MN580 Primary Care of Children and Adolescents Health
Unit 1 Discussion
Growth and Development
This week’s Discussion will address the growth and development of the child from neonate to adolescents, cultural considerations, and the importance of communication with the child and family in respect to age and developmental considerations. This will build a solid knowledge base for the provider when caring for the child.
Your professor will assign you a case to present and, in return, you will reply to your classmates in the other cases in order to promote a robust discussion.
Please complete each initial post in APA format following the Discussion Board grading rubric to include, but not limited to the following:
Apply a principle of human growth and development related to appropriate age group
Apply developmental theory related to age group
Discuss developmental milestones related to the age
Discuss developmental assessment tool related to the age
Apply cultural consideration and cultural assessment to presentation
Case 1: A 6-month-old Haitian male, both parents present at the appointment and the third child for both parents. Child was born at 40 weeks, last seen at 4-month visit and no concerns at that time. Child is smiling, babbling, rolls both from abdomen to back and back to abdomen and sits with support.
Case 2: A 2-year-old Hispanic female, mother and grandmother present at the appointment, first child for mother, sixth grandchild for grandmother. Mother speaks English as primary language; grandmother speaks Spanish as primary language. Last well visit was at 18 months of age and was speaking 20 words total, about 10 in English and 10 in Spanish. Now, mother states that child has about 50 words, with some in English and some in Spanish.
Case 3: A 4-year-old African American male, with mother, father, and paternal grandmother present. Child is here for well check for school entry. Child speaks approximately 100 words and only 50% intelligible.
Case 4: A 7-year-old Mexican American male with mother and maternal grandmother present. Mother has no concerns except grandmother feels the child is “too skinny.”
Case 5: A 14-year-old Caucasian female from single-parent family with father present. Father states that “she has always been healthy but I am worried that something is wrong because she doesn’t talk to me anymore.”
MN580 Primary Care of Children and Adolescents Health
Unit 2 Discussion
Topic 1: Pediatric Health Maintenance Exam and PPE
The foundation of pediatric healthcare visits, both sick and well, starts with a thorough health history; from the data collected, an accurate physical examination and diagnosis can be made. Primary care healthcare visits are an integral part of ensuring the health and well-being of the child. In children that participate in sports, a preparticipationphysical examination (PPE) is required and may be the only contact the healthy child has with their healthcare provider. This week’s Discussion will focus on these key topics.
Your professor will assign a topic to present and, in return, you will reply to your classmates in the other topics in order to promote a robust discussion.
Please complete each post in APA format following the Discussion Board grading rubric.
Topic 1: What are the different types of pediatric health histories? When would you use each specific type?
Topic 2: What is the review of systems (ROS)? In a SOAP note, where does the ROS belong? What is the relationship between the ROS and the physical exam?
Topic 3: Shelby is a 5-year-old female, brought to the clinic by her parents and will be starting kindergarten in the fall. The parents state that she needs her physical and shot record to register her for school. The parents state that she has been healthy and voice no concerns although Shelby is “scared” about the exam and vaccines. How would you address Shelby’s fear of the exam and vaccines? What age-appropriate screenings and lab tests are recommended for Shelby? What immunizations will Shelby require, if any?
Topic 4: Peyton is a 2-month-old female brought to the clinic by her 18-year-old mother for her health maintenance exam. What should the physical examination focus on for this child? What immunizations are due, if any? What age-appropriate anticipatory guidance topics should be discussed with mom?
Topic 5: George is a 12-year-old male brought to the clinic by his father and wants to start playing football and needs a preparticipation physical examination (PPE). He is an established patient in your practice and his last health maintenance exam was at 11 years of age. In reviewing his health history, you note that he has sickle cell trait but otherwise healthy. During his exam, you auscultate a Grade I murmur, and the remaining exam is normal. Dad asks if you will clear George to start football practice tomorrow. Would you clear George? Why or why not? Are there any specialists George needs to see before clearance? What are some of the preventive measures you would discuss with George and his father related to playing sports, specifically football?
MN580 Primary Care of Children and Adolescents Health
Unit 3 Discussion
Topic 1: Pediatric Conditions Affecting the Eyes, Ears, Mouth, and Gastrointestinal System
This week, there will be a variety of conditions assigned to you by your instructor pertaining to the eyes, ears, mouth, and gastrointestinal system. You are expected to present your initial topic including, but not limited to, the following items:
Pathophysiology
Epidemiology
Physical exam findings
Differential diagnoses and rationale
Management plan to include diagnostic testing, medications if applicable, follow-up plans and referrals if needed
In addition, you are required to follow the Discussion Board grading rubric and respond to at least three of your classmates. Topics may include:
1. Sensorineural and conductive hearing loss
2. Otitis media (all types)
3. Conjunctivitis (all types) and nystagmus
4. Amblyopia and strabismus
5. Retinopathy of prematurity
6. Dental caries, candidiasis, aphthous ulcers
7. Retinoblastoma
8. Gastroesophageal reflux disease in pediatrics
9. Peptic ulcer disease in pediatrics
10. Appendicitis and functional abdominal pain syndrome
11. Intussusception and pyloric stenosis
12. Malabsorption syndromes: Celiac disease, lactose intolerance, cow’s milk protein intolerance or allergy
13. Failure to thrive
14. Acute gastroenteritis and intestinal parasites
15. Constipation and encopresis
16. Periorbital cellulitis and orbital cellulitis
17. Otitis externa and mastoiditis
18. Glaucoma and cataracts in pediatrics
19. Corneal ulcers and hordeolum
20. Cyclic vomiting syndrome
MN580 Primary Care of Children and Adolescents Health
Unit 4 Discussion
Cardiac and Pulmonic Pediatric Conditions
This week, cardiac and pulmonic conditions will be assigned to you by your instructor. You are expected to present your initial topic including, but not limited to, the following items:
Pathophysiology
Epidemiology
Physical exam findings
Differential diagnoses and rationale
Management plan to include diagnostic testing, medications if applicable, follow-up plans and referrals if needed
In addition, you are required to follow the Discussion Board grading rubric and respond to at least three of your classmates. Topics may include:
Murmurs (innocent and pathologic)
Congestive heart disease in children
Left to right shunting: ASD, VSD
Left to right shunting: Atrioventricularseptal defect, PDA
Right to left shunting: Transposition of the great arteries (TGA), tetralogy of fallot, hypoplastic left heart syndrome
Hypertension in children
Kawasaki Disease, acute rheumatic fever
Infective endocarditis, pericarditis
Myocarditis, cardiomyopathy
Syncope
Cardiac dysrhythmias
Upper respiratory disorders: The common cold, rhinosinusitis
Pharyngitis, tonsillitis
Diphtheria, pertussis
Recurrent epistaxis, nasal foreign body
Croup, epiglottitis
Foreign body aspiration (laryngeal, tracheal, bronchial)
Nonbacterial and bacterial pneumonia
Cystic fibrosis
Pectus deformity
MN580 Primary Care of Children and Adolescents Health
Unit 5 Discussion
Topic 1: Pain Management, Palliative Care, Metabolic, Endocrine, Genetic, and Chronic Conditions and Management Plans
This week, there will be a variety of conditions assigned to you by your instructor pertaining to metabolic, endocrine, genetic, and chronic conditions. You are expected to present your initial topic including, but not limited to, the following items:
Pathophysiology
Epidemiology
Physical exam findings
Differential diagnoses and rationale
Management plan to include diagnostic testing, medications if applicable, follow-up plans and referrals if needed
In addition, you are required to follow the Discussion Board grading rubric and respond to at least three of your classmates. Topics may include:
Precocious puberty
Pediatric obesity
Hypothyroidism
Hyperthyroidism
Growth hormone deficiency
Constitutional growth delay
Adrenal Insufficiency
Type 1 diabetes
Type 2 diabetes
Inborn errors of metabolism
Phenylketonuria
Dyslipidemia
Trisomy 21
Trisomy 18
Turner syndrome
Fragile X syndrome
Klinefelter syndrome
Neurofibromatosis
Fever in children
Pain in children
MN580 Primary Care of Children and Adolescents Health
Unit 6 Discussion
Pediatric Atopic, Immunologic, Infectious Disease, and Integumentary Conditions and Management Plans
This week, there will be a variety of conditions assigned to you by your instructor pertaining to atopic, immunologic, infectious disease, and integumentary conditions. You are expected to present your initial topic including, but not limited to, the following items:
Pathophysiology
Epidemiology
Physical exam findings
Differential diagnoses and rationale
Management plan to include diagnostic testing, medications if applicable, follow-up plans and referrals if needed
In addition, you are required to follow the Discussion Board grading rubric and respond to at least three of your classmates. Topics may include:
1. Pediatric asthma (0–4 years of age)
2. Allergic rhinitis
3. Atopic dermatitis, contact dermatitis
4. Juvenile idiopathic arthritis
5. Systemic lupus erythematosus
6. Acute rheumatic fever
7. Henoch-Schonleinpurpura
8. Pediatric asthma (5–11 years of age)
9. Pediatric asthma (>12 years of age)
10. Impetigo
11. Cellulitis
12. Candidiasis, all types
13. Tineacapitis, tineacorporis
14. Tineaversicolor, pityriasisrosea
15. Scabies, pediculosis
16. Acne vulgaris
17. Stevens-Johnson syndrome
18. Herpes simplex virus
19. Infectious mononucleosis
20. Fever of unknown origin
MN580 Primary Care of Children and Adolescents Health
Unit 7 Discussion
Musculoskeletal, Hematologic, and Oncologic Conditions in Children and Management Plans
This week, there will be a variety of conditions assigned to you by your instructor pertaining to musculoskeletal, hematologic, and oncologic conditions. You are expected to present your initial topic including, but not limited to, the following items:
Pathophysiology
Epidemiology
Physical exam findings
Differential diagnoses and rationale
Management plan to include diagnostic testing, medications if applicable, follow-up plans and referrals if needed
In addition, you are required to follow the Discussion Board grading rubric and respond to at least three of your classmates. Topics may include:
Microcytic anemia
Thalassemias
Hemolytic anemia
Sickle cell anemia and trait
Hereditary spherocytosis
Idiopathic thrombocytopenic purpura
Hemophilias
Leukemia
Non-Hodgkin lymphoma
Hodgkin lymphoma
Brachial plexus injury
Clavicle fracture
Costochondritis
Scoliosis
Developmental dysplasia of the hip
Legg-Calve-Perthes disease
Slipped capital femoral epiphysis
Genu varum, genu valgum
Osgood-Schlatter disease
Subluxation of the radial head
MN580 Primary Care of Children and Adolescents Health
Unit 8 Discussion
Neurologic and Mental Health Conditions and Management Plans
This week, there will be a variety of conditions assigned to you by your instructor pertaining to neurologic and mental health conditions. You are expected to present your initial topic including, but not limited to, the following items:
Pathophysiology
Epidemiology
Physical exam findings
Differential diagnoses and rationale
Management plan to include diagnostic testing, medications if applicable, follow-up plans and referrals if needed
In addition, you are required to follow the Discussion Board grading rubric and respond to at least three of your classmates. Topics may include:
Night terrors, nightmares
Attention-deficit/hyperactivity disorder
Learning disorders
Sensory processing disorder
Autistic spectrum disorders
Anxiety disorder (separation and generalized)
Obsessive-compulsive disorder
Tic disorders
Posttraumatic stress disorder
Depression
Bipolar disorder
Oppositional defiant disorder
Eating disorders
Cerebral palsy
Epilepsy and seizure disorder
Headaches in children
Disturbances of head growth
Guillain-Barre syndrome
Head injury
CNS infection
MN580 Primary Care of Children and Adolescents Health
Unit 9 Discussion
Genitourinary, Gynecologic, and Adolescent Health and Management Plans
This week, there will be a variety of conditions assigned to you by your instructor pertaining to genitourinary, gynecologic, and adolescent health conditions. You are expected to present your initial topic including, but not limited to, the following items:
Pathophysiology
Epidemiology
Physical exam findings
Differential diagnoses and rationale
Management plan to include diagnostic testing, medications if applicable, follow-up plans and referrals if needed
In addition, you are required to follow the Discussion Board grading rubric and respond to at least three of your classmates. Topics may include:
Urinary tract infection, pyelonephritis
Vesicoureteral reflux
Hematuria
Proteinuria
Hypospadias
Cryptorchidism
Hydrocele
Varicocele
Inguinal hernia
Labial adhesions
Vulvovaginitis
Dysmenorrhea
Amenorrhea
Dysfunctional uterine bleeding
Vaginitis
Polycystic ovary syndrome
Gynecomastia in adolescent males
Adolescent pregnancy
Suicidality in adolescents
Substance abuse in adolescents
MN580 Primary Care of Children and Adolescents Health
Unit 10 Discussion
Assessment of the Neonate, Child Abuse and Neglect, Environmental Health, and Complementary Therapies in Pediatrics
This week, there will be a variety of conditions assigned to you by your instructor pertaining to the neonate, child abuse, child neglect, and environmental health conditions. You are expected to present your initial topic including, but not limited to, the following items:
Pathophysiology
Epidemiology
Physical exam findings
Differential diagnoses and rationale
Management plan to include diagnostic testing, medications if applicable, follow-up plans and referrals if needed
In addition, you are required to follow the Discussion Board grading rubric and respond to at least three of your classmates. Topics may include:
Milia, erythema toxicum, cutis marmorata
Branchial cleft, thyroglossal cyst
Caput succedaneum, cephalhematoma
Cleft lip and palate
Pyloric stenosis
Neonatal jaundice
Sudden infant death syndrome, apparent life-threatening events
Mercury poisoning
Lead poisoning
Environmental tobacco smoke exposure
Carbon monoxide poisoning
Pesticide exposure
Noise pollution
Child neglect
Physical abuse
Sexual abuse
Emotional abuse
Verbal abuse
Mold exposure
Burns
