Unknown abdominal discomfort; COLIC
"cries for more than 3 hours a
day, for more than 3 days a week,
and more than 3 weeks"
Probiotics may be offered; Colic Management
Consideration of hydrolyzed
protein formula
Commercially available oral DEHYDRATION Management
hydration solutions (ORS)
Continue breastfeeding with ORS
supplementation
Offer young children 20 ml/kg
per hour
Offer older children 100 mL of
ORS every 5 minutes
Combine with IV therapy as
needed
Reassess after 4 hours; repeat if
needed
Avoid juice, soft drinks, and
sports drinks
Presence of involuntary guarding, Appendicitis S/S
RLQ rebound tenderness,
maximal pain over McBurney
point
Heel-drop jarring test
inability to stand straight or climb
stairs; winces when getting off
examination table or riding in a
car over bumps;
child most comfortable with bent
knees.
Positive psoas sign or obturator
sign
Rovsing sign or rebound
tenderness strongly suggests
peritoneal irritation.
Tenderness and possibly a mass
(abscess) on the right side on
rectal examination.
Pain w/ palpation and release; McBurney point/sign
Rebound tenderness is most
reliable.
1.5 to 2 inches in from the right
anterior superior iliac crest (on a
line toward the umbilicus) on
abdominal examination (most
reliable finding
retract R thigh while on left side; positive psoas sign
illicit pain consistent with
appendicitis
Pain RLQ w/ pressure and release Positive Rovsing Sign
of LLQ; R/O appendicitis
, Supine; bend R leg and rotate Positive Obturator Sign
inward; illicit pain in RLQ
Anterograde intestine into Intusscuception
proximal bowel; Most common
cause of for Pediatric GI
obstruction
S/S of intussuception S/S of intussusception
intermittent abdominal pain
currant jelly stools
Dance Sign (sausage like mass)
Therapeutic Air Contrast Enema Management of Intussusception
under fluoroscopy
The most common cause is Failure to Thrive (FTT)
nutritional deficiency without an
underlying medical condition
(greater than 80%).
bacteria in the urine without Asymptomatic bacteriuria
other symptoms, is benign, and
does not cause renal injury.
an infection of the bladder that Cystitis
produces lower tract symptoms
but does not cause fever or renal
injury.
most severe type of UTI involving Pyelonephritis
the renal parenchyma or kidneys
and must be readily identified
and treated because of the
potential irreversible renal
damage.
A healthy 14-year-old female has "When was your last menstrual period (LMP)?"
a dipstick urinalysis that is
positive for 56RBCs per hpf but
otherwise normal. What is the
first question the primary care
pediatric nursepractitioner will
ask this patient?
An adolescent has 2+ proteinuria Monitor for proteinuria at each annual well child examination.
in a random dipstick urinalysis. A
subsequent first morning voided
specimen is negative. What will
the primary care pediatric nurse
practitioner do to manage this
condition?
A child has gross hematuria, Henoch Schönlein purpura
abdominal pain, and arthralgia as
well as a rash. What diagnosis is
most likely?
may be given at 12 mg/kg/day for Phenazopyridine (Pyridium)
6- to 12-year-olds and 200 mg for
those older than 12 years old,
three times a day for dysuria
"cries for more than 3 hours a
day, for more than 3 days a week,
and more than 3 weeks"
Probiotics may be offered; Colic Management
Consideration of hydrolyzed
protein formula
Commercially available oral DEHYDRATION Management
hydration solutions (ORS)
Continue breastfeeding with ORS
supplementation
Offer young children 20 ml/kg
per hour
Offer older children 100 mL of
ORS every 5 minutes
Combine with IV therapy as
needed
Reassess after 4 hours; repeat if
needed
Avoid juice, soft drinks, and
sports drinks
Presence of involuntary guarding, Appendicitis S/S
RLQ rebound tenderness,
maximal pain over McBurney
point
Heel-drop jarring test
inability to stand straight or climb
stairs; winces when getting off
examination table or riding in a
car over bumps;
child most comfortable with bent
knees.
Positive psoas sign or obturator
sign
Rovsing sign or rebound
tenderness strongly suggests
peritoneal irritation.
Tenderness and possibly a mass
(abscess) on the right side on
rectal examination.
Pain w/ palpation and release; McBurney point/sign
Rebound tenderness is most
reliable.
1.5 to 2 inches in from the right
anterior superior iliac crest (on a
line toward the umbilicus) on
abdominal examination (most
reliable finding
retract R thigh while on left side; positive psoas sign
illicit pain consistent with
appendicitis
Pain RLQ w/ pressure and release Positive Rovsing Sign
of LLQ; R/O appendicitis
, Supine; bend R leg and rotate Positive Obturator Sign
inward; illicit pain in RLQ
Anterograde intestine into Intusscuception
proximal bowel; Most common
cause of for Pediatric GI
obstruction
S/S of intussuception S/S of intussusception
intermittent abdominal pain
currant jelly stools
Dance Sign (sausage like mass)
Therapeutic Air Contrast Enema Management of Intussusception
under fluoroscopy
The most common cause is Failure to Thrive (FTT)
nutritional deficiency without an
underlying medical condition
(greater than 80%).
bacteria in the urine without Asymptomatic bacteriuria
other symptoms, is benign, and
does not cause renal injury.
an infection of the bladder that Cystitis
produces lower tract symptoms
but does not cause fever or renal
injury.
most severe type of UTI involving Pyelonephritis
the renal parenchyma or kidneys
and must be readily identified
and treated because of the
potential irreversible renal
damage.
A healthy 14-year-old female has "When was your last menstrual period (LMP)?"
a dipstick urinalysis that is
positive for 56RBCs per hpf but
otherwise normal. What is the
first question the primary care
pediatric nursepractitioner will
ask this patient?
An adolescent has 2+ proteinuria Monitor for proteinuria at each annual well child examination.
in a random dipstick urinalysis. A
subsequent first morning voided
specimen is negative. What will
the primary care pediatric nurse
practitioner do to manage this
condition?
A child has gross hematuria, Henoch Schönlein purpura
abdominal pain, and arthralgia as
well as a rash. What diagnosis is
most likely?
may be given at 12 mg/kg/day for Phenazopyridine (Pyridium)
6- to 12-year-olds and 200 mg for
those older than 12 years old,
three times a day for dysuria
