lec 4/8 Flashcards
erikson Adolescent
identity role confusion
Early adolescent: group identity vs. alienation
Development of personal identity vs. role diffusion
adolescent thinking
invincible “my friend was in an accident but that could never happen to me”
Thelarche
appearance of breast buds—age 9-13½ yrs
Adrenarche
Growth of pubic hair on mons pubis—2-6 months after thelarche
Menarche
initial appearance of menstruation approximately 2 yrs after 1st pubescent changes —avg age 12 yrs 9½ months in North America
KOhlberg
Internalized set of moral principles
Questioning of existing moral values and relevance to society
Understand duty and obligation, reciprocal rights of other
Concepts of justice, reparation
Piaget adolescent
formal operations
can understand abstract
Relationships with Peers
Peers assume increasingly significant role in adolescence
Peers provide sense of belonging and feeling of strength and power
autonomy
Hirschsprung’s Disease
Absence of ganglion cells in distal colon
Mechanical obstruction caused by inadequate motility of part of the intestine
bile vomiting
dx rectal biopsy
meconium
with in 48 hours after birth
wong
738
Intussusception
Proximal segment of bowel telescopes into a more distal segment of bowel
Palpable RUQ abdominal sausage-shaped mass
“Currant jelly” (blood & mucus) stool
air bolus
can cause ischemia
Imperforate Anus
Malformation of anorectal region without an obvious anal opening
Acute Appendicitis
peds
Obstruction & inflammation of the vermiform appendix
Acute condition that progresses to perforation and peritonitis if undiagnosed.
more comfortable of side rlq pain
wbc ^, CRP ^,
upper uti
kidney ureter
systemic symptoms- high fever, chills, abdominal pain, flank pain, persistent vomiting, moderate to severe dehydration
lower uti
bladder, urethra
frequency, dysuria, urgency, enuresis, strong smelling urine
UTI :peds
STASIS: single most important host factor
ua c s
1) clean self, antimicrobe soak, discard first little bit and last little bit.
2) Straight cath
3) md can but a needle directly into the bladder
Vesicoureteral Reflux
Retrograde flow of bladder urine into the ureters
Causes recurring kidney infections-pyelonephritis
itis
inflammation
more blood than anything else
osis/emia anything that does not end in itis
more protein than blood in urine
which means hypo albumin in the vascular
fluid weight gain, *so loosing weight is a good sign
Nephrotic Syndrome
Disorder characterized by increased glomerular permeability to plasma protein resulting in massive urinary protein loss
especially albumin.
Includes: massive proteinuria, hypoalbuminemia,
hyperlipidemia, and edema.
nephrotic syndrome
Weight gain Generalized edema Facial edema Ascites Anorexia/Malnourished no htn LITTLE BLOOD
nephrotic syndrome
Hypoproteinemia Hypoalbuminemia Hyperlipidemia H/H normal-high (hemoconcentration) Low platelets Hyponatremia
Acute Glomerulonephritis
post-infectious renal disease of childhood
Acute poststreptococcal glomerulonephritis
occurs after a streptococcal infection with
group A beta hemolytic strep.
Immune-complex disease
Disease commonly secondary to strep throat or impetigo
azotemia
build up of nitrates in the blood
Wilms Tumor (Nephroblastoma)
DO NOT PALPATE STOMACH
Most common malignant renal & intra-abdominal tumor of childhood
Abdominal swelling or mass
-Firm, non-tender, confined to one side
DO NOT PALPATE TUMOR
tx- chemo
