week 5 DB post
Cristy____pick ONE scenario
and fill out charts in the attachment.
3 months ago
20
files (2)week5db.pdf
Week5DiscussionPartI.pdf
week5db.pdf
Case Scenario 1: Tommy is a 2-year-old brought into the clinic for his well-child examination. His hemoglobin in the clinic is 9g/dL, his serum iron is below normal, TIBC is elevated, and his iron saturation is low. Although in remission, Tommy's mother mentions she always worries about Tommy since he was diagnosed with infant ALL.
• Based on these results, what type of anemia does Tommy have? • What symptoms and physical exam findings might you expect to find? • What is the treatment for this condition? • Please give the name of medication, form, dosage, frequency to be given, and
describe what follow-up is needed. • What are some of the common causes for this type of anemia and what anticipatory
guidance will you give the parents? • How would you address his mother’s anxiety about Tommy’s past medical history of
ALL
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?
Case Scenario 3: Carlos is a 15-year-old with type 1 DM, diagnosed one year ago. Carlos is interested in trying out for a soccer team.
• What additional information should you know about Carlos? • Which diagnostic tests should you periodically monitor for this condition? • What anticipatory guidance and instructions will you give Carlos and his parents
about his participation in soccer, diet, and insulin management?
Case Scenario 4: You have a 9-year-old female patient who was newly diagnosed with hypothyroidism last month. She is here to see you for a well-child exam. The mother states that she has not filled the prescription because she wants to discuss alternative treatment options.
• How should you approach the mother on her use of complementary therapy? • What should you tell the mother about the need for levothyroxine medication? • What does the evidence say about complementary therapy for chronic diseases?
Week5DiscussionPartI.pdf
Week 5 Discussion Part I
Table 1 Classifications of Anemias
Table 2 Differentiate Common Childhood Leukemias
Complete the information.
Normocytic Microcytic Macrocytic Hemolytic Anemia
Description
Clinical Findings
Diagnostic Studies Management
Clinical Findings:
Acute Lymphocytic Leukemia (ALL)
Acute Myelogenous Leukemia (AML)
Occurrence
Managemen t
Table 3 Tanner Stages
Table 4 Delayed Puberty, Menarche, and Growth Spurts
Tanner Stages Girls (Breast Development)
Boys (Genital Development- testes/penis)
Stage I
Stage II
Stage III
Stage IV
Stage V
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 Differen-ate Types of Diabetes
Table 6
Hypothyroidism and Hyperthyroidism
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
Differentiate between hypothyroidism and hyperthyroidism
Clinical Findings Diagnostic Studies
Management
Hypothyroidism
Hyperthyroidism
Table 7
Drug Interac-on 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
