NR 602 Final Exam Chamberlain Spring
COLIC
Unknown abdominal discomfort;
"cries for more than 3 hours an afternoon, for extra than three days per week, and greater than
3 weeks"
Colic Management
Probiotics may be supplied; Consideration of hydrolyzed protein components
DEHYDRATION Management
Commercially to be had oral hydration answers (ORS)
Continue breastfeeding with ORS supplementation
Offer young kids 20 ml/kg in step with hour
Offer older kids a hundred mL of ORS each 5 minutes
Combine with IV therapy as needed
Reassess after four hours; repeat if wanted
Avoid juice, soft liquids, and sports beverages
Appendicitis S/S
Presence of involuntary guarding,
RLQ rebound tenderness, maximal pain over McBurney point
Heel-drop jarring check
incapacity to face instantly or climb stairs; winces whilst getting off examination table or driving
in a vehicle over bumps;
child maximum comfortable with bent knees.
Positive psoas sign or obturator signal
Rovsing sign or rebound tenderness strongly indicates peritoneal inflammation.
Tenderness and probably a mass (abscess) at the right aspect on rectal examination.
McBurney point/sign
Pain w/ palpation and launch; Rebound tenderness is most reliable.
1.5 to 2 inches in from the right anterior superior iliac crest (on a line towards the umbilicus) on
belly exam (maximum reliable finding
fantastic psoas signal
, retract R thigh at the same time as on left facet; illicit ache steady with appendicitis
Positive Rovsing Sign
Pain RLQ w/ stress and release of LLQ; R/O appendicitis
Positive Obturator Sign
Supine; bend R leg and rotate inward; illicit ache in RLQ
Intusscuception
Anterograde intestine into proximal bowel; Most not unusual purpose of for Pediatric GI
obstruction
S/S of intussusception
S/S of intussuception
intermittent stomach ache
currant jelly stools
Dance Sign (sausage like mass)
Management of Intussusception
Therapeutic Air Contrast Enema beneath fluoroscopy
Failure to Thrive (FTT)
The most common motive is dietary deficiency without an underlying medical condition (extra
than 80%).
Asymptomatic bacteriuria
micro organism in the urine with out different symptoms, is benign, and does not cause renal
damage.
Cystitis
an contamination of the bladder that produces decrease tract signs but does not purpose fever
or renal injury.
Pyelonephritis
COLIC
Unknown abdominal discomfort;
"cries for more than 3 hours an afternoon, for extra than three days per week, and greater than
3 weeks"
Colic Management
Probiotics may be supplied; Consideration of hydrolyzed protein components
DEHYDRATION Management
Commercially to be had oral hydration answers (ORS)
Continue breastfeeding with ORS supplementation
Offer young kids 20 ml/kg in step with hour
Offer older kids a hundred mL of ORS each 5 minutes
Combine with IV therapy as needed
Reassess after four hours; repeat if wanted
Avoid juice, soft liquids, and sports beverages
Appendicitis S/S
Presence of involuntary guarding,
RLQ rebound tenderness, maximal pain over McBurney point
Heel-drop jarring check
incapacity to face instantly or climb stairs; winces whilst getting off examination table or driving
in a vehicle over bumps;
child maximum comfortable with bent knees.
Positive psoas sign or obturator signal
Rovsing sign or rebound tenderness strongly indicates peritoneal inflammation.
Tenderness and probably a mass (abscess) at the right aspect on rectal examination.
McBurney point/sign
Pain w/ palpation and launch; Rebound tenderness is most reliable.
1.5 to 2 inches in from the right anterior superior iliac crest (on a line towards the umbilicus) on
belly exam (maximum reliable finding
fantastic psoas signal
, retract R thigh at the same time as on left facet; illicit ache steady with appendicitis
Positive Rovsing Sign
Pain RLQ w/ stress and release of LLQ; R/O appendicitis
Positive Obturator Sign
Supine; bend R leg and rotate inward; illicit ache in RLQ
Intusscuception
Anterograde intestine into proximal bowel; Most not unusual purpose of for Pediatric GI
obstruction
S/S of intussusception
S/S of intussuception
intermittent stomach ache
currant jelly stools
Dance Sign (sausage like mass)
Management of Intussusception
Therapeutic Air Contrast Enema beneath fluoroscopy
Failure to Thrive (FTT)
The most common motive is dietary deficiency without an underlying medical condition (extra
than 80%).
Asymptomatic bacteriuria
micro organism in the urine with out different symptoms, is benign, and does not cause renal
damage.
Cystitis
an contamination of the bladder that produces decrease tract signs but does not purpose fever
or renal injury.
Pyelonephritis
