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29 Cards in this Set

  • Front
  • Back
puberty
hormonal & physical changes that allow sexual reproduction
adolescence
physical + social + cognitive + psychological changes of youth-> maturity
psychosocial developmental tasks
1.test authority
2.high-risk behavior
3.precoccupation w/body image
T/F: majority of office visit for adolescent should take place w/o parent
true
T/F: emergency Tx should never be withheld for parental notification/approval
true
HEADSS
home
education
activities
drugs
sexuality
suicide
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
boys sexual development sequence
1.testicular enlargement
2.penile enlargement
3.growth spurt
4.pubic hair
girls sexual development sequence
1.thelarche (breast buds)
2.growth spurt
3.pubic hair
4.menarche
anorexia nervosa
1.impaired body image
2.intense fear of wt gain
3.severe wt loss
bulimia nervosa
1.binge eating
2.compensatory behavior to rid body of ingested calories
anorexia / bulimia is more common
bulimia more common
eating disorders: risk factors
1.family hx
2.female gender
3.white
4.intense preoccupation w/appearance
5.low self-esteem
6.obsessive traits
syncope + upper/lower GI discomfort + cold, mottled hands/feet + amenorrhea + constipation + wt loss.
dx?
anorexia nervosa
anorexia nervosa: vital signs
1.hypothermia
2.bradycardia
3.orthostasis/hypotension
dry, yellowish, hyperkeratotic skin + amenorrhea + lanugo hair.

dx?
anorexia nervosa
nail pitting + cool extremities + mitral valve prolapse.

dx?
anorexia nervosa
calluses on knuckles + eroded tooth enamel + parotid gland enlargement

dx?
bulimia
thinned scalp hair + amenorrhea + GI discomfort

dx?
anorexia nervosa
ddx for eating disorder
1.CA
2.IBD
3.malabsorption
4.chronic dz (infxn, endocrine)
T/F: eating disorders are clinical dx
true
drug use
intentional substance use despite personal harm potential
drug abuse
compulsive, dependent substance use despite significant functional impairment
top 3 causes of death in adolescent population
1.trauma
2.homicide
3.suicide
strongest risk factor associated w/attempted suicide
prior attempt
suicide attempt: risk factors
1.psychiatric disorder
2.substance abuse
3.hx of abuse
4.FH major affective disorder
5.recent life stressor
adolescents w/firearm in home have X fold increased risk of suicide
10x
adolescents: always ask...
1.feel safe
2.witness/victim of aggression
3.how deal w/anger
4.gun in home
5.depression / suicide plan
if pt talks about suicide plans, then you must...
1.hospitalize
2.psych eval