Pediatric Disorders: Kidney Functions
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Questions and Answers

What is the most common causative microorganism of osteomyelitis?

  • Pneumococcal
  • Salmonella
  • Group B streptococci
  • Staphylococcus aureus (correct)
  • What is the most common postinfectious renal disease in childhood?

  • Acute poststreptococcal glomerulonephritis (correct)
  • Antibiotic therapy
  • Diuretics
  • Circulatory congestion
  • Which of the following is a symptom of hematogenous osteomyelitis?

  • Increased range of motion in the affected limb
  • Coolness
  • Decreased range of motion in the affected limb (correct)
  • Hypertension
  • What is the age range when osteomyelitis is most frequently seen?

    <p>Children 10 years of age or younger</p> Signup and view all the answers

    What is the most common infection associated with Acute poststreptococcal glomerulonephritis?

    <p>Streptococcal infection</p> Signup and view all the answers

    What is the primary source of infection for osteomyelitis in neonates?

    <p>Group B streptococci</p> Signup and view all the answers

    What is the primary source of infection for osteomyelitis in children with sickle cell?

    <p>Salmonella</p> Signup and view all the answers

    What diagnostic test is used to evaluate osteomyelitis?

    <p>All of the above</p> Signup and view all the answers

    What is the function of the kidneys in maintaining blood pressure?

    <p>To ensure that pressure isn't too high or too low</p> Signup and view all the answers

    What is the main function of the kidneys in terms of waste removal?

    <p>To remove urea, uric acid, toxins, and other wastes via urine</p> Signup and view all the answers

    What is the term for the clinical state characterized by massive proteinuria, hypoalbuminemia, hyperlipidemia, and edema?

    <p>Nephrotic syndrome</p> Signup and view all the answers

    What is the role of the kidneys in calcium absorption?

    <p>To activate vitamin D</p> Signup and view all the answers

    What is the term for the initial step in the filtration of blood?

    <p>Glomerular filtration</p> Signup and view all the answers

    What is the effect of increased glomerular permeability to plasma protein?

    <p>Increased urinary protein loss</p> Signup and view all the answers

    What is the term for the primary disease known as idiopathic nephrosis or minimal-change nephrotic syndrome?

    <p>Childhood nephrosis</p> Signup and view all the answers

    What is the term for the congenital form of nephrotic syndrome?

    <p>Autosomal recessive disorder</p> Signup and view all the answers

    What is the most sensitive diagnostic radiologic tool for diagnosing osteomyelitis?

    <p>MRI</p> Signup and view all the answers

    What is the age group for which Kingella kingae is commonly associated with osteomyelitis?

    <p>Children younger than 5 years</p> Signup and view all the answers

    What is the purpose of administering a probiotic to some children?

    <p>To prevent antibiotic-associated diarrhea</p> Signup and view all the answers

    What is a characteristic of chronic osteomyelitis?

    <p>Dead bone and bone loss</p> Signup and view all the answers

    What is the purpose of positioning the child comfortably with the affected limb well supported?

    <p>To reduce pain</p> Signup and view all the answers

    What is the treatment for subacute osteomyelitis?

    <p>IV antibiotics and surgery</p> Signup and view all the answers

    What is the name of the type of abscess that may occur in subacute osteomyelitis?

    <p>Bodie abscess</p> Signup and view all the answers

    What is the purpose of applying a temporary splint and cast?

    <p>To immobilize the affected limb</p> Signup and view all the answers

    What is the primary function of the synovial membrane?

    <p>To produce synovial fluid</p> Signup and view all the answers

    What is a common complication of septic arthritis?

    <p>Joint deformity and functional disability</p> Signup and view all the answers

    What is a predisposing factor for the development of septic arthritis?

    <p>Immunosuppression</p> Signup and view all the answers

    What is the term for the inflammation of a synovial membrane with purulent effusion into the joint capsule?

    <p>Septic arthritis</p> Signup and view all the answers

    What is a symptom of septic arthritis?

    <p>Fever</p> Signup and view all the answers

    What is a type of arthritis that is caused by an autoimmune response?

    <p>Juvenile rheumatoid arthritis</p> Signup and view all the answers

    What is the most common joint affected by septic arthritis?

    <p>All of the above</p> Signup and view all the answers

    What is a factor that contributes to the development of juvenile rheumatoid arthritis?

    <p>Genetic predisposition</p> Signup and view all the answers

    What happens to the normal blood glucose level around 3 am?

    <p>It begins to rise</p> Signup and view all the answers

    What is the purpose of decreasing the nocturnal dose of insulin?

    <p>To prevent the 2 am hypoglycemia</p> Signup and view all the answers

    What stimulates the counterregulatory hormones during a rebound rise?

    <p>Hypoglycemia</p> Signup and view all the answers

    How often should blood glucose levels and urinary ketones be monitored?

    <p>Every 3 hours</p> Signup and view all the answers

    What happens to insulin if it is frozen?

    <p>It becomes inactive</p> Signup and view all the answers

    When should the healthcare practitioner be notified?

    <p>If blood glucose levels remain above 240mg/dl</p> Signup and view all the answers

    Why is it important for parents to understand the characteristics of various types of insulins?

    <p>To substitute another type of insulin when necessary</p> Signup and view all the answers

    What happens to the insulin dosage during illness?

    <p>It may increase, decrease, or remain unchanged</p> Signup and view all the answers

    Study Notes

    Pediatric Disorders

    • The kidney releases erythropoietin, which stimulates the bone marrow to produce red blood cells, and regulates water balance in the body.
    • The kidneys also remove wastes, such as urea, uric acid, and toxins, from the blood through urine.
    • They activate vitamin D, which helps the body absorb calcium, and maintain acid-base balance in the body.
    • The kidneys also help regulate blood pressure and maintain a balance of electrolytes, like potassium, sodium, and calcium, which is critical for heart rhythm.

    Nephrotic Syndrome

    • A clinical state characterized by massive proteinuria, hypoalbuminemia, hyperlipidemia, and edema.
    • Can occur as a primary disease known as idiopathic nephrosis, childhood nephrosis, or minimal-change nephrotic syndrome.
    • Can also occur as a secondary disorder after glomerular damage with a known or presumed cause.
    • Characterized by increased glomerular permeability to plasma protein, resulting in massive urinary protein loss.

    Acute Poststreptococcal Glomerulonephritis (APSGN)

    • The most common postinfectious renal disease in childhood.
    • Associated with pneumococcal, streptococcal, and viral infections.

    Infections of Bones and Joints

    • Osteomyelitis can occur at any age, but most frequently seen in children under 10 years old.
    • Most commonly affected bones include the foot, femur, tibia, and pelvis.
    • Staphylococcus aureus is the most common causative microorganism.
    • Other causative microorganisms include group B streptococci for neonates, Salmonella for children with sickle cell disease, and Neisseria gonorrhoeae for sexually active adolescents.

    Septic Arthritis

    • Inflammation of a synovial membrane with purulent effusion into the joint capsule due to infection.
    • Most common joints affected are knees, hips, ankles, and elbows.
    • Clinical manifestations include severe joint pain, swelling, warmth of overlying tissue, and erythema.

    Juvenile Rheumatoid Arthritis

    • A chronic autoimmune inflammatory disease causing inflammation of joints and other tissues with unknown cause.
    • Hypothesized causes include immunogenic susceptibility and environmental or external triggers such as viruses.
    • Few known genetic risk factors contribute to the disease.
    • Clinical manifestations vary and are unpredictable, potentially causing significant joint deformity and functional disability.

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    Description

    This quiz covers pediatric disorders related to kidney functions, including erythropoietin production and body water regulation.

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