Lecture 10/8 Flashcards
bleed that goes through suture lines and can hold a ton of blood
Subgaleal hemorrhage
Menarche occurs approximately ______ years after thelarche?
2 years
What is NOT indicated as a treatment choice for dysmenorrhea?
steroids
What constitute a main underlying cause of morbidity of adolescence?
psychosocial, often correlated w/ poverty
What does HEADSS stand for?
Home environment Education Activity Diet/ Drugs/ Depression Sexuality Suicidal ideation
what is the main reason for HTN in adolescence?
Essential HTN, can still be due to underlying disorders
how much earlier do girls have a growth spurt than boys?
2 years
what initiates spermatogenesis in males?
FSH
WHat produces testosterone in the testicles?
LH
when do girls get breast buds?
8-11yrs
First ejaculation usually _____ years after initiation of testicular growth
1 year
Gynecomastia peak incidence between ________ years
14-15 yrs
when does a growth spurt occurs in girls?
9-14
when does growth spurt occur in boys?
11-18
what Tanner stage is there sparse hairg?
Stage 2
When does pubic hair become darker and coarser?
Stage 3
What stage does a secondary breast mound develop?
Stage 4
most common breast mass?
Fibroadenoma
most common cause of galactorrhea?
Prolactinoma
what is the second most common cause of galactorrhea in girls?
Hypothyroid
no periods by age 14 with no other pubertal development, or age 16, with other pubertal development
Primary amenorrhea
withdrawal bleeding indicates normal anatomy and adequate estrogen.
Medroxyprogesterone challenge
absence of menses x 3 cycles after regular periods have been established = estrogen stimulation unopposed
Secondary amenorrhea
most common cause of secondary amenorrhea?
pregnancy
what is another common cause of secondary amenorrhea?
unopposed estrogen (PCOS)
Endometriosis can often be managed with _____
OCP
If they are below what age and sexually active do you have to report it to the authorities?
14
when is early adolescence?
10-14
when is middle adolescence? At risks behaviors are greatest
15-17
A lot of times what will abdominal pain indicate?
an underlying emotional disorder
What is emotional stress expressed as physical symptoms?
Conversion reactions
when do thoughts about sexuality occur?
Early adolescents
What eating disorder is likely in a high achieving person involved in sports that value body image?
Anorexia nervosa
What eating disorder is seen in impulsive, risk taking individuals with average grades. Often have history of sexual abuse.
Bulimia Nervosa
What makes males fore at risk for eating disorders?
Wrestling
Homosexual orientation
what conditions can you have from anorexia?
Functional hypothyroid (not enough iodine)
cold
bradycardia
dizzy
what are some symptoms of bulimia nervosa?
Electrolyte problems
Orthostatic hypotension
Related to purging
what is used to prevent a relapse of anorexia nervosa?
SSRI
What is used to treat bulimia nervosa?
SSRI
If you are taking laxatives what state will you be in?
Acidodic
If you are vomiting a lot what state will you be in?
Alkalotic
Swelling of what gland can occur from vomiting?
parotid gland
when is drug and alcohol experimentation common?
Early- middle adolescence
what are the stages of substance abuse?
Initiation –> Continuation –>
Maintenance –> Progression
