MedU Clipp Cases 5 and 6 Flashcards
1
Q
(6) Signs of Hypothyrodism in the Adolescent?
A
- Cold Skin
- Slowness
- Fatigue
- Preferring Hot weather to Cold weather
- Doing poorly in School
- Coarse hair
2
Q
(5) What are the Symptoms of Depression in Adolescents?
(1) What is the extra one in Adults
A
- Feels down and doesn’t want to participate in normal activities
- Feels sad and often cries over small things
- Doesn’t want to participate in Friend’s activities
- Thinks about Suicide
- Feels grouchy and flat all the time
Adult
- Early morning waking, difficulty falling asleep at night
3
Q
Signs of Anorexia in Female Adolescents?
A
- Bradycarda
- -> Postural Hypotension
- Electrolyte Abnormalities
- Def. in Calcium and Magnesium
- -> Neurologic changes
- -> Increased Reflex Tone
- -> Compromised Cardiac Function
4
Q
(2) Signs of Bulimia?
A
- Dental Decay (from stomach acid)
- Finger Trauma from Self-induced vomiting
5
Q
(5) Differential Diagnosis for Fatigue
in an Adolescent Female?
A
- Anemia
- Bleeding disorder, Iron Deficiency
- Bleeding Disorder
- Hypothyroidism
- Menorrhagia and Shorter Menstrual Cycles
- Constipation, Weight gain, Decreased Appetite
- Depression
- Substance Abuse
6
Q
When do Girls start Puberty?
A
- Girls Start between 8 and 13 y.o.
- Breast Buds 10 - 11 y.o.
- Pubic Hair 10 - 11 y.o
- Growth Spurt 12 y.o.
- Menarche 12 - 13 y.o.
- Adult Height 15 y.o..
7
Q
When do Boys start Puberty?
A
- Boys start puberty between 10 and 15 y.o.
- Growth of Testicles 12 y.o.
- Pubic Hair 12 y.o.
- Growth of Penis 13 - 14 y.o.
- First Ejaculation 13 - 14 y.o.
- Growth Spurt 14 y.o.
- Adult Height 17 y.o.
8
Q
What tests do you order for Abnormal Bleeding Disorder?
A
- CBC w/ Platelets, RBC indices, and a smear
- Reticulocyte count
- PT and PTT
- Platelet function test
- Factor VIII activity
- von Willebrand Factor antigen
- von Willebrand Factor activity (Ristocetin cofactor)
9
Q
What are the Symptoms of vWD?
A
- Ecchymoses (small hematomas in areas of trauma)
- Epistaxis
- Menorrhagia
- Bleeding post-tonsillectomy and Dental Extractions
- Gingival bleeds
10
Q
Treatment for vWD?
A
- Intranasal or Intravenous Desmopressen
- Sometimes Human plasma-derived, virally inactivated von Willibrand’s Factor concentrate
- For Menorrhagia
- Contraceptive pills
- Levonorgestrel Intrauterine device
11
Q
What genetic dominance is vWD?
A
Autosomal Dominant
12
Q
Describe Tanner Stage I in Females?
A
- No Glandular Tissue and is Prepubertal
- No Pubic hair at all
- < 10 y.o.
13
Q
Describe Tanner Stage II in Females?
A
- Breast Buds form and Areola Begins to widen
- Long, Downy Hair w/ Slight pigmentation appears on the Labia majora
14
Q
Describe Tanner Stage III in Females?
A
- Breast buds elevated but do not have secondary mound characteristics
- Pubic hair extends laterally
15
Q
Describe Tanner Stage IV in Females?
A
- Breasts increased in size and elevation
- Areola and Papilla forma secondary mound that projects from the contour of the rest of the breast
- Pubic hair extends across the Mons Pubis and spares the Medial thigh
