CMN 571 Final

CMN 571 Final Elaboration *Screening tests* for *ALL* children whose BP remains *ELEVATED* after 12 months? - + UA + Chemistry panel, including electrolytes, blood urea nitrogen, and creatinine + Lipid profile (fasting or nonfasting to include high-density lipoproteina and total cholesterol) + Renal ultrasonography in those 6 y of age or those with abnormal urinalysis or renal function AAP guidelines, p 19 *Screening tests* for *OBESE* children whose BP remains *ELEVATED*after 12 months? - + UA + Chemistry panel, including electrolytes, blood urea nitrogen, and creatinine + Lipid profile (fasting or nonfasting to include high-density lipoproteina and total cholesterol) + Renal ultrasonography in those 6 y of age or those with abnormal urinalysis or renal function *PLUS* + HbA1c (screen for DM) + AST and ALT (screen for fatty liver) + Fasting lipid panel (screen for dyslipidemia) AAP guidelines, p 19 2-hour Plasma Glucose (2-h PG) ranges (75 g OGTT) - Normal: 140 mg/dL Pre-diabetes: Between 140 - 199 mg/dL 2-step OGTT ranges for GDM - Step 1: 50 g glucose, non-fasting ≥ 130 mg/dL after ONE HOUR (if above ≥ 130) Step 2: 100 g glucose, fasting 3 subtypes of ADHD - 1) Hyperactive-impulsive 2) Inattentive 3) Combined Hay p 91 30% of children with autism experience a *plateau* or *loss of skills* (usually only language and/or social skills) around WHAT age? - Between 12-24 months. Usually before a child acquires a vocabulary of 10 words. Children with regression should be referred to a neurologist for a possible overnight EEG to rule out electrical status epilepticus in sleep. Hay p 95 A 5 year old with sickle cell disease comes in and you realize she never received the Hib vaccine. Should she receive it now? How many doses? - One dose after 5 years of age for pts with anatomic or functional asplenia. A 8 year old comes in whose never received the influenza vaccine. How many doses does he need? How far apart should doses be given? - 2 doses separated by at least 4 weeks to children 6 months - 8 years who are receiving influenza vaccine for 1st time OR who have not previously received ≥ 2 doses before 7/1/2016.` A child's brain has reached 90% of its adult weight at age _______. - FIVE (5) Hay p 78 A healthy 5-year-old child who has not received varicella vaccine nor had the disease is exposed to chickenpox at school. How soon after exposure will a dose of the varicella vaccine prevent or modify the disease in the child? A. only if given the same day