Problems of adolescents Flashcards
which oral antibiotics are used for inflammatory acne
tetracycline with sunscreen, erythromycin
if they have cystic acne what is the treatment?
isotretinion, refer for this
how long before you see an improvement with antibiotics and acne?
2-3 months
Keratolytic cream, Bezyl peroxide, tretinoin are treatments used for which type of acne?
comedomal
when does breast and pubic hair develop usually in females?
7-13 years old
when do testes enlarge in males usually?
9-14 years old
what can cause precocious puberty (early)
tumors, congenital adrenal hyperplasia, idiopathic
what constitutes as short stature
height below 3rd percentile
a strain involves?
muscle/tendon
a sprain involves?
ligaments
mild, moderate or severe muscle injury
mild: small area, decreased motion
moderate: hemorrhage, decreased motion, limp
Severe: unable to bear weight
how often should you do xrays with idiopathic scoliosis
> 25 years old q6 months
<25 q3-4 months
is osgood-schlatters disease unilateral or lateral?
unilateral
s/s of osgood-schlatters disease
pain iwth activity, tenderness, swelling
treatment for osgood-schlatters disease and diagnostics
no diagnostic, xray not necessary,
treatment: rest, knee pads
anterior tibial tubercle ossification avulsion
osgood-schlatters disease
Patellar malalignment syndrome s/s
pain worse with activity and stairs, crepitus, positive movie theater sign, normal range of motion
There are no diagnostic testing for Patellar malalignment syndrome but what should you do to r/o other things
xray
treatment for Patellar malalignment syndrome
NSAIDs, rest, warm soaks, PT, refer to podiatrist
Legg-calve-Perthes disease
vascular compromise to femoral epiphysis
Legg-calve-Perthes disease s/s
thigh atrophy, painless limp, limited ROM of hip, INTERNAL rotation
Legg-calve-Perthes disease diagnostics
xray, bone scan, MRI
what are kids at risk for with Legg-calve-Perthes disease
osteoarthritis
treatment for Legg-calve-Perthes disease
cast, surgery for containment
Slipped capital femoral epiphysis
a dislocation causes vascular compromise to femoral epiphysis
Slipped capital femoral epiphysis s/s
painful limp, limited ROM, EXTERNAL rotation
Slipped capital femoral epiphysis treatment
surgery
Slipped capital femoral epiphysis diagnostics
xray
prodrome period for mono lasts how many weeks and s/s
1-2 weeks, malaise, fatigue, fever
acute period for mono lasts how many weeks and s/s
3-4weeks fever, sore throat, malaise, fever, fatigue, lymphadenopathy, tonsillopharyngitis, heptaosplenomegaly
Slipped capital femoral epiphysis has internal or external rotation on physical exam?
external
Legg-calve-Perthes disease has internal or external rotation on physical exam?
internal
Bulimia nervosa is characterized as
eating behaviors at least once a week for 3 months or more
Binge eating disorder is characterized as..
2 days a week longer than 6 months
