Acute Appendicitis
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Acute lower right sided abdominal pain (pain most intense at McBurney's
point, upon exam rebound tenderness over this area
Fever, tachycardia, vomiting, anorexia, difficulty ambulating
CBC with diff reveals elevated WBC, increased neutrophils
Increased CRP
, Ultrasound (MRI or CT if inconclusive US)
Surgical consult
Epileptic Spasms
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Body flexes and extends repeatedly
Formerly referred to as infantile spasms
Onset is during infancy usually between 4-18m
Usually associated with some degree of cognitive impairment
Can have from 5-150 seizures per day
Poor prognosis with most cases
Immunization Schedule
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Revised yearly
Timing and spacing is critical to developing the appropriate level of immunity
Adolescence: 12-18yrs: Pubertal Sexual Maturation
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Tanner stages 1-5
Sequence is predictable but age of occurrence varies
, Girls who present before 8yrs and boys who present before 9yrs must be
investigated
Adolescence: 12-18yrs: HP&M
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General observations
Growth and developmental surveillance (BMI, height, weight, privacy
concerns, physical exam)
Nutrition
Adequate physical activity
Good oral health
Mental health
Healthy relationships
Sexual health
Spiritual health
Chronic Illness: Care in the Community
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Meet physiologic needs
Assess family strengths and capabilities
Teach care needs
Know community resources
Collaborate with health professionals
Identify needs for intervention
, VAERS
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Vaccine Adverse Event Reporting System
Events reported that led to hospitalization, life-threatening illness, disability, or
death are classified as serious and are subject to further study
Bacterial Croup Syndromes
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Bacterial tracheitis
Epiglottitis
Cystic Fibrosis: Medications
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Give this one a try later!
Acute lower right sided abdominal pain (pain most intense at McBurney's
point, upon exam rebound tenderness over this area
Fever, tachycardia, vomiting, anorexia, difficulty ambulating
CBC with diff reveals elevated WBC, increased neutrophils
Increased CRP
, Ultrasound (MRI or CT if inconclusive US)
Surgical consult
Epileptic Spasms
Give this one a try later!
Body flexes and extends repeatedly
Formerly referred to as infantile spasms
Onset is during infancy usually between 4-18m
Usually associated with some degree of cognitive impairment
Can have from 5-150 seizures per day
Poor prognosis with most cases
Immunization Schedule
Give this one a try later!
Revised yearly
Timing and spacing is critical to developing the appropriate level of immunity
Adolescence: 12-18yrs: Pubertal Sexual Maturation
Give this one a try later!
Tanner stages 1-5
Sequence is predictable but age of occurrence varies
, Girls who present before 8yrs and boys who present before 9yrs must be
investigated
Adolescence: 12-18yrs: HP&M
Give this one a try later!
General observations
Growth and developmental surveillance (BMI, height, weight, privacy
concerns, physical exam)
Nutrition
Adequate physical activity
Good oral health
Mental health
Healthy relationships
Sexual health
Spiritual health
Chronic Illness: Care in the Community
Give this one a try later!
Meet physiologic needs
Assess family strengths and capabilities
Teach care needs
Know community resources
Collaborate with health professionals
Identify needs for intervention
, VAERS
Give this one a try later!
Vaccine Adverse Event Reporting System
Events reported that led to hospitalization, life-threatening illness, disability, or
death are classified as serious and are subject to further study
Bacterial Croup Syndromes
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Bacterial tracheitis
Epiglottitis
Cystic Fibrosis: Medications
Give this one a try later!
