Psychosocial Flashcards
Primary nocturnal enuresis
Never been dry on consecutive nights for 6 months
Secondary nocturnal enuresis
Begin wetting after being dry 6 months
Management for nocturnal enuresis
Alarms
Behavioral modification
Organic causes of nocturnal enuresis
Sickle cell trait
UTI
Diabetes
Seizure or sacral issue
Causes of secondary nocturnal enuresis
Severe snoring and sleep disruption
UTI
Diabetes
Constipstion
Stress
Most common cause of diurnal enuresis (after period of daytime continence)
Behavior
(Cannot be diagnosed prior to age 3)
Unintentionally produced physical symptom that has no physiological explanation
Somatization
Symptoms Incompatible with anatomical or medical logic
Conversion disorder
Preoccupation with illness, frequently in the context of previous illness
Hypochondriasis
Presenting with false or exaggerated symptoms, often with a motive
Malingering
Despite evidence of the contrary, the patient perceived themselves as being ugly or undesirable
Dysmorphic disorder
Belief that something is medically wrong and may take psychotic dimensions (ie pancreas has wings)
Somatic delusions
Effortless and painless vomiting for 2 months in the absence of an identifiable organic cause
Rumination syndrome
Maximum amount of TV time for children
2 hours/day
0 if child < 2 y/o
Age in which infants establish day/night schedule
2 months
Age at which infants should be capable of sleeping through the night
4 months
First 3rd of the night
Family history
Boys > girls
Deep breathing
Dilated pupils
Sweating, tachycardia, tachypnea
No recall of the episode
Night terror
Last 3rd of the night
Woken easily
Recall the episode
Nightmare
Red flags for human trafficking
Multiple ER visits
Recurrent STIs
Unusual tattooing
Overbearing “friend” or “relative”
