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24 terms

DIT 3-2 Ethics and random behavioral sci

STUDY
PLAY
What are the Classes of reportable disease?
STDs
Hepatitis Infections
Child Immunization diseases (MMR,VZV, DTAP etc.)
Diarrheal Illnesses (Shigella, Salmonella)
TB
Leading causes of death for ages Infant?
Gontential Anomalies
Short Gestation
SIDS
Maternal Complications
Leading causes of death for ages 1-14?
Injuries
Cancer
Congenital Anomalies
Homicide
HD
Leading causes of death for ages 15-24?
Injuries
Homicide
Suicide
Cancer
HD
Leading causes of death for ages 25-64?
Cancer
HD
Injuries
suicide
Stroke
Leading causes of death for ages 65+?
HD
Cancer
Stroke
OPD
When is consent for minors not required?
Emergency situations
Perscribing contraceptives
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

eg
Reportable illnesses
Suspected Child/elderly abuse
Impaired drivers
Suicidal / Homicidal patients
What is the meaning of APGAR?
Appearance
Pulse
Grimace
Activity
Respiration
What is low birthweight and what are the associated complications?
<2500g
Infections (G.E.L.)
RDS
Necrotizing enterocolitis (if you feed too soon)
Intraventricular hemorrhage
Persistant Fetal Circulation (PDA, PFO, etc.)
What are the Kubler-Ross grief stages?
Death *A*rrives *B*ringing *G*rave ABeath *A*rrives *B*ringing Grave Adjustments

Denial
Anger
Bargaining
Grieving (depression)
Acceptance

no set order
1 or more can occur simultaneously
What are the effects of Stress?
increases
free fatty acids
corticosteroids
cholesteral
catecholamines

reduces
muscle tone
gastrocolic reflex
water absorption
mucosal circulation
What is the Ddx for sexual dysfunction?
*D*iamond DDiamond *D*allas 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 car seat should be used for a child <1y/o and <20lb?
car seat
in back
facing back
What care seat should be used for a child 1-4y/o and >20lb?
car seat
in back
may face front
What care seat should be used for a child >4y/o and <40lb?
booster seat in back
How long should a booster seat be used for?
until 4'9'' in height
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 1?
Pre-pubescent for boys, girls, and pubic hair.
What is tanner stage 5?
adult like features for
What is tanner stage 2?
Boys
Scrotum and testes enlarge

Girls
Bud w/ elevation of breast
Papilla and areola enlarge

Pubic Hair
Sparse, long, straight, slightly pigmented
What is tanner stage 3?
Boys
Penis length enlarges

Girls
Further enlargement of breast

Pubic Hair
Darker, coarser, more curled
What is tanner stage 4?
Boys
Penis = Increase in girth, glans forms
Testes / Scrotum = enlarge / enlarge & darker

Girls
Areola & Papilla form 2ry mound above bud

Pubic Hair
adult-like hair quality, extending across pubis, but nt medial thighs
Look at FA for development milestones
Look at FA for development milestones