Final Flashcards
precocious puberty is characterized as
onset of breast development before age 7 in girls (6 for AA) and enlargement of testes before age 9 in boys
More common in girls
malformation/malfunction of the thyroid gland during fetal development
congenital hypothyroidism
congenital hypothyroidism diagnosed by:
low concentrations of T3 and T4
symptoms of congenital hypothyroidism:
typical NCLEX question
dull expression, puffy face, hoarse cry, tongue sticks out
along with all s/s adults have
energy and blood sugar regulating hormone
cortisol
salt and water-regulating hormone
aldosterone
SOB, swollen belly, and multiple metastasis sites are associated with:
non-hodgkins
s/s in assessment of pyloric stenosis
projectile vomiting 30-60 minutes after feeding
immediately hungry after vomiting
weight loss/can’t gain weight
dehydration
constipation
olive-shaped mass on palpation
visible reverse peristalsis (left to right shift)
chronic constipation mgmt
diet (increase fiber)
increase fluids
restore stool pattern (scheduled time, go as often as they can/need to, make pleasant experience, same time of day)
bowel cleanser
maintenance therapy (miralax, milk of magnesia)
Avoid enemas when possible
Hirschsprung’s disease
lack of ganglion cells (which allow for motility) in distal colon – so inadequate motility in part of intestine causing bowel to dilate
how is Hirschsprung’s disease diagnosed
rectal bx
physical findings of Hirschsprung’s disease
vomiting, abd. obstruction, explosive bowel movements, constipation, diarrhea
older kids – chronic constipation, ribbon or pellet-shaped and foul smelling BMs
with Hirschsprung’s disease, important to look out for _____ which may indicated it has turned in to enterocolitis
abrupt onset of foul smelling diarrhea, abdominal distension, and fever
tx for Hirschsprung’s disease
surgical resection
inflammation and infection of intestines
enterocolitis