CMN 568 MODULE 5
Acute postinfectious glomerulonephritis - ANS-diagnosis related to recent infection of group
A B hemolytic strep; no tx
Anxiety in children - ANS-CBT w/ exposure has the most evidence regarding successful tx
SSRIs can be started in as young as 6 yo (not fda approved tho)
Low dose fluoxetine or sertraline first line; check for suicidal thoughts or agitation w/in 1-2
weeks; try second SSRI if first doesn't work
SSRIs can work within days
Benzos - ANS-for acute anxiety relief in adults
Bipolar - ANS-periods of abnormally & persistent elevated expansive, or irritable mood, and
heightened levels of energy & activity; depressive symptoms commonly reported first; refer
to mental health provider
BP tx - ANS-mania - second gen antipyschotic followed by lithium
non responders - combination of meds
BP tx - lithium, risperidone, aripiprazole, quetiapine, asenapine, and olanzapine
acute symptoms - lithium or valproic acid
Chronic migraine - ANS-at least 15 days per month with headaches lasting 4 hours per day
or longer
Chronic pain - ANS-Tx = comprehensive behavioral program, biofeedback techniques,
hypnosis, group therapy, SNRIs, TCAs, duloxetine
Cluster headache - ANS-episodes of severe unilateral periorbital pain occur daily for several
weeks and are often accompanied by one or more of the following: ipsilateral nasal
congestion, rhinorrhea, lacrimation, redness of the eye, and Horner syndrome
tx = triptan
Cryptorchidism - ANS-undescended testis
can cause infertility and testicular malignancy if untreated
measurement of LH, FSH, inhibin B & testosterone can help determine if testes are present
in infants between 2 to 6 months of age
surgical orchidoplexy if descent not occurring before 6-12 mo
Depression in children - ANS-dysphoric mood (tearful, sad, downturned expression, anger,
quick temper, slumped posture, unhappiness), mood lability, irritability or depressed
appearance, persisting for weeks to months at a time
Acute postinfectious glomerulonephritis - ANS-diagnosis related to recent infection of group
A B hemolytic strep; no tx
Anxiety in children - ANS-CBT w/ exposure has the most evidence regarding successful tx
SSRIs can be started in as young as 6 yo (not fda approved tho)
Low dose fluoxetine or sertraline first line; check for suicidal thoughts or agitation w/in 1-2
weeks; try second SSRI if first doesn't work
SSRIs can work within days
Benzos - ANS-for acute anxiety relief in adults
Bipolar - ANS-periods of abnormally & persistent elevated expansive, or irritable mood, and
heightened levels of energy & activity; depressive symptoms commonly reported first; refer
to mental health provider
BP tx - ANS-mania - second gen antipyschotic followed by lithium
non responders - combination of meds
BP tx - lithium, risperidone, aripiprazole, quetiapine, asenapine, and olanzapine
acute symptoms - lithium or valproic acid
Chronic migraine - ANS-at least 15 days per month with headaches lasting 4 hours per day
or longer
Chronic pain - ANS-Tx = comprehensive behavioral program, biofeedback techniques,
hypnosis, group therapy, SNRIs, TCAs, duloxetine
Cluster headache - ANS-episodes of severe unilateral periorbital pain occur daily for several
weeks and are often accompanied by one or more of the following: ipsilateral nasal
congestion, rhinorrhea, lacrimation, redness of the eye, and Horner syndrome
tx = triptan
Cryptorchidism - ANS-undescended testis
can cause infertility and testicular malignancy if untreated
measurement of LH, FSH, inhibin B & testosterone can help determine if testes are present
in infants between 2 to 6 months of age
surgical orchidoplexy if descent not occurring before 6-12 mo
Depression in children - ANS-dysphoric mood (tearful, sad, downturned expression, anger,
quick temper, slumped posture, unhappiness), mood lability, irritability or depressed
appearance, persisting for weeks to months at a time
