be different from peers

28
Q

what happens to sugar when teens drink alcohol with type 1 diabetes

A

lowers blood sugar - especially w/binge drinking (hypoglycemic)

29
Q

will children with type 1 diabetes wear a medical alert bracelet, yes or no

A

yes

30
Q

are adolescent girls with type 1 diabetes at a high risk for developing eating disorders

A

yes, concerned with weight

31
Q

when does congenital adrenal hyperplasia occur

A

a congenital condition that happens in utero - cause unknown

32
Q

in congenital adrenal hyperplasia there is a deficiency in the synthesis of

A

cortisol (21-hydroxylase) and aldosterone

33
Q

two conditions with CAH

A

mild and complete loss of cortisol

34
Q

CAH can be a life threatening condition with complete loss of cortisol and aldosterone t or f

A

true - can go into hypovolemic shock

35
Q

if you produce too many androgen’s (male hormones) in the fetus what will happen if its a female

A

development of external male characteristics (clitoris may look like a penis)

36
Q

s/s of adrenal insufficiency

A 
ambiguous genitalia
tall stature for age
precocious puberty
hypo-tension
hypoglycemia
metabolic acidosis
dehydration
vomiting
37
Q

dx CAH

A

difficult to assign sex in some cases

US

38
Q

trt for CAH

A 
give cortisone (PO) - suppresses ACTH secretion/slows linear growth 
females may need reconstructive surgery of genitalia
39
Q

is cortisone trt a life-long trt in CAH

A

yes

40
Q

when do we need to increased amount of cortisone in CAH

A

stress, infection/illness

41
Q

trt for complete dx of CAH

A

cortisone along with aldosterone (Florinef)

42
Q

mgmt of CAH

A

watch fluid balance

provide parental support

Mgmt PEDS (21 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions