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SOPN PEDI CHAP 5

QuestionAnswer
The most common form of muscular dystrophy Duchenne Muscular Dystrophy
What disease presents with *MARKED INCREASE IN CHF* biopsy shows degeneration of muscle fibers WITH FAT. Becomes progressively worse with eventual confinement to a wheelchair. Death is due to cardiac failure or respiratory infections Duchenne Muscular Dystrophy
Lateral "S" shaped curvature that occurs DURING GROWTH SPURTS AT PUBERTY Scoliosis
Assessment: One shoulder or one hip is higher than the other ESPECIALLY when the child bends at the waist Scoliosis
Treatment: 1st treatment would be a "MILWAUKEE BRACE," and in more severe cases a rod insertion is needed for curvature growth greater than 40 degrees. "HARRINGTON ROD" Sometimes a cast. THE OUTCOME IS A CURVATURE OF LESS THAN 10 DEGREES. Scoliosis
A vascular necrosis of the head of the femur during rapid growth followed by a slow regeneration. The blood supply to the long bone is interrupted. SEEN IN BOYS 5-9 YEARS and cause unknown LEGG-CALVE PERTHES DISEASE
Joint dysfunction with a limp and limitation of movement. *Keep the child from dislocating their hip and keep the head of the femur within the acetabulum. The result is prolonged immobility LEGG-CALVE PERTHES DISEASE
Treatment: Supportive devices such as an abduction brace. A traction cast is used for 2-4 year olds. Treatement goal is to prevent further deformities to the femur. LEGG-CALVE PERTHES DISEASE
Treatment goal is to prevent furher deformities to the femur. Analgesics are used for pain. LEGG-CALVE PERTHES DISEASE
General systemic and chronic disease involving the heart, lungs, and joints caused by an antigen antibody reaction to GROUP A BETA HEMOLYTIC STREP!!!!!! Usually follows strep infection that occurs elsewhere in the body. Rheumatic Fever
What disease usually follows a strep infection that occurs elsewhere in the body? Rheumatic Fever
Symptoms: Low grade fever anorexia, muscle and joint pain that migrates from one to the other, (CHOREA) an involuntary motion of the muscles Rheumatic Fever
Treatment for rheumatic fever would include what? ASA for joint pain and STEROIDS for inflammation
What would be a serious complication of Rheumatic fever that can include cardia involvement and can be fatal? Rheumatic Carditis
Ascoff bodies are characteristic of what disorder??? (these are myocardial lesions) Rheumatic Carditis
Name a viral disease spread by direct contact with droplets whose incubation period is 10-14 days and has a communicability period of 4 days before and 5 days after the rash appears. VERY CONTAGIOUS!!! Measles (RUBELLA)
Symptoms: photophobia, conjunctivitis, fever, malaise, cough, corzya, Koplik spots. Macules changing to papules the rash fades with pressure Measles (RUBELLA)
symptoms: Rash begins behind the ears on the forehead and cheeks then progresses to the extremities. The rash lasts about 5 days Measles (RUBELLA)
What disease is spread by DIRECT AND INDIRECT CONTACT WITH DROPLETS GERMAN MEASLES
The chief complication of german measles, is to the mother of the unborn fetus. Rubella are considered contagious for how long 12-18 months
What virus can cause HERPES ZOSTER and has an incubation period of 10-21 days Chicken Pox
Whooping Cough (pertussis) has an incubation period of how long? 7-10 days
An allergic reaction to an infection in the body. (Caused by GROUP A BETA HEMOLYTIC STREP INFECTING THE THROAT!!!) May appear after the child has scarlet fever or skin infections. Acute Glomerulonephritis
Symptoms: Periorbital edema may be present. Fever at 1st but levels off to 100. BUN elevated also serum creatinine and sed rate. Tests positive for protein in urine. BED REST UNTIL HEMATURIA SUBSIDES!!!!! Acute Glomerulonephritis
Treatment: Check VS and report a rise in BP!! Make bed as pleasant as possible, protect kid from the chills, watch for signs of fatigue when kid is allowed up, and protect the kid from contact with people who have infections Acute Glomerulonephritis
Signs and Symptoms: Child that does not sit, stand, or walk within the normal age limit. Clumsiness and failure to respond to stimuli are early signs of what disorder??? Mental Retardation
Management: The nurse must face his/her own feelings first and develop a positive attitude. Parents need support and compassion NOT PITY!!! Mental Retardation
What skills can a child with MILD mental retardation acquire and what IQ level? can acquire basic learning skills and has an IQ level of 50-75
What skills can a child with MODERATE mental retardation acquire and what IQ level? can acquire SIMPLE social skills and has an IQ level of 35-50
what skills can a child with SEVERE mental retardation acquire and what IQ level? can benefit from habit training and has an IQ of 20-35
what skills can a child with PROFOUND mental retardation acquire and what IQ level? Minimal capacity to function and has an IQ level below 20
Created by: Beezle
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