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Long case issues Flashcards

1
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2
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Aboriginal health

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3
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ADHD

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4
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AED interaction

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5
Q

AED

side effects

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6
Q

Ashworth scale

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7
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Aspiration

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8
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Attachment

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9
Q

Behavioural management

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10
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Body image

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11
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Bone issues

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12
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Bullying

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13
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Carer support

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14
Q

Cerebral Palsy

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15
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CF management

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16
Q

CHD complications

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17
Q

Chronic illness

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18
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Communication

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19
Q

Complementary medications

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20
Q

Compliance

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21
Q

Compliance issues in adolescence

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  1. Establish agreed agenda for consultation
  2. Establish main difficulties: show respect and empathy
  3. Say positive thing
  4. Outline problem: don’t assume patient knowns everything they need to about their condition
  5. Outline health issues if no change: be honest
  6. Action plan before next clinic: define roles in management of condition for patient and parents, short term goals
  7. Extra support: ask they how they would like help

Consider psychological co-morbidities

Think how an MDT might help

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22
Q

Complications CF

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23
Q

Confidentiality

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24
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Consent

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25
Q

Constipation

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26
Q

Delayed puberty

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27
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Developmental delay

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28
Q

Developmental Delay

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29
Q

Drooling

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30
Q

Drugs affecting bone health

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31
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Early intervention

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32
Q

Emergency care plan

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33
Q

End of life care

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Early involvement of palliative care

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34
Q

Failure to thrive

A

Definition: dropped> 2 centiles

Management

  • growth curve: monitor growth and growth velocity
  • family history
  • dietary diary
  • in/out balance
  • exclude pathological causes: FBC, EUC, LFTs, TFTs, micronutrients, coeliac screen, CF, stool tests, urine culture, metabolic test, endoscopy
  • depend on severity: admission for dietary diary

Differential

Decreased intake

  • fussy eating/oral aversion/behavioural issues (sensory)

Increased expendicture/output

  • diarrhoea, chronic disease

Decreased absorption

  • coeliac, IBD
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35
Q

Financial support

36
Q

Fussy eating

37
Q

Genetic counselling

38
Q

HEADSS

39
Q

Hearing loss

40
Q

Hospitalisation

41
Q

Hospitalisation

42
Q

Immunisation

43
Q

Immunosuppresants

44
Q

Immunosuppression

45
Q

Menstruation in the disabled

47
Q

Needle phobia

48
Q

Nocturnal enuresis

49
Q

Nutrition

50
Q

Obesity

51
Q

Oral aversion

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Education:

  • inform parents long term

Management

  • introduce foods as early as possible
  • family mealtimes
  • fun and encourage to explore texture food
  • graded exposure
  • no force feeds
  • reduce iatrogenic equipment
  • dental health
  • monitor nutrition

Support

  • SP, dietician, feeding clinic
52
Q

Orthopaedic issues CP

55
Q

Pain in disabled

56
Q

Parenteral nutrition

57
Q

Prematurity

acute

58
Q

Prematurity

chronic

59
Q

Refeeding

60
Q

Relationship boundaries

61
Q

Relationship boundaries

62
Q

Respite services

63
Q

Resuscitation status

64
Q

Rural issues

65
Q

School for special needs

66
Q

School refusal

67
Q

Screening CP

68
Q

Seizures

69
Q

Sibling issues

70
Q

Sleep initiation

71
Q

Smoking

72
Q

Social burden

73
Q

Social burden

74
Q

Spasticity

75
Q

Spasticity

76
Q

Steroid side effects

77
Q

Stoma care

78
Q

Substance abuse

79
Q

Tracheostomy

80
Q

Tracheostomy

indications

81
Q

Tracheostomy

82
Q

Transition of care

A

Trapeze/transition support service:

  • compliance issues
  • unplanned admissions
  • indigenous
  • cultural
  • complex background coordination
  • 14-25 years

​MDT meeting

  • discuss management
84
Q

Weight in CP

85
Q

Withdrawal of AED

86
Q

Financial support

Clinical Exam (16 decks)

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