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Flashcards in SCHOOL_AGE HEALTH Deck (27):
1

school-age ages

6 through 12

2

cognitive focus

conceptual

3

psychosocial focus

industry stage, desire to please adult figures

4

physical exam focus

body mass index, scoliosis screening, tanner staging

5

labs for school age

PPD once before school entry and yearly if risk factors, hematocrit at 8 yo, cholesterol if familial hx

6

immunization

2nd MMR for school entry

7

Average 10 yo height and weight

height 52-56 inches tall, 70lbs

8

Average weight gain

weight gain 5-7lbs per year

9

average height gain per year

2-3 inches

10

Age that girls reach peak height velocity

11-12, before menarche

11

age permanent teeth erupt

6 yo

12

age to start scoliosis screening

9 yo

13

Ericksons cognitive stage of school-age

industry vs inferiority stage; child is active, energetic, and curious

14

jean Piagets cognitive stage for school-age children

concrete operational thinking stage

15

Developmental warning signs in the younger school-age child

Poor adjustment to school, not working to ability, frequent illnesses/ need to stay home from school, lack of social interaction and peer problems

16

Developmental warning signs in older school-age children

revert to dependent, shy, passive roles, using illness to avoid responsibilities, cannot make or keep friends, poor school performance, feeling left behind, disinterest in any extra academic activity, destructive behavior to express self

17

obesity differential dx

endocrine disease, genetic conditions such as prader-Willi syndrome, medication induced obesity (Antipsychotics)

18

Determination of obesity

BMI greater than 95th percentile for age/gender

19

essential impairment in ADHD

deficit in behavioral inhibition which disrupts the developmental process of learning how to self-regulate behaviors.

20

the 3 diagnostic types of ADHD according to the 4th edition of the DSM IV

Predominately inattentive type, predominantly hyperactive-impulsive type, combined type (most children are diagnosed with this type)

21

essential elements to make ADHD diagnosis

symptoms must be present before the age of 7,
symptoms must persist for at least 6 months,
symptoms must be more frequent and more sever than those observed in other children at the same level of development.
Symptoms interfere with functioning in at least 2 settings: home, school, play

22

Clinical manifestations of inattention ADHD

Makes careless mistakes, fails to pay attention to detail, easily distracted, difficulty concentrating long enough to complete task, difficulties following directions, difficulties organizing task and activities

23

clinical manifestations of impulsivity ADHD

Difficulties awaiting ones turn, frequently blurts out answers, interrupts or intrudes on others

24

clinical manifestations of hyperactivity ADHD

Fidgetiness, difficulty remaining seated, difficulty playing quietly, subjective feelings of restlessness in adolescents, difficulties with social relationships, low frustration tolerance

25

Methylphenidates

Ritalin, concerta, metadate ,focalin. REasses every 2 weeks

26

amphetamines

adderall, adderall XR, dexedrine, Vyvanse

27

MOA of stimulants

increase availability of neurotransmitters to increase focus and attention