-stimulant medications (lisdexamfetamine, methylphenidate, dextroamphetamine)- monitor BP and HR
-alternative meds (guanfacine, clonidine)
.Adolescent Fibroadenoma - ANSWER-Most common breast masses of adolescent girls
Sx: 2-3cm, rubbery, well-circumscribed, mobile, nontender. Commonly found in upper outer quadrant of
the breast.
Mgmt: observation if less than 5cm for 3-4 months
.Alcohol related birth defects - ANSWER-Dx requires a history of prenatal alcohol exposure, at least two
characteristic facial features and the presence of one or more congenital anomalies, including
malformations and dysplasias in cardiac, skeletal, renal, ocular, or auditory areas or two or more minor
anomalies
.Alcohol-related neurodevelopmental disorder - ANSWER-does not require the presence of dysmorphic
facial features but does require the presence of neurodevelopmental abnormalities or evidence of a
pattern of behavioral or cognitive abnormalities- poor impulse control, memory, attention or judgment
problems
REQUIRES confirmation of prenatal alcohol exposure
.Amenorrhea - ANSWER-Primary amenorrhea- no periods or secondary sex characteristics by age 13 or
no menses in the presence of secondary sex characteristics by age 15.
Secondary amenorrhea- the absence of menses for three consecutive cycles or for 6 months in a patient
with irregular cycles
.Anemia - ANSWER-HcT < 40% at term birth
Acute blood loss- signs of hypovolemia, normal reticulocyte count
, Chronic blood loss- pallor without hypovolemia, elevated reticulocyte count
Hemolytic anemia- accompanied by excessive hyperbilirubinemia
Tx: most infants tolerate well due to increased O2 availability in the extrauterine envt, but may need
erythropoietin or transfuionif failure to thrive or CV compromise
-persistent deficits in social communication and social interaction across multiple contexts
-restricted, repetitive patterns of behavior, interests or activities
Dx can be made reliably by 2 years of age
Tx: early, intensive behavior intervention
.Birth immunizations - ANSWER-hep B
.Breast Abscess in Adolescent - ANSWER-Often associated with overlying mastitis and/or purulent nipple
discharge. Culture abscess material and/or nipple discharge before starting ABX
Sx: unilateral breast pain
Staph is most common pathogen
Healing time from nipple piercing is 3-6mo.
.CMV
(Congenital) - ANSWER-MOST COMMON TRANSMITTED IN UTERO
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