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SOPN PEDI CHAP 5
Question | Answer |
---|---|
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 |