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Mgmt of child > Endocrine ppt > Flashcards

Endocrine ppt Flashcards

1
Q

If child starts puberty too soon..

A

Child will most likely be short stature as an adult

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2
Q

Cause of precocious puberty

A

Idiopathic

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3
Q

Average age for puberty

A

Boys:12yrs
Girls: 9-10yrs

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4
Q

Clinical manifestations for precocious puberty in girls

A

breast development, public/axillary hair, enlargement of vagina, uterus, and ovaries, acne, adult body odor, growth spurt, moodiness, onset of menses

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5
Q

Clinical manifestations for precocious puberty in boys

A

Testicular enlargement, penile enlargement, pubic hair, axillary/chest hair, facial hair, acne, adult body odor, deepening of voice

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6
Q

GnRH stimulation test

A

Definitive serum hormone test for diagnosing precocious puberty (shows an increase in hormones)

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7
Q

Diagnostic tests for precocious puberty

A
  • history
  • physical exam
  • gnRH stimulation test-definitive
  • x-Ray- determines bone age
  • US- is there ovary enlargement?
  • MRI-tumor growth
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8
Q

If child’s bone age is 2 yrs higher than actual age. What is child diagnosed with?

A

Precocious puberty

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9
Q

Why treat precocious puberty?

A
  • child will look different and be bullied
  • body image issues
  • preserve their ultimate height
  • prevent pregnancy
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10
Q

Treatment for precocious puberty

A

Leuprolide acetate (Lupron Depot)

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11
Q

Leprolide acetate

A

Stop when you want the child to start puberty naturally —–> stop 16 mos before

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12
Q

Leprolide acetate given

A

Monthly IM injections or yearly implant

educate that you may see further symptoms but will get better

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13
Q

Treat underlying cause if due to

A

Head injury or CNS tumor

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14
Q

Type 1 diabetes

A

Destruction of pancreatic cells

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15
Q

Onset of type 1 diabetes

A

Childhood and adolescence

Peak:
4-6yrs
10-15yrs

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16
Q

Classic sign of diabetes

A

Polyphagia, polydipsia, polyuria

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17
Q

S/s of type 1 diabetes

A

Abdominal pain, fatigue, bed wetting,hyperglycemia, acidosis, weight loss

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18
Q

Parents will often think the child is just sick if they experience what S/S:

A

Abdominal pain, fatigue, bed wetting

** if these signs occur pediatrician should further test**

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19
Q

Child can test their own blood sugar at

A

4-5yrs with supervision

20
Q

Child can administer own insulin at

A

9yrs with supervision

21
Q

Child can draw up own dose of insulin at

A

11yrs with supervision

22
Q

Child with type 1 diabetes should be taught to

A

Carry candy or sugar cubes in case of hypoglycemia

23
Q

Toddler

A
  • Parents manage disease
  • food issues (picky child)
  • establish routines (snack 3x a day for good glycemic control)
  • hypoglycemia (irritable or crying child)
  • allow for choices/ independence (which finger)
24
Q

Preschooler

A
  • can understand simple explanation
  • appetite is more predictable (sense of time and structure)
  • cab identify feelings associated with hypoglycemia and cab describe it
  • delegate (have child gather supplies)
25
Q

School Aged

A
  • school (very structured)
  • glucose testing on self
  • insulin admin. (9yrs supervised)
  • hypoglycemia (candy/sugar cubes kept w/ child)
26
Q

Adolescents

A

Adolescent girls are diagnosed with type 1 diabetes are at risk for eating disorders

27
Q

Drinking alcohol decreases

A

blood sugar

28
Q

Blood sugar tested

A

4-6 times a day

29
Q

Having a fasting blood sugar >126 you will be diagnosed w/ type 1 diabetes? T or F

A

True

30
Q

Child cannot play sports with type one diabetes? T or F

A

false- child can play sports as long as dose and diet changes are made

31
Q

Kids w/ type 1 diabetes wear

A

Med alert bracelet

32
Q

When child is active

A

Decrease amount of insulin given

33
Q

When child has extra snacks

A

Increase dose of insulin

34
Q

Ppl with type 1 diabetes count there carbs.

T or F

A

True

35
Q

What is Congenital adrenal hyperplasia ?

A

Deficiency of one of the enzymes necessary for synthesis of cortisol and aldosterone in the adrenal cortex

36
Q

Most common type CAH

A

21-hydroxylase deficiency

37
Q

S/S of adrenal insufficiency

A

Recurrent vomiting, dehydration, metabolic acidosis, hypotension, hypoglycemia

38
Q

Manifestations of CAH

A
  • signs of adrenal insufficiency-(losing aldosterone/Na +)
  • ambiguous genitalia
  • precocious puberty
  • tall stature for age
39
Q

Virilization

A

female in utero producing male characteristics

40
Q

Autosomal recessive disorder

A

Congenital adrenal hyperplasia

41
Q

Diagnosis of CAH

A

At a newborn screen (shows lack of cortisol), US (diagnosed in utero), difficulty assigning sex to newborn

42
Q

Administration of cortisone

A

Suppresses ACTH secretion which inhibits the secretion of adreno-corticosteroids which causes virilization; this will help to slow linear growth

43
Q

Females with CAH

A

May often require reconstructive surgery of genitalia

44
Q

Cortisol treatment is

A

Life long

45
Q

Precocious puberty

A

-Early sexual development (early secondary sexual characteristics)

46
Q

Age range for precocious puberty

A

Boys:

Mgmt of child (5 decks)

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