NURS 629 exam 4

Rovsing sign - Answer-apply pressure to lower left abdomen. Pain felt on right side of abdomen when pressure released. + Ant/ Post Drawer sign - Answer-assess for injury of ant/post cruciate ligament Osgood- Schlatter disease - Answer-most common in later childhood and early adolescence. Painful swelling and tenderness of tibial tuberosity. Most common in children in sports. *initial TX is stretching. TX for sprained ankle - Answer-apply cold for 20 min, off for 20-45 min. Repeat 1st 24-48hrs. Rest, elevate, compress (RICE) Legg-calve perthes - Answer-idiopathic osteonecrosis of femoral head. 4x more common in males. Hip pain, knee pain, painless limp that is worse at end of day. Frog leg xray best to diagnose. Viral gastroenteritis - Answer-Most common complication is dehydration.Tx is small, frequent amounts of oral rehydration solution. BG for 4y/o - Answer-goal of 90-130 Suspected growth hormone deficiency - Answer-short, slow growth. Childlike faces with prominent forehead. *Initial eval include TSH, BG (hypoglycemia), GI illness, CBC, sed rate, UA, growth factor. Initial eval in cases of isolated menarche - Answer-*sexual abuse should be ruled out first essentials for childs mental health - Answer-predictable home, childcare, school routines Migraine - Answer-unilateral, pulsating, occasional photophobia. Iron deficiency anemia - Answer-*Microcytic, hypochromic. Most common cause is poor dietary intake/ breastfeeding risk. Prevalence is 25% of children between ages 10-15 mos. Depression Comorbidities - Answer-anxiety disorder, mixed anxiety/depression. ADHD, conduct/learning/oppositional defiant disorders. SAD, eating disorders, stress. Depression risk factors - Answer-attention, conduct, learning disorders. Chronic illness (diabetes). abuse/neglect. other trauma or natural disasters. *Separation anxiety. PHQ9 - Answer-depression screening tool for ages 11 and up