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25 Cards in this Set

  • Front
  • Back
Name some diseases that obese children are at risk for
Cardiovascular disease
Type 2 diabetes, DKA
Polycystic ovarian syndrome
Respiratory disease
Depression, low self-esteem, decreased quality of life
If you're obese at 6 years and 10 years, what is the risk of obesity at 35 yrs?
Obese at 6 years= 50% risk
Obese at 10 years= 70 - 80% risk
What is the BMI formula?
BMI = [weight / (height x height)]
If your BMI is 19, are you considered underweight?
NO

Underweight = <18.5
Normal weight = 18.5-24.9
Overweight = 25-29.9
Obesity = BMI of 30 or greater
When does the child assume the eating habits of the family
From birth to 24 months
What is the PA's most important role in treating obesity?
developing sound eating and activity habits
Name some differential diagnosis of hematuria
IgA nephropathy
Post-strep GN
UTI
SLE
Goodpastures
HUS
Hypertension, hematuria, edema, oliguria after a GABHS infection
What is the DX?
Post-strep GN
What's another name for hereditary glomerulonephritis?
Alport’s syndrome
Most common glomerular disease worldwide
IgA Nephropathy
What are the characteristics of Nephrotic Syndrome
Proteinuria
Hypoproteinemia
Hyperlipidemia
Edema
What are the characteristics of Nephritic Syndrome
Hematuria
Hypertension
Oliguria
Edema
Which type of damage prevents protein reabsorption
Tubule damage
Which type of damage results in increased permeability of glomerular capillary wall
Glomerular damage
What is the first sign of nephrotic syndrome?
Edema
What is the MCC of primary nephrotic sydrome
idiopathic 90%
What is the MCC of secondary nephrotic sydrome
Minimal-change disease – 85%
How do you diagnose nephrotic syndrome?
3-4+ proteinuria
24 hr protein excretion >2 gm
+/- hematuria
Renal biopsy if >8 yrs to rule out other causes with poorer prognosis
Name 2 predispositions as a consequence of nephrotic syndrome
Encapsulated bacterial infection (SBP– Strep pneumonia)

Thrombosis
What is the treatment for nephrotic syndrome?
< salt intake, diuretics if severe Edema

Antibiotics for infection

Corticosteroids (prednisone) high dose everyday until proteinuria resolves (~2 weeks)
T/F Cystitis presents with fever
False
Most common renal tumor in peds?
Whilm's tumor
What is the treatment for cystitis
3-5 days of trimethoprim-sulfamethoxazole (nitrofurantoin, amoxicillin)
What is the treatment for Pyelonephritis
14 days of antibiotics
ill children iv antibiotics – Ceftriaxone (Ampicillin plus gentamicin)
What are pharmacological treatments for enuresis
Imipramine
Desmopressin