Early onset of puberty (before 8yrs in girls; before 9yrs in boys); can occur in infancy or early childhood; premature appearance of secondary sex characteristics; accelerated bone growth -> early growth plate fusion -> short stature in adulthood
Seizure - management
airway, O2 suction; DO NOT PLACE ANYTHING IN MOUTH; turn on side; seizure meds/ketogenic diet, seizure surgery; prevent injury; referral; teach CPR to parents; side rails up/padded; waterproof mattress; protect during possible hazardous activities; med ID
status epilepticus
prolonged seizure or series of seizures c loss of consciousness at least 30 min
Myelomeningocele - s/s
depends on location
Precocious puberty - management
luteinizing hormone - releasing hormone, IM once q 4wks, d/c @ chronologically appropriate time when puberty desired
simple partial seizures
most common syndrome - benign focal epilepsy; varies b/w people; s/s r/t area of brain affected; motor, autonomic or sensory s/s; no change in LOC; odd taste or smell, ABD discomfort, unexplained fear/dread, motor movements may occur
Type 1 Diabetes - Manifestations
polyuria, polydipsia, polyphagia c wt loss et dehydration, ABD pain et V; routine UA during yearly physical exam (ketones et glucose)
Bacterial meningitis - dx
lumbar puncture, full septic workup usually done in any child c signs (urine, blood, CSF cultures, CBC)
