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Clinical Exam > Long case issues > Flashcards

Long case issues Flashcards

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2
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Aboriginal health

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ADHD

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AED interaction

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5
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AED

side effects

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6
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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
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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
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Cerebral Palsy

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15
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CF management

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16
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CHD complications

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17
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Chronic illness

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18
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Communication

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19
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Complementary medications

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20
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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
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Complications CF

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23
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Confidentiality

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24
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Consent

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25
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Constipation

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26
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Delayed puberty

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27
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Developmental delay

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28
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Developmental Delay

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29
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Drooling

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30
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Drugs affecting bone health

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31
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Early intervention

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32
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Emergency care plan

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33
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End of life care

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Early involvement of palliative care

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34
Q

Failure to thrive

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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

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36
Q

Fussy eating

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37
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Genetic counselling

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38
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HEADSS

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39
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Hearing loss

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40
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Hospitalisation

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41
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Hospitalisation

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42
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Immunisation

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43
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Immunosuppresants

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44
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Immunosuppression

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45
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Menstruation in the disabled

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46
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NDIS

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47
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Needle phobia

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48
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Nocturnal enuresis

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49
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Nutrition

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50
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Obesity

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51
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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

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53
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OSA

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54
Q

Pain

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55
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Pain in disabled

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56
Q

Parenteral nutrition

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57
Q

Prematurity

acute

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58
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Prematurity

chronic

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59
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Refeeding

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60
Q

Relationship boundaries

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61
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Relationship boundaries

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62
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Respite services

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63
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Resuscitation status

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64
Q

Rural issues

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65
Q

School for special needs

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66
Q

School refusal

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67
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Screening CP

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68
Q

Seizures

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69
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Sibling issues

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70
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Sleep initiation

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71
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Smoking

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72
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Social burden

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73
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Social burden

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74
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Spasticity

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75
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Spasticity

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76
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Steroid side effects

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77
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Stoma care

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78
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Substance abuse

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79
Q

Tracheostomy

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80
Q

Tracheostomy

indications

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81
Q

Tracheostomy

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82
Q

Transition of care

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Trapeze/transition support service:

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

​MDT meeting

  • discuss management
83
Q

UTIs

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84
Q

Weight in CP

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85
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Withdrawal of AED

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86
Q

Financial support

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Clinical Exam (16 decks)

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