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Flashcards in Endocrine Disorders Deck (42):
1

what is precocious puberty

early sexual development
boys

2

average age of puberty development for boys

12

3

average age of puberty in girls

10.2 years of age (Caucasian)
9.6 years of age (African-American)

4

most of the time the cause of precocious puberty is unknown, t or f

true

5

precocious puberty in girls increases risk for what?

cancer (breast)

6

age of youngest documented mother in history

5 years old

7

dx of precocious puberty

GnRH stimulation test (definitive) - increase in testosterone, estrogen
x-ray of bone in wrist compared to others the same age (>2 years will receive dx)

8

if child is less than 6 yrs old with dx of precocious puberty will likely have a dx of what

tumors

9

why treat precocious puberty

body image issues
preserve adult height
to stop development
prevent pregnancy
trt underlying cause

10

what do we treat precocious puberty with

lupron - given IM, or yearly implant

11

around the time of normal puberty (11-12 y.o.) what will we do?

stop lupron - may stop sooner (16 months before puberty starts naturally)

12

when can a child handle giving themselves injections

around 9 y.o.

13

type 1 diabetes is typically seen in this age group

childhood and adolescence

14

2 peak incidences in type 1 diabetes

4-6
10-14

15

s/s of type 1 diabetes

abd pain
fatigue
bed-wetting

16

3 "polys" of diabetes

polyphagia
polydipsia
polyuria

17

children are typically in dka when they are dx as type 1, t or f

true

18

at what age can a child stick their finger for blood glucose

as early as age 4-5

19

when can a child draw up dose of insulin

age 11-12

20

teach a child to carry this with them w/type 1 diabetes

candy, sugar cubes

21

mgmt for toddlers with type 1 diabetes

timed meal plan w/snacks 3 times/day
offer choices (which finger do you want to use)

22

when a child is hypo or hypoglycemic what will they present with

irritability - temper tantrum

23

can a toddler recognize their sugar is low, yes or no

no

24

develop a code word with preschoolers when they feel their blood sugar is low, t or f

true

25

what happens to blood sugar with increased activity

blood sugar will go down - decrease dose

26

dx with type 1 diabetes with fasting blood glucose of

126 or >

27

this age group has the most difficulty adjusting to dx of type 1 diabetes

adolescents - don't want to be different from peers

28

what happens to sugar when teens drink alcohol with type 1 diabetes

lowers blood sugar - especially w/binge drinking (hypoglycemic)

29

will children with type 1 diabetes wear a medical alert bracelet, yes or no

yes

30

are adolescent girls with type 1 diabetes at a high risk for developing eating disorders

yes, concerned with weight

31

when does congenital adrenal hyperplasia occur

a congenital condition that happens in utero - cause unknown

32

in congenital adrenal hyperplasia there is a deficiency in the synthesis of

cortisol (21-hydroxylase) and aldosterone

33

two conditions with CAH

mild and complete loss of cortisol

34

CAH can be a life threatening condition with complete loss of cortisol and aldosterone t or f

true - can go into hypovolemic shock

35

if you produce too many androgen's (male hormones) in the fetus what will happen if its a female

development of external male characteristics (clitoris may look like a penis)

36

s/s of adrenal insufficiency

ambiguous genitalia
tall stature for age
precocious puberty
hypo-tension
hypoglycemia
metabolic acidosis
dehydration
vomiting

37

dx CAH

difficult to assign sex in some cases
US

38

trt for CAH

give cortisone (PO) - suppresses ACTH secretion/slows linear growth
females may need reconstructive surgery of genitalia

39

is cortisone trt a life-long trt in CAH

yes

40

when do we need to increased amount of cortisone in CAH

stress, infection/illness

41

trt for complete dx of CAH

cortisone along with aldosterone (Florinef)

42

mgmt of CAH

watch fluid balance
provide parental support