NR 602 Mid-Term Exam Study Guide with
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complete solutions – Chamberlain (Updated) i- i- i- i-
Blepharitis - acute or chronic bacterial (staph) inflammation of
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eyelash follicle or sebaceous gland of eyelid. bilateral usually
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-flaky, scaly debris over eyelid margin when awakening
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- tx: warm compress, scrub with weak shampoo, sometimes
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bacitracin or erythromycin, i- i-
-no contacts during tx
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Osgood-Schlatter disease -Caused by microtrauma in deep i- i-i- i- i- i- i- i- i-
fibers of the patellar tendon at its insertion on the tibial tuberosity.
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- Often seen in adolescent years after rapid growth spurt last year.
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- risk: girls:8-12 yo, boys: 10-15 yo, recent physical activity, pain
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during and immediately after activity, better with rest, bilateral in
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20-50%, pain with extension of the knee against resistance,
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squatting, swelling and point tenderness at tibial tuberosity, full
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knee ROM. i-
- No dx test needed. Based on H&P.
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- Tx: avoid painful activities, Ice, NSAIDs, stretching, neoprene
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sleeve over knee, casting or bracing
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,Idiopathic scoliosis -most common type (infant 0-3), Juvenile
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(3-10), Adolescent (11+). Familial or genetic pattern.
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- Tx: Observation (<20 deg.), Brace (>30 deg. or skeletal immaturity
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with 20-25 deg that's shown > 5 deg progression), Surgery (>45-50
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deg or do not respond to brace).
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- females are more likely to have curve progression and need close
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monitoring
- equal occurrence in boys and girls, but girls have a higher risk for
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curves >30 deg. i- i- i-
- usually found in adolescents
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Tanner (pubic hair) i- i- i-i- i- 1) no pubic hair
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2) initial, scarce pigmented hair along medial border of labia
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3) sparse, dark, visibly pigmented curly hair on labia
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4) hair coarse and curly, abundant but less than adult
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5) lateral spreading, triangle spread of adult hair to medial surface
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of thighs
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Tanner (Males) i- i-i- i- 1) Prepubertal
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2) enlargement of scrotum & testes & change in scrotum texture.
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May be reddened
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3) further penile growth (length first) & testes & scrotum
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, 4) significantly enlarged ion length & circumference penis. more
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development of glans penis. darkening of scrotal skin (facial hair
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after this only)
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5) adult genitals
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Tanner (Breasts) i- i-i- i- 1) prepubertal
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2) Breast buds palpable under areola, enlargement of areola
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3) breast tissue palpable outside areola- no areolar development or
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separation of contour i- i-
4) Areola elevated above contour of breast forming "double scoop"
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appearance
5) Areola mound recedes back into single breast contour with
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areolar hyperpigmentation, papillae development/ projection &
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nipple protrusion
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chalazion -chronic sterile inflammation of eyelid from a
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lipogranuloma of the meibomian gland i- i- i- i-
- initially, mild redness & swelling, then after a few days, a slow-
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growing, round, nonpigmented PAINLESS mass remains.
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- Acute tx: hot compress, refer to eye MD
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Infant development
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closed, sees 20-25cm away, sleeps 16-17 hrs a day
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