PEDS wk5 DB

Week 5 Discussion Part I

Table 1

Classifications of Anemias

Complete the information.
	Normocytic	Microcytic	Macrocytic	Hemolytic Anemia
Description
Clinical Findings
Diagnostic Studies
Management

Table 2

Differentiate Common Childhood Leukemias

Clinical Findings:
	Acute Lymphocytic Leukemia (ALL)	Acute Myelogenous Leukemia (AML)
Occurrence
Management

Table 3

Tanner Stages

Tanner Stages	Girls (Breast Development)	Boys (Genital Development- testes/penis)
Stage I
Stage II
Stage III
Stage IV
Stage V

Table 4

Delayed Puberty, Menarche, and Growth Spurts

Answer the following questions.

How is precocious puberty defined for boys and girls?

What is considered delayed puberty in boys and girls?

What labs tests should be ordered for delayed puberty?

During what age ranges do growth spurts occur in boys and girls?

What is the average age of menarche in the United States?

Table 5

Differentiate Types of Diabetes

	Type 1 Diabetes	Type 2 Diabetes
Age of onset
Gender
Race/Ethnicity
Obesity
Family History of DM
Insulin Secretion
Insulin Sensitivity
Onset
Ketosis, DKA
Hypertension
Acanthosis nigricans
Polycystic ovarian syndrome
Islet Autoimmunity

Table 6

Hypothyroidism and Hyperthyroidism

Differentiate between hypothyroidism and hyperthyroidism
	Clinical Findings	Diagnostic Studies	Management
Hypothyroidism
Hyperthyroidism

Table 7

Drug Interaction with Herbal Supplements

Please complete the table of common interactions between FDA-approved medications and herbal supplements
Drug Category	Herb	Effect of Herb on the Drug’s Action
Iron	Tannin-rich herbs (e.g. caffeine containing herbs, cat’s claw, tea, uva, ursi)
Laxative, stimulant (e.g., bisacodyl)	Aloe, cascara sagrada, senna, yellow dock
NSAIDS	Gastric irritant herbs (e.g. caffeine, rue, uva ursi) Nettles
Oral contraceptives	Licorice, St. John’s wort
Salicylates (e.g. aspirin)	Herbs that alkalinize urine (e.g. uva ursi) Tamarind Ginkgo, garlic
Theophyline	St. John’s wort
Thyroid Hormone	Horseradish Kelp

PART II

Select one of the following four case scenarios. Identify the prompt in the subject line of your post, for example, Case Scenario 1 - Tommy

Complete all Part II elements of the discussion:

· Each prompt has additional key questions to address in the body of your response to ensure an understanding of learning objectives.

· Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.

· In your peer replies, please reply to at least two peers who chose a different case scenario - other than the one you selected. For example, if you selected Case Scenario 1, then reply to one peer who selected Case Scenario 2 and another peer who selected Case Scenario 3 or 4.

· Be prepared to answer additional questions relating to a secondary diagnosis or consideration posed by faculty.

Case Scenario 2: Margaret brought in her 11-year-old daughter Sandy for her well-child exam. Sandy has developed axillary and pubic hair and has been complaining of mild abdominal cramping off and on for 3 days. Margaret also mentions to you that she is concerned about allowing her daughter to participate in a sexuality educational course offered at school.

· What does the evidence say about providing sexuality education at school to children?

· Which approach should you take when taking a sexual history from Sandy?

· What anticipatory guidance should you give Sandy about her body changes?

· What anticipatory guidance should you give Margaret about teaching Sandy about sex?