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10 Cards in this Set
- Front
- Back
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HEEADSSS Interview |
Home Environment/Employment Eating Disorder Activities Drugs Sex Safety Suicide |
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Hypothyroidism in the Adolescent |
Cold Skin Slowness Fatigue Preferring hot to cold weather Poor school performance Coarse Hair -more common in adults - leg rash and foot edema |
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Differential Dx for Fatigue |
Hypothyroidism Mono - EBV - sx are fatigue, pharyngitis, lymphadenopathy Anemia/Heavy Menses Bleeding Disorder Depression/Psychiatric Substance Abuse |
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IDing Depression in Adolescents |
Mood Swings & adjustment reactions are normal - Screen for suicidality: "Have you ever felt that life is not worth living?" "Have you ever felt like you wanted to kill yourself?" |
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Eating Disorders in Adolescents |
-Early anorexia/bulimia can be difficult to diagnose -emaciation, over-exercising, laxative taking -bulimia - dental decay 2/2 gastric acid, finger trauma -fam hx of psychiatric illness -natural progression if BMI is <75% of ideal weight is bradycardia, electrolyte imbalances, arrhythmias, circulatory collapse, death questions to ask -tried to lose weight? unhappy about appearance or weight? worry about eating? obsession with food? know anybody with anorexia or bulimia? |
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Discussing Confidentiality with Adolescents |
- Transition to obtaining further info from info already obtained - Promise and give absolute confidentiality gets better info, relative is common but yields less - carefully outline what 'personal issues' are - normalize the experience, lowering the stress for the teen |
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evaluating a adolescents worsening school performance |
- medical conditions - anemia, hypothyroidism - significant emotional trauma - psycho-social or mental health issue |
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Sexual Maturity - Female |
Females start puberty between 8-13 (in order) - Breast buds at 10-11 - Pubic hair appears 10-11 - Growth Spurt - 12 - Menarche - 12-13 - Adult height - 15 |
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Sexual Maturity - Male |
Boys start between 10-15, in order - Growth of testicles, 12 - pubic hair appears, 12 - growth of penis, scrotum, 13-14 - first ejaculations, 13-14 - growth spurt, 14 - attainment of adult height, 17 |
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von Willebrand Disease |
epi and inheritance - most common heriditary bleeding disorder - 1% of population - Type 1 & 2 are AD, Type 3 is AR Sx - epistaxis, ecchymoses, menorrhagia, bleeding after dental extractions, gingival bleeding Dx - prolonged aPTT & bleeding time - aPTT can be normal, so vWD antigen, platelet function and factor 8 levels more accurate |
