p281 Flashcards
and the child can be referred to an orthopedist.
Reassurance
A child may stutter for a few weeks or several months, and the stuttering may be sporadic.
For most kids who begin stuttering at the of age of 3-8 years, the stuttering
eventually resolves within 4 years in 75% of cases, without any need for intervention such
as speech or language therapy.
When to take child to speech language
therapist to evaluate stuttering
Any mild or severe stuttering. =no normal
if the child’s stuttering is frequent, continues to get
worse, and is accompanied by body or facial movements
Age of onset for:
Normal,
mild
and Severe Stuttering
Normal 1.5-3 y
Mild 3-5
Severe 1-7
CxFx for:
Normal,
mild
and Severe Stuttering
Normal: Repeated syllables and sounds at the begining of sentences
• Children have no awareness of their stuttering
Mild: Similar to normal stuttering but more frequent, associated with secondary behaviors
Severe : Stuttering occurs in most phrases and sentences
During Postinfectious Glomerulonephritis, Nephritic Syndrome, how would you see the levels of
c3
c4
Low C3 level and normal C4 level. in 90% of the cases,
Very Rarely :Normal C3 and Normal C4.
All of the following are features of Kawasaki disease, except:
a) Fever for 1 day
b) Conjunctivitis
c) Skin rash
d) Fissured lips
e) Strawberry tongue
a)
It is characterized by prolonged
fever,
Kawasaki disease, physiopathology and age of onset
is a vasculitis, sometimes involving the coronary arteries, that tends to
occur in infants and children between ages 1 and 8 years.
Kawasaki disease, cxfx
prolonged fever (*** at least 5 days) , exanthem, conjunctivitis, mucous membrane inflammation, and lymphadenopathy
Associated signs include
erythematous macular rash, fissured lips and a red strawberry tongue.
Kawasaki disease, complications
Coronary artery aneurysms may develop and rupture or cause MI.
Kawasaki disease, Tx
aspirin and IV immune globulin.
Coronary thrombosis may require
fibrinolysis or percutaneous interventions.
