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•Movement
‒Fidgeting, asymmetrical, lack of movement
•Tone
‒Hypotonia: decreased muscle tone
‒Spasticity: vary from mild stiffness to painful and uncontrollable spasms
‒Dystonia: excessive, involuntary muscle contractions
•Delayed motor development
‒e.g. not sitting @ 8 months, not walking @18 months
•Feeding problems
•Communication difficulty
•Delayed cognitive and social development
What is severe hyponatremia and what follows it?
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•Na <125-130 mEq/L
‒high risk for serious CNS complications
‒lethargy followed by seizures
Regarding type 1 diabetes, how do you foster independence in late adolescents?
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Meal planning, choose food independently when eating out with peers
How should you mix short and long acting insulin?
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inject air into both vials & withdraw short acting (CLEAR) first and then
cloudy (intermediate)
What establishes the diagnosis of a UTI?
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Any bacterial growth of a single strain bacterium exceeding 100,000 colony
forming units per/mL in clean-catch urine specimen
,What triggers febrile seizures?
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•Convulsions are triggered by fever (>38.8C/ 102 F) due to another illness
(flu, otitis media).
‒Fever may manifest after the seizure
How do you treat pyloric stenosis?
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Pylorotomy
What would be a DKA serum CO2?
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low, Kussmaul respirations
What are worsening signs of dehydration?
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, Child unable to take PO fluids, worsening diarrhea/ vomiting, decreased
activity level,...
How much urine should adolescents be producing?
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40-80ml/ hr
What is testicular torsion?
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Spermatic cord (including blood vessels) twists
What is hyponatremia?
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Na <130 mEq/L
What causes hypoglycemia?
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