STARS Flashcards
(59 cards)
When is the peak age for bullying?
going INTO and transitioning OUT of middle school
Zero tolerance policies, conflict resolution/peer mediation, group treatment for bullies
school should NOT have these…sends mixed messages about bullying and makes kids less likely to report
Definition anorexia nervosa
restriction leading to clinically significant low weight, intense fear of gaining weight or behavior that interferes with gaining weight, lack of recognition of seirousness of low body weight.
two types: restricting or binge/purging
How to quantify severity of anorexia
BMI
mild 17-18..49
extreme
How is binge eating disorder different from bulima or anorexia?
No regular use of inappropriate compensatory behaviors
Other things to consider on differential when suspecting eating disorder
feeding disorder, inflammatory bowel disease, primary endocrine disorder, diabetes mellitus, Addison’s disease, depression/other psych, malignancy
How to quantify binge eating disorder severity
number of episodes of binge eating per week
mild 1-3
extreme 14
How to quantify bulima nervosa severity
Number of purging episodes weekly
mild 103
severe 14+
Common findings on physical for patient with eating disorder
cortical atrophy, prolonged QTc, sick euthyroid syndrome, Lanugo (fine soft hair), Russell’s sign *damage/calluses on knuckles from self induced vomiting), enamel erosion, parotid hypertrophy
When can ASD be detected?
as early as 18 months, but usually picked up by experienced clinician by 24 months
What is seen in typical infant at 9-12 months that isn’t seen in ASD infants?
Joint attention
Red flags for ASD
no response to name by 12 months, no pointing for interest by 14 months, no pretend play by 18 months, hyper/hypo sensitivity to certain senses
Medications for ASD
target symptom (anxiety, ADHD, etc) but no agent addresses the core features sadly
ASD boys vs girls
5x more common in boys
Concept of immanent justice (preoperational)
belief that a form of natural justice exists, leading to guilt and shame
ex: I got cancer because I didn’t tell my mom the truth
concepts of immanent justice can be abandoned earlier when appropriate explanations are given
Concept of temporal causality (preoperational)
ex: I fell down and that made me get a cough
Concept of contagion applied to things irrelevant to infection (preoperational)
I got cancer from a cold
What Piaget phase does one finally understand two unrelated symptoms can manifest from one condition?
Formal (11+)
Significant risk factor for emotional instability during illness
6 months - 5 years + early adolescence
The time of greatest vulnerability to physical deformity and or disability occurs…?
during early and middle adolescence
What age is a risk factor for pre-operative anxiety?
No Child Left Behind was correlated with a rise in what?
ADHD diagnosis
In elementary school children, what’s the presentation like for ADHD in boys vs girls
boys - tend to have hyperactive presentation
girls - tend to have inattentive presentation
How does ADHD evolve into adolescence?
Physical hyperactivity diminishes, but inattention/impulsivity stay (worse driving habits, accidents, speeding, increased consequences of sexuality, more difficult to gain teen’s cooperation with diagnosis)
