Normal variations of the skin
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§Skin color and texture
§Pigmentation of gingiva
§Increased melanin in elbows or knees
§Futcher/Ito line
§Café au lait spots
§Color alteration
A 4 year old child with PE tubes in both ears has otalgia in one ear. The PNP is able to
visualize the tube and does not see exudate in the ear canal and obtains a type A
tympanogram. What will the NP do?
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, Order ototopical corticosteroid/antibiotic drops.
Treatment for 3 year old with intermittent asthma
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SABA prn
12 y.o. female presents to the clinic after being bit by a dog on the face. Abrasion with
2 puncture wounds on the upper right cheek, approximately 1 inch below the eye.
The area is slightly erythematous, with a small amount of bruising and raised area
along the cheekbone.
Cleanse the area with what? Treat with what?
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Using normal saline, irrigate the wounds using high pressure (greater than 4
pounds per square inch) and high volume (greater than 1 L). Isolated
puncture wounds should not be irrigated, instead soak the wound in a
diluted solution of tap water and povidone-iodine for 15 .minutes •
Prescribe a 3- to 5-day course of prophylactic antibiotics
Hereditary spherocytosis
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§Hemolytic anemia-deficiency or abnormality of the RBC membrane
protein-reduces the RBC surface area.
§RBCs assume spherical shape.
, §RBCs sequestered and prematurely destroyed in the spleen
§Jaundice usually appears in the newborn period
HSP
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Most common vasculitis in children.
Most common congenital heart disease
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Ventricular septal defect (VSD)
Which of the following statements is true about immunizations during the treatment of
childhood cancer?
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Children with cancer do not receive any immunizations while being treated
with chemotherapy.
Bruising, Nosebleeds, Bleeding of gums and Lips, petechiae, but otherwise, well-
appearing child are all concerning for this
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§Skin color and texture
§Pigmentation of gingiva
§Increased melanin in elbows or knees
§Futcher/Ito line
§Café au lait spots
§Color alteration
A 4 year old child with PE tubes in both ears has otalgia in one ear. The PNP is able to
visualize the tube and does not see exudate in the ear canal and obtains a type A
tympanogram. What will the NP do?
Give this one a try later!
, Order ototopical corticosteroid/antibiotic drops.
Treatment for 3 year old with intermittent asthma
Give this one a try later!
SABA prn
12 y.o. female presents to the clinic after being bit by a dog on the face. Abrasion with
2 puncture wounds on the upper right cheek, approximately 1 inch below the eye.
The area is slightly erythematous, with a small amount of bruising and raised area
along the cheekbone.
Cleanse the area with what? Treat with what?
Give this one a try later!
Using normal saline, irrigate the wounds using high pressure (greater than 4
pounds per square inch) and high volume (greater than 1 L). Isolated
puncture wounds should not be irrigated, instead soak the wound in a
diluted solution of tap water and povidone-iodine for 15 .minutes •
Prescribe a 3- to 5-day course of prophylactic antibiotics
Hereditary spherocytosis
Give this one a try later!
§Hemolytic anemia-deficiency or abnormality of the RBC membrane
protein-reduces the RBC surface area.
§RBCs assume spherical shape.
, §RBCs sequestered and prematurely destroyed in the spleen
§Jaundice usually appears in the newborn period
HSP
Give this one a try later!
Most common vasculitis in children.
Most common congenital heart disease
Give this one a try later!
Ventricular septal defect (VSD)
Which of the following statements is true about immunizations during the treatment of
childhood cancer?
Give this one a try later!
Children with cancer do not receive any immunizations while being treated
with chemotherapy.
Bruising, Nosebleeds, Bleeding of gums and Lips, petechiae, but otherwise, well-
appearing child are all concerning for this
Give this one a try later!
