adolescent Flashcards Preview

joy's deck for FNP > adolescent > Flashcards

Flashcards in adolescent Deck (18):
1

hodgkin's lymphoma

most common cancer in teens

cervical and suprcalvicur lymphadenopathy
severe pain on malignant areas after drinking alcohol

2

testicular cancer

scrotal mass, tender
"heaviness" to testiticle

* risk factor is cryptoorchidism

3

testicular torsion

PAINFUL testicle
90% have n/v
scrotal edema, induration,
** Ipsilateral ( same side) ABSENT CREMASTERIC REFLEX

doppler, emergency!

4

stage 3 for boys/girls

boys: penis elongates
girls: one mound (breast/areola)

5

delayed puberty girl/boy

girl: (stage 2) no breast bud development (stage 2) by 12 yo
boy: (stage 2) no testicular/scrotal growth by 14 yo

6

all college freshmen should receive which vaccine?

MCV4 ( meniogoccal)

7

which labs increase in adolescents

alp (alkaline phosphatase) due to growing bones ( same for pregnant women)

8

emancipated minor criteria ( can give full consent as an adult)

married
active duty

9

what stage does puberty start

tanner 2 (breast bud/scrotal rugation/color darker)

10

female athlete triad

anorexia, amenorrhea, osteoporosis

educate about increasing calories
calcium 1200-1500mg
with vitamin D 400 IU

11

primary amenorrhea

no period by 15 yo (50% due chromosomal disorder)

12

secondary amenorrhea

no menses for 3 cycles or 6 months if previously had menses
due to pregnancy, stress, pcos

check hog, bone density

13

anorexia s/s

lanugo, peripheral edema!, weight loss >10%

avoid Depo provera (progesterone only) since it can cause bone loss

14

gynecomastia vs pseudogynecomastia

gynecomastia- disc like mobile MOUND, round, rubbery.
pseudo- due to adipose ( obese), soft and not tender. no breast bud

if mass irregular, fixed, rapid growth refer

15

scoliosis

"rapid" worsening- r/o marfan or ehlers danlos syndome
check forward bend (cobbs angle)
20, brace (milwaukee)
>40, surgery (harrington rod)

x ray to measure cobb
refer ALL scoliosis to orthopedic specialist

16

osgood schlader

knee pain in young athletes, esp boys during growth spurt
"rice", can continue based on comfort

17

delayed puberty definition

absence of secondary sexual characterists (males by 14 yo, females by 13).

primary amenorrhea: no period by 15 yo

18

what to r/o if no period by 15 yo (primary amenorrhea)

hypogonadism by checking estrogen/progestoeron, rhea, csh, tsh
r/o chromosomal disorders
absence of uterus
refer to endocrinologist