What are the Classes of reportable disease?
Child Immunization diseases (MMR,VZV, DTAP etc.)
Diarrheal Illnesses (Shigella, Salmonella)
Leading causes of death for ages Infant?
When is consent for minors not required?
Treatment of STDs
Medical care during pregnancy
Management of drug addiction
What are some exceptions to confidentiality?
Potential harm to others / self is great
No means to warn or protect those at risk
Suspected Child/elderly abuse
Suicidal / Homicidal patients
What is low birthweight and what are the associated complications?
Necrotizing enterocolitis (if you feed too soon)
Persistant Fetal Circulation (PDA, PFO, etc.)
What are the Kubler-Ross grief stages?
Death Arrives Bringing Grave Adjustments
no set order
1 or more can occur simultaneously
What are the effects of Stress?
free fatty acids
What is the Ddx for sexual dysfunction?
Diamond Dallas Paige
Drugs (b-blockers, etoh, SSRI)
Diseases (depression, diabetes)
Psychological (performance anxiety)
ask if morning erections still occur for finding out if its physiological or psychological
What are some changes in the elderly?
Sexual (increased refactory periord, lower recection for men) (vaginal thinning / dryness for women)
Sleep pattern (less rem, higher latency)
Lower psychiatric disorder rate
Increase suicide rate
Lowered vision /hearing
Lowered immune response bladder control
Lower renal, pulmonary, GI function (affects drug metabolism, start low and go slow)
Lower muscle mass, higher fat
What is tanner stage 2?
Scrotum and testes enlarge
Bud w/ elevation of breast
Papilla and areola enlarge
Sparse, long, straight, slightly pigmented
What is tanner stage 3?
Penis length enlarges
Further enlargement of breast
Darker, coarser, more curled
What is tanner stage 4?
Penis = Increase in girth, glans forms
Testes / Scrotum = enlarge / enlarge & darker
Areola & Papilla form 2ry mound above bud
adult-like hair quality, extending across pubis, but nt medial thighs