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29 Cards in this Set
- Front
- Back
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puberty
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hormonal & physical changes that allow sexual reproduction
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adolescence
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physical + social + cognitive + psychological changes of youth-> maturity
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psychosocial developmental tasks
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1.test authority
2.high-risk behavior 3.precoccupation w/body image |
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T/F: majority of office visit for adolescent should take place w/o parent
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true
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T/F: emergency Tx should never be withheld for parental notification/approval
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true
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HEADSS
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home
education activities drugs sexuality suicide |
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recommended procedures:
hearing screen vision screen h&h U/A |
hearing screen: 1x adolescence
vision screen: q2 yrs h&h: 1x adolescence u/a: 1x adolescence |
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boys sexual development sequence
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1.testicular enlargement
2.penile enlargement 3.growth spurt 4.pubic hair |
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girls sexual development sequence
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1.thelarche (breast buds)
2.growth spurt 3.pubic hair 4.menarche |
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anorexia nervosa
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1.impaired body image
2.intense fear of wt gain 3.severe wt loss |
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bulimia nervosa
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1.binge eating
2.compensatory behavior to rid body of ingested calories |
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anorexia / bulimia is more common
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bulimia more common
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eating disorders: risk factors
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1.family hx
2.female gender 3.white 4.intense preoccupation w/appearance 5.low self-esteem 6.obsessive traits |
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syncope + upper/lower GI discomfort + cold, mottled hands/feet + amenorrhea + constipation + wt loss.
dx? |
anorexia nervosa
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anorexia nervosa: vital signs
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1.hypothermia
2.bradycardia 3.orthostasis/hypotension |
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dry, yellowish, hyperkeratotic skin + amenorrhea + lanugo hair.
dx? |
anorexia nervosa
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nail pitting + cool extremities + mitral valve prolapse.
dx? |
anorexia nervosa
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calluses on knuckles + eroded tooth enamel + parotid gland enlargement
dx? |
bulimia
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thinned scalp hair + amenorrhea + GI discomfort
dx? |
anorexia nervosa
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ddx for eating disorder
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1.CA
2.IBD 3.malabsorption 4.chronic dz (infxn, endocrine) |
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T/F: eating disorders are clinical dx
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true
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drug use
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intentional substance use despite personal harm potential
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drug abuse
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compulsive, dependent substance use despite significant functional impairment
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top 3 causes of death in adolescent population
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1.trauma
2.homicide 3.suicide |
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strongest risk factor associated w/attempted suicide
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prior attempt
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suicide attempt: risk factors
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1.psychiatric disorder
2.substance abuse 3.hx of abuse 4.FH major affective disorder 5.recent life stressor |
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adolescents w/firearm in home have X fold increased risk of suicide
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10x
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adolescents: always ask...
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1.feel safe
2.witness/victim of aggression 3.how deal w/anger 4.gun in home 5.depression / suicide plan |
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if pt talks about suicide plans, then you must...
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1.hospitalize
2.psych eval |
