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1. How is Kawasaki disease diagnosed?: No specific lab test. (no blood test)
Liver tests may be abnormal
Diagnosis is made by meeting these criteria:
Fever for at least 5 days
4 of these 5 conditions must be met
- Mucous membrane changes such as red tongue and dry fissured lips
- Swelling of hands and feet.
- Enlarged lymph nodes in the neck
- Diffuse red rash covering most of
the body.
- Redness of eyes.
o Illness cannot be explained by any known disease process.
2. How to treat Kawasaki disease:: IVIG and aspirin
3. What is retinoblastoma?: malignant tumor of the retina
4. signs and symptoms of retinoblastoma: whitish glow in pupil - cat's eye reflex (leukocoria). Eyes
looking in different directions, poor vision, eye swelling, eye redness
5. When should children be screened for retinoblastoma: from birth up to the age of 7
years. After age 7 years, no further screening of asymptomatic children is recommended, unless they are known to
carry an RB1 mutation. Most children diagnosed are younger than 3 years old.
6. Risk factors for retinoblastoma: Diets low in fruits and vegetables among mothers during pregnancy
Exposure to chemicals in gasoline or diesel exhaust during pregnancy
Exposure of fathers to radiation
Older age among fathers
7. s/sx of hypothyroidism in pediatric clients: Slowed growth rate
Puffy face
Swollen hands and feet
Poor muscle tone
Sluggishness, sleepiness
Constipation
Fatigue
Dry, itchy scalp
Dry, coarse skin
, NR 602 Midterm
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Heavy menstruation in girls
Mood swings
Weight gain
Hoarse cry or voice
Dry, coarse skin
Enlarged thyroid gland (goiter)
8. Is imaging warranted in a pediatric client with Asthma: imaging should be minimized
r/t the exposure to radiation in children.
9. What is intermittent asthma?: Rule of 2's:
Symptoms: <2 days/week
Nighttime: <2 times/ mo
Rescue inhaler use: <2 days per week
Limitation with activity: none
Lung function: FEV1>80% , normal between exacerbations.
Intermittent asthma means that you only have symptoms sometimes. People with intermittent asthma usually have
symptoms 2 days a week or less often
10. What is mild persistent asthma?: • *Symptoms*: >2 days/week but not daily
• Nighttime awakenings: 3-4x/month
• *SABA use*: > 2 days/week but not daily
• *Interference with normal activity*: Minor
• *Lung Function*:
- FEV*: > 80% predicted
- FEV1/FVC: normal
Persistent asthma means that you have symptoms regularly. People with mild persistent asthma have asthma symptoms
more than twice a week, but not every day.
11. What is moderate persistent asthma?: • *Symptoms*: Daily
• Nighttime awakenings: >1x/week but not nightly
• *SABA use*: Daily
• *Interference with normal activity*: Some limitations
• *Lung Function*: