Testicular Cancer
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The USPSTF recommends against screening for testicular cancer in
adolescent or adult men.
Lead Poisoning in Adults
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S&S: asymptomatic, GI manifestations, GI manifestations, anemia, HTN,
nephropathy, peripheral neuropathy, spontaneous abortion, male infertility
Systemic Lupus Erythematosus
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Inflammatory connective tissue disease affecting the whole body
Sx: joint pain, fatigue, butterfly rash, fever, erythema lesions on hard palate,
photosensitivity, alopecia; symmetric polyarthritis, weight loss,
lymphadenopathy
Watch for proteinuria and hematuria; kidney function
Check for a positive anti-nuclear antibodies (ANA)- may indicate lupus but
not definitive; if positive, continue with other diagnostic lab work
Dx: ANA > 1:80; two criteria; plus > 10 points
Education- suncreen!
Hydroxychloroquine (Plaquenil)- refer to ophthalmology
A 4 month old infant who was born at term presents for a well child exam. He was
weaned completely from the breast at 3 months of age and is now formula fed. The
NP should:
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, Instruct the parent to discontinue vitamin D supplementation
Normocytic Anemia
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Normal size
Problem is not RBC production
Causes: sickle cell anemia, G6PD deficiency, hemolytic anemia, acute
blood loss, chronic disease (e.g. chronic renal failure)
The most common cause of croup is
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human parainfluenza virus.
A CBC with diff is performed on a 3 year old child with fever and easy bruising. The
results show hypoproliferative anemia, thrombocytopenia, and bandemia. The most
likely diagnosis is:
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Leukemia
, Acute Cystitis
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E. coli is the most common pathogen to cause a UTI
Dx: obtain a clean catch urine to assess for leukocyte esterase and nitrites
Asymptomatic bacteria is only treated in pregnancy
Cryptorchidism (Undescended Testes)
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Infant may lie supine, frog-legged
Older child may lay supine or sit cross legged
Will descend by 3 months of age; refer out @ 6 months
Higher risk for testicular cancer and infertility
Croup
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Upper airway obstruction
Sx: sudden seal like cough, inspiratory stridor, hoarse voice, fever
Occurs most commonly between 6 months to 36 months
Steeple sign on x-ray of the neck
Give this one a try later!
The USPSTF recommends against screening for testicular cancer in
adolescent or adult men.
Lead Poisoning in Adults
,Give this one a try later!
S&S: asymptomatic, GI manifestations, GI manifestations, anemia, HTN,
nephropathy, peripheral neuropathy, spontaneous abortion, male infertility
Systemic Lupus Erythematosus
Give this one a try later!
Inflammatory connective tissue disease affecting the whole body
Sx: joint pain, fatigue, butterfly rash, fever, erythema lesions on hard palate,
photosensitivity, alopecia; symmetric polyarthritis, weight loss,
lymphadenopathy
Watch for proteinuria and hematuria; kidney function
Check for a positive anti-nuclear antibodies (ANA)- may indicate lupus but
not definitive; if positive, continue with other diagnostic lab work
Dx: ANA > 1:80; two criteria; plus > 10 points
Education- suncreen!
Hydroxychloroquine (Plaquenil)- refer to ophthalmology
A 4 month old infant who was born at term presents for a well child exam. He was
weaned completely from the breast at 3 months of age and is now formula fed. The
NP should:
Give this one a try later!
, Instruct the parent to discontinue vitamin D supplementation
Normocytic Anemia
Give this one a try later!
Normal size
Problem is not RBC production
Causes: sickle cell anemia, G6PD deficiency, hemolytic anemia, acute
blood loss, chronic disease (e.g. chronic renal failure)
The most common cause of croup is
Give this one a try later!
human parainfluenza virus.
A CBC with diff is performed on a 3 year old child with fever and easy bruising. The
results show hypoproliferative anemia, thrombocytopenia, and bandemia. The most
likely diagnosis is:
Give this one a try later!
Leukemia
, Acute Cystitis
Give this one a try later!
E. coli is the most common pathogen to cause a UTI
Dx: obtain a clean catch urine to assess for leukocyte esterase and nitrites
Asymptomatic bacteria is only treated in pregnancy
Cryptorchidism (Undescended Testes)
Give this one a try later!
Infant may lie supine, frog-legged
Older child may lay supine or sit cross legged
Will descend by 3 months of age; refer out @ 6 months
Higher risk for testicular cancer and infertility
Croup
Give this one a try later!
Upper airway obstruction
Sx: sudden seal like cough, inspiratory stridor, hoarse voice, fever
Occurs most commonly between 6 months to 36 months
Steeple sign on x-ray of the neck
