Podcast
Questions and Answers
What is a symptom of allergic rhinitis?
What is a symptom of allergic rhinitis?
- Ear pain and delayed speech
- Tearing and soreness of the eyes (correct)
- Loss of appetite and depression
- Wheezing and cough
What is a characteristic of asthma?
What is a characteristic of asthma?
- No symptoms, airway constriction, and bronchial responsiveness
- Recurring symptoms, airway obstruction, and irreversible airflow limitation
- Rare symptoms, airway dilation, and bronchial hyporesponsiveness
- Recurring symptoms, airway obstruction, and bronchial hyperresponsiveness (correct)
What is associated with asthma episodes?
What is associated with asthma episodes?
- Reversible airflow limitation and bronchodilation
- Spontaneous airflow limitation and bronchial responsiveness
- Irreversible airflow limitation and bronchoconstriction
- Reversible airflow limitation and bronchial hyperresponsiveness (correct)
Why is it important to obtain information regarding clinical signs of related disorders?
Why is it important to obtain information regarding clinical signs of related disorders?
What is a possible complication of asthma?
What is a possible complication of asthma?
What is a symptom of asthma?
What is a symptom of asthma?
What can cause recurrent episodes of wheezing, breathlessness, and cough?
What can cause recurrent episodes of wheezing, breathlessness, and cough?
Upon auscultation, what may be heard in the lung fields of an asthma patient?
Upon auscultation, what may be heard in the lung fields of an asthma patient?
What is the primary use of synovectomy in children with arthritis?
What is the primary use of synovectomy in children with arthritis?
What is the effect of histamine on local receptors?
What is the effect of histamine on local receptors?
What is the result of the cytokines in the late-phase allergic reaction?
What is the result of the cytokines in the late-phase allergic reaction?
What is the time frame for the late-phase allergic reaction?
What is the time frame for the late-phase allergic reaction?
What is the goal of nursing care management in children with JIA?
What is the goal of nursing care management in children with JIA?
What is the alternative to synovectomy in case of synovitis?
What is the alternative to synovectomy in case of synovitis?
What is the effect of prostaglandins released by mast cells?
What is the effect of prostaglandins released by mast cells?
Who is joint replacement suitable for?
Who is joint replacement suitable for?
What is the estimated time required for the procedure?
What is the estimated time required for the procedure?
What is the purpose of the doctor grasping the node between thumb and forefinger?
What is the purpose of the doctor grasping the node between thumb and forefinger?
What is the name of the diagnostic evaluation that examines the vessels of the lymphatic system?
What is the name of the diagnostic evaluation that examines the vessels of the lymphatic system?
What is the name of the chemotherapeutic medication that includes doxorubicin, bleomycin, vinblastine, and dacarbazine?
What is the name of the chemotherapeutic medication that includes doxorubicin, bleomycin, vinblastine, and dacarbazine?
What is a possible complication of needle biopsy?
What is a possible complication of needle biopsy?
What is the purpose of the doctor inserting the needle into the node?
What is the purpose of the doctor inserting the needle into the node?
What is the name of the chemotherapeutic medication that includes cyclophosphamide, doxorubicin, vincristine, and prednisone?
What is the name of the chemotherapeutic medication that includes cyclophosphamide, doxorubicin, vincristine, and prednisone?
What is the doctor's role in the procedure?
What is the doctor's role in the procedure?
Where does digestion start?
Where does digestion start?
What is a common symptom of Hirschsprung disease?
What is a common symptom of Hirschsprung disease?
What is the purpose of a Barium Enema?
What is the purpose of a Barium Enema?
How many parts is the small intestine divided into?
How many parts is the small intestine divided into?
What is a characteristic of the stool in Hirschsprung disease?
What is a characteristic of the stool in Hirschsprung disease?
Where does major absorption occur?
Where does major absorption occur?
What is a common diagnostic tool used in Hirschsprung disease?
What is a common diagnostic tool used in Hirschsprung disease?
What is a symptom of Hirschsprung disease?
What is a symptom of Hirschsprung disease?
What is the primary goal of managing pruritus in atopic dermatitis?
What is the primary goal of managing pruritus in atopic dermatitis?
Which antihistamine is preferred for daytime pruritus relief?
Which antihistamine is preferred for daytime pruritus relief?
What is the most common malignant renal and intra-abdominal tumor of childhood?
What is the most common malignant renal and intra-abdominal tumor of childhood?
What is a common clinical manifestation of Wilm's tumor?
What is a common clinical manifestation of Wilm's tumor?
Why is it essential to assess the family's feelings and methods of coping?
Why is it essential to assess the family's feelings and methods of coping?
What is the significance of exploring the child's behavior, especially in relation to scratching?
What is the significance of exploring the child's behavior, especially in relation to scratching?
What is the purpose of examining the skin lesions?
What is the purpose of examining the skin lesions?
Why is a family history important in the assessment of atopic dermatitis?
Why is a family history important in the assessment of atopic dermatitis?
Study Notes
Synovectomy
- Used primarily in pauciarticular disease when all other therapy has been unsuccessful
- Alternative to synovectomy: intraarticular steroid injection, may be tried once or twice before surgery
- Joint replacement is proving to be successful in older children who are fully grown
Allergic Rhinitis
- Characterized by: rapid release of mast cell mediators (e.g., histamine, prostaglandins, and leukotrienes)
- Histamine acts directly on local receptors to produce vasodilation, mucosal edema, and increased production of mucus
- Cytokines summon cells to the area, responsible for slower late-phase allergic reaction of inflammation and destruction of the mucosal surface
Asthma
- Chronic inflammatory disorder of the airways
- Characterized by recurring symptoms, airway obstruction, and bronchial hyperresponsiveness
- In susceptible children, inflammation causes recurrent episodes of wheezing, breathlessness, chest tightness, and cough
- Episodes are associated with airflow limitation or obstruction that is reversible either spontaneously or with treatment
Wilm's Tumor (Nephroblastoma)
- Most common intraabdominal and kidney tumor of childhood
- Malignant tumor in the kidney
- Clinical manifestations: swelling or mass within the abdomen, firm, non-tender, and confined
- Other symptoms: secondary anemia, weight loss, and hypertension
Nursing Care Management
- Assessment of general health and status of involved joints
- Emotional responses to ramifications of the disease
- Important to obtain information regarding clinical signs of related disorders
Cellular Aberrations
- Needle biopsy: insertion of a needle directly to the node and aspirate whatever can be aspirated, sent to the lab for diagnosis
- Usual complications: bleeding of the side, possible infection
Diagnostic Evaluation
- X-ray examination of the vessels of the lymphatic system
- Fluoroscopy of the lymphatic vessels
- Barium Enema: injecting barium contrast and taking a series of x-rays in the abdomen to check for constriction and gastrointestinal tract issues
Hirschsprung Disease
- Failure to pass meconium within the first 48 hours
- Ribbon-like, foul-smelling stools
- Abdominal distention
- Vomiting
- Constipation
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Description
This quiz covers the benefits and uses of synovectomy, a surgical procedure, in treating arthritis patients, particularly children. It also explores the role of IgE molecules in triggering mast cell mediators.
