WEEK 7 DB PEDS

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Week 7 Discussion Part I

Table 1

Amenorrhea

Complete the Table

Distinguish between primary and secondary amenorrhea

Clinical presentation

List 3 differentials

Labs ordered

Causes

Treatment/Management

Complications

Table 2

Dermatologic Conditions

Common Skin Lesions

Description

Common Location

Treatment/Plan

Mongolian Spots

Erythema Toxicum Neonatorum

Milia, Miliaria, “Prickly Heat”

Seborrheic Dermatitis “Cradle Cap”

Café au Lait Spots

Faun Tail Nevus

Port Wine Stain (Nevus Flammeus)

Hemangioma (Strawberry Hemangioma)

Table 3

Differential Diagnosis Common Childhood Rashes

CC: Rash

Condition

Appearance/Location

Treatment

Hand Foot mouth disease

Impetigo

Measles

Varicella

Scarlet Fever

Pediculosis capitis or head lice

Molluscum contagiosum

Scabies

Roseola

Table 4

Physical Activity and Sports Participation

Physical activity recommendations include children and adolescents participating in at least ____ minutes of moderate to vigorous physical activity daily.

What medical conditions would exclude a child from sports participation?

What are the three entities of the female athlete triad?

Table 5

Sexually Transmitted Diseases

Complete the table.

Infection

Common Signs & Symptoms

Diagnostic Tests

Treatment/Follow-up

Chlamydia

Gonorrhea

Trichomoniasis

Syphilis

Genital Herpes

HIV

Mrs. Lim brings in two of her children 3-year-old Lily and 5 year old Liam with complaints of a rash. Lily is not in any discomfort and her mother denies she has had any fever. Most of the painless flesh colored lesions are located on her abdomen and are dome shaped in appearance. However, she has one lesion on her left lower arm that appears to be draining. You notice Lily has a café au lait spot to her left lower back. Liam on the other hand has an itchy rash on his face. You notice Liam has small red sores about 1 cm around his mouth and nose with areas of yellow crusting where these have burst. Their mother wants to know if it is okay to send them to attend preschool/school.

· What other information would you want to know about Lily and Liam?

· How should you manage Lily and Liam? · What anticipatory guidance regarding spread of infection?

· When it is okay for each child to return to preschool/school?