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11 Cards in this Set
- Front
- Back
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Somewhat predictable breath-holding spells, elicited by an upsetting circumstance for a child/infant, LOC and seizure-like movements often observed
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Cyanotic spells
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Age of peak incidence of cyanotic spells
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2 y/o
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Management of cyanotic spells
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Ensure the child does not hurt himself, otherwise ignore the episode
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Spells initiated by painful episode, similar to cyanotic spells but include bradycardia and possibly asystole of 2 seconds or more
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Pallid spells
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Passage of feces into inappropriate places after the age of 4 years
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Encopresis
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Clinical manifestations of encopresis
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• Repeated underwear soiling
• Abdominal pain, worse after meals • Painful stools and constipation |
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Nighttime wetting
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Enuresis
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Potential causes of enuresis
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• Maturation delay
• Genetics • Small bladder capacity • Polyuria and ADH |
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Treatment for nocturnal enuresis
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• Behavioral modification/motivation
• Bladder training • Restrict evening fluids, avoid caffeine • Alarms • Drugs (DDAVP (synthetic ADH) or TCAs (imipramine)) |
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Diagnosis of exclusion & often retrospect; otherwise healthy child who cries for more than 3 hours a day, more than 3 days a week, for more than 3 weeks (Wessel criteria)
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Colic
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The real treatment for colic
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Reassure the parents and assure yourself that the child is healthy
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