Vaginitis or Vulvitis
Mon, 26 Aug 2019 |
Vital Signs
Common cause of vaginitis in prepubertal girls. Presents with serous discharge, marked erythema and irritation of the vulvar area, and discomfort on walking and urination. 2. Candida. Can also cause vaginitis but typically causes intense pruritus. Labia may be pale or erythematous with satellite lesions. Vaginal discharge, if present, is usually thick and adherent, with white curds. 3. Other causes. In sexually active adolescents, the most common causes include bacterial...
- Anatomic Causes
- Conditions That Can Lead to Respiratory Distress
- Does patient have symptoms associated with hypercal
- Emergency Management
- Immediate Management
- Infection
- Initial Management
- Physical Exam Key Points - 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
- What is patients cardiac rhythm Are ECG changes present - 2
- Anterior Epistaxis
- Abdomen - 2
- Bloody NG Drainage - 2
- Acidosis Attempts to compensate for metabolic acidosis may
- Acquired
- Acquired disorders
- Did patient eat anything before or during the choking
- Administration of hypertonic sodium
- Does patient have any previously documented urinalysis
- Immediate Plan - 2 3 4 5 6 7
- Airway abnormalities or obstruction
- Airway Devices
- Is patient experiencing impending respiratory failure
- Is patient in significant respiratory distress Is there significant respiratory difficulty or increased work of breathing
- Is this an emergency urgent or routine clinical condition
- Is this an emergency urgent or routine clinical condition An - 2
- Anticholinergic syndrome
- Anticholinesterase syndrome
- Oxygen Administration
- Painful Swelling
- APatient is pulseless
- Pharyngitis 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
- Arrhythmia
- Asymptomatic microscopic hematuria with proteinuria
- Atrial tachycardias
- What are the vital signs Is patient adequately perfused Are airway breathing and circulation ABCs compromised
- What is the degree of fever and who has documented it
- Laboratory Data - 2 3 4 5
- Neonatal Neutropenias
- Patients Younger Than 3 Years of
- Respiratory Distress and Failure
- Specific Therapies
- BAcquired nonsurgical heart block
- Airway
- Are any other serious or lifethreatening conditions present
- Basic metabolic panel
- Children One Month to 2 Years of
- Complete Airway Obstruction
- Gas
- BHypoventilatory respiratory failure
- Bite 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
- Longterm Followup and Prevention
- Blood chemistries including renal and hepatic function tests and urinalysis Perform if malignancy is suspected
- Metabolic Alkalosis
- BMicroangiopathic
- Mild Symptomatic Hyperphosphatemia 2 mgdL greater than ageadjusted norm
- Murmurs From Leftto Right Shunts
- Pharmacologic Management
- Physiologic Causes
- Physiologic Stages of Hypothermia
- Bradycardia
- Retropharyngeal Abscess
- Severe Hypophosphatemia 1 mgdL in adolescents 2 mgdL in children younger than 12 years
- Specific Plans - 2
- Specific Treatment
- Trauma
- Trauma or Overuse
- Was breathing movement present How can event be categorized
- What signs and symptoms are associated with the fever
- Radiographic and Other Studies - 2 3 4 5 6 7 8
- Birth Problems or Trauma Hypoxia or head trauma
- Chronic or Subacute Cervical Lymphadenitis
- Chest Physical Therapy
- Chest xray
- Child Abuse Sexual
- Chronic treatment
- Is there abnormal phasic tone postural tone or both
- Metabolic Causes
- CMicroscopic findings
- Neoplasms
- Contents
- Pertinent Past Medical History
- Preventive Therapy 9 10 11 12 13 14 15 16 17 18
- Radiographic and Other Studies None needed 19 20 21 22
- Resolution of Pneumothorax
- Respiratory Alkalosis
- Sexually Transmitted Disease Prophylaxis
- CSteps to insertion
- Thrombocytopenia
- What is patients sodium intake during health and now
- Cyanotic congenital heart disease
- Antimicrobial Therapy
- Central Lines
- DClassification Aniongap AG metabolic acidosis
- Disorders Involving Energy Production
- Decreased output
- Diarrhea
- Diffuse alveolar hemorrhage or pulmonaryrenal syndrome Administer IV steroids
- Is this an acute or chronic problem
- Management of Secondary Complications of ARF
- Other Causes
- Pertinent Historical Information - 2
- DSteps to insertion
- What is the quality and strength of the urinary stream
- Prevention
- Congenital Cysts
- Ectopic pregnancy
- EGI Disorders
- Emergency treatment - 2
- Neurologic Deficits - 2
- What is patients mental status The body does all it can to
- What medications does patient currently take
- Extrarenal losses
- Eyes Perform funduscopic exam for retinal hemorrhages in cases
- Has patient achieved normal developmental milestones - 2
- Function tests should be obtained in any symptomatic child or
- FWheezing
- Gastroenteritis May be caused by a virus or Salmonella
- Gastrointestinal Bleeding Lower Tract
- General appearance
- GI decontamination
- Metabolic Disorders 3
- Grade - 2
- Cardiac Disorders
- Inflammatory Diseases
- Torticollis
- Hypervolemic hyponatremia increased ECFV a Low urine sodium edematous states
- Is there a family history of hypernatremia and dehydration particularly in males due to dehydration in early infancy
- Malabsorption
- Differential Diagnosis - 2 3 4 5
- Differential Diagnosis A Seizures 6 7 8 9 10
- Immediate Questions - 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37
- In the face of hemodynamic instability aggressive fluid resus
- Increased output
- Indicated in most acute diarrheal episodes Antibiotic therapy
- Problems
- Database - 2 3 4 5 6 7 8
- Uncommon Diagnoses
- Jansen syndrome 4
- KUB Simple and easy to obtain 80 of stones are radio
- Lange Medical BooksMcGraw Hill
- Lungs
- Metabolic acidosis
- MgdL in infants and young children
- Minor group antigens also may uncommonly contribute to
- Moderate 5001000mm3
- Mycoplasma serology
- Nasal cannula
- Neurologic findings
- No
- Nonesophageal foreign body
- Nonmedicinal
- Nonrebreathing mask
- Nutrition In The Pediatric Patient
- Obstruction should be intubated and transferred to a pediatric
- Of their injuries as well as for child whose home is unsafe if CPS
- Opioid syndrome
- Oxygen hoods and tents
- Packing
- Parathyroid disorders
- Patients with severe or significant GI bleeding
- Preface
- Problem Case Diagnoses
- Pt 23 24 25 26 27
- Radiographic studies Of little help in this setting
- References - 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
- Respiratory acidosis
- Rheumatologic or inflammatory disorders
- Seizures Febrile
- Sepsis and should be considered in all acutely sick neonates In
- Serum magnesium
- Sick or septic newborns including premature infants
- Specific tests for tetany of hypocalcemia
- Stool analysis
- Sympathomimetic syndrome
- Technique
- Testing for STDs
- Transcutaneous bilirubin icterometer measurements
- Tumor
- Types
- Plan - 2 3 4 5 6 7 8 9 10 11 12 13 - 2
- Vital signs and general appearance
- Vital signs Significant blood loss may results in increased 14
- Wilson disease hepatolenticular degeneration
- Yes
