Clipp Cases: C5

Question 1

What is a common form of depression seen in adults vs children?

Answer 1

Inability to early morning waking is seen in adults vs children.

Question 2

What are some signs associated with anorexia?

A-B-C-D-E

Answer 2

• arrhythmias
• bradycardia
• circulatory collapse
• death
• electrolyte imbalances

Question 3

What are adolescent physical exam considerations?

Answer 3

• Draping adolescents and being respectful of their potential shyness is important
• Chaperones must be used for an opposite-sex patient when doing any genital exam or for breast examination in females.

Question 4

Describe the sexual maturity ratings or Tanner stages in girls

Answer 4

• 10-12: breast buds appear
• 10-12: pubic hair appears
• 12: growth spurt appears
• 12-13: peroid beings/menarche appears
• 15: attainment of adult height

Question 5

Describe the sexual maturity ratings or Tanner stages in boys

Answer 5

• 12: growth of testicles
• 12: hair appears
• 13-14: growth of penis, scrotum
• 13:14: first ejaculations
• 14: Growth spurt
• 17: attainment of adult height.

Question 6

Von Willebrands disease

Epidemiology

Symptoms

Classification

Diagnosis

Treatment

Answer 6

• Epidemiology
  
  • MC hereditary bleeding disorder
• Symptoms
  
  • Ecchymoses, Epitaxis, Menorrhagia, Gingival bleeding
• Classification
  
  • Type I vWD is the MC
• Diagnosis
  
  • To confirm vWD, check vWD antigen and or platelet function analysis and factor 8 levels
• Treatment
  
  • Intranasal or Intravenous desmopressin