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– ## Week5DB.docx **## Week5DB.docx** **Week 5 Discussion Part I** **Table 1** **Classifications of Anemias** | | | | | | | — | — | — | — | — | | Complete the information. | | | Normocytic | Microcytic | Macrocytic | Hemolytic Anemia | | Description | | | | | | Clinical Findings | | | | | …
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– ## Week5DB.docx
**## Week5DB.docx**
**Week 5 Discussion Part I**
**Table 1**
**Classifications of Anemias**
| | | | | |
| — | — | — | — | — |
| Complete the information. |
| | Normocytic | Microcytic | Macrocytic | Hemolytic Anemia |
| Description | | | | |
| Clinical Findings | | | | |
| Diagnostic Studies | | | | |
| Management | | | | |
**Table 2**
**Differentiate Common Childhood Leukemias**
| | | |
| — | — | — |
| Clinical Findings: |
| | Acute Lymphocytic Leukemia (ALL) | Acute Myelogenous Leukemia (AML) |
| Occurrence | | |
| Management | | |
**Table 3**
**Tanner Stages**
| | | |
| — | — | — |
| Tanner Stages | Girls <br>(Breast Development) | Boys <br>(Genital Development- testes/penis) |
| Stage I | | |
| Stage II | | |
| Stage III | | |
| Stage IV | | |
| Stage V | | |
**Table 4**
**Delayed Puberty, Menarche, and Growth Spurts**
| |
| — |
| Answer the following questions. |
| How is precocious puberty defined for boys and girls? |
| |
| What is considered delayed puberty in boys and girls? |
| |
| What labs tests should be ordered for delayed puberty? |
| |
| During what age ranges do growth spurts occur in boys and girls? |
| |
| What is the average age of menarche in the United States? |
| |
**Table 5**
**Differentiate Types of Diabetes**
| | | |
| — | — | — |
| | Type 1 Diabetes | Type 2 Diabetes |
| Age of onset | | |
| Gender | | |
| Race/Ethnicity | | |
| Obesity | | |
| Family History of DM | | |
| Insulin Secretion | | |
| Insulin Sensitivity | | |
| Onset | | |
| Ketosis, DKA | | |
| Hypertension | | |
| Acanthosis nigricans | | |
| Polycystic ovarian syndrome | | |
| Islet Autoimmunity | | |
**Table 6**
**Hypothyroidism and Hyperthyroidism**
| | | | |
| — | — | — | — |
| Differentiate between hypothyroidism and hyperthyroidism |
| | Clinical Findings | Diagnostic Studies | Management |
| Hypothyroidism | | | |
| Hyperthyroidism | | | |
**Table 7**
**Drug Interaction with Herbal Supplements**
| | | |
| — | — | — |
| Please complete the table of common interactions between FDA-approved medications and herbal supplements |
| Drug Category | Herb | Effect of Herb on the Drug’s Action |
| Iron | Tannin-rich herbs (e.g. caffeine containing herbs, cat’s claw, tea, uva, ursi) | |
| Laxative, stimulant (e.g., bisacodyl) | Aloe, cascara sagrada, senna, yellow dock | |
| NSAIDS | Gastric irritant herbs (e.g. caffeine, rue, uva ursi)<br>Nettles | |
| Oral contraceptives | Licorice, St. John’s wort | |
| Salicylates (e.g. aspirin) | Herbs that alkalinize urine (e.g. uva ursi)<br>Tamarind<br>Ginkgo, garlic | |
| Theophyline | St. John’s wort | |
| Thyroid Hormone | Horseradish<br>Kelp | |
**PART II**
Select one of the following four case scenarios. Identify the prompt in the subject line of your post, for example, Case Scenario 1 – Tommy
Complete all Part II elements of the discussion:
· Each prompt has additional key questions to address in the body of your response to ensure an understanding of learning objectives.
· Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.
· In your peer replies, please reply to at least two peers who chose a different case scenario – other than the one you selected. For example, if you selected Case Scenario 1, then reply to one peer who selected Case Scenario 2 and another peer who selected Case Scenario 3 or 4.
· Be prepared to answer additional questions relating to a secondary diagnosis or consideration posed by faculty.
**Case Scenario 2:** Margaret brought in her 11-year-old daughter Sandy for her well-child exam. Sandy has developed axillary and pubic hair and has been complaining of mild abdominal cramping off and on for 3 days. Margaret also mentions to you that she is concerned about allowing her daughter to participate in a sexuality educational course offered at school.
· What does the evidence say about providing sexuality education at school to children?
· Which approach should you take when taking a sexual history from Sandy?
· What anticipatory guidance should you give Sandy about her body changes?
· What anticipatory guidance should you give Margaret about teaching Sandy about sex?
**## Week5DB.docx**
**Week 5 Discussion Part I**
**Table 1**
**Classifications of Anemias**
| | | | | |
| — | — | — | — | — |
| Complete the information. |
| | Normocytic | Microcytic | Macrocytic | Hemolytic Anemia |
| Description | | | | |
| Clinical Findings | | | | |
| Diagnostic Studies | | | | |
| Management | | | | |
**Table 2**
**Differentiate Common Childhood Leukemias**
| | | |
| — | — | — |
| Clinical Findings: |
| | Acute Lymphocytic Leukemia (ALL) | Acute Myelogenous Leukemia (AML) |
| Occurrence | | |
| Management | | |
**Table 3**
**Tanner Stages**
| | | |
| — | — | — |
| Tanner Stages | Girls <br>(Breast Development) | Boys <br>(Genital Development- testes/penis) |
| Stage I | | |
| Stage II | | |
| Stage III | | |
| Stage IV | | |
| Stage V | | |
**Table 4**
**Delayed Puberty, Menarche, and Growth Spurts**
| |
| — |
| Answer the following questions. |
| How is precocious puberty defined for boys and girls? |
| |
| What is considered delayed puberty in boys and girls? |
| |
| What labs tests should be ordered for delayed puberty? |
| |
| During what age ranges do growth spurts occur in boys and girls? |
| |
| What is the average age of menarche in the United States? |
| |
**Table 5**
**Differentiate Types of Diabetes**
| | | |
| — | — | — |
| | Type 1 Diabetes | Type 2 Diabetes |
| Age of onset | | |
| Gender | | |
| Race/Ethnicity | | |
| Obesity | | |
| Family History of DM | | |
| Insulin Secretion | | |
| Insulin Sensitivity | | |
| Onset | | |
| Ketosis, DKA | | |
| Hypertension | | |
| Acanthosis nigricans | | |
| Polycystic ovarian syndrome | | |
| Islet Autoimmunity | | |
**Table 6**
**Hypothyroidism and Hyperthyroidism**
| | | | |
| — | — | — | — |
| Differentiate between hypothyroidism and hyperthyroidism |
| | Clinical Findings | Diagnostic Studies | Management |
| Hypothyroidism | | | |
| Hyperthyroidism | | | |
**Table 7**
**Drug Interaction with Herbal Supplements**
| | | |
| — | — | — |
| Please complete the table of common interactions between FDA-approved medications and herbal supplements |
| Drug Category | Herb | Effect of Herb on the Drug’s Action |
| Iron | Tannin-rich herbs (e.g. caffeine containing herbs, cat’s claw, tea, uva, ursi) | |
| Laxative, stimulant (e.g., bisacodyl) | Aloe, cascara sagrada, senna, yellow dock | |
| NSAIDS | Gastric irritant herbs (e.g. caffeine, rue, uva ursi)<br>Nettles | |
| Oral contraceptives | Licorice, St. John’s wort | |
| Salicylates (e.g. aspirin) | Herbs that alkalinize urine (e.g. uva ursi)<br>Tamarind<br>Ginkgo, garlic | |
| Theophyline | St. John’s wort | |
| Thyroid Hormone | Horseradish<br>Kelp | |
**PART II**
Select one of the following four case scenarios. Identify the prompt in the subject line of your post, for example, Case Scenario 1 – Tommy
Complete all Part II elements of the discussion:
· Each prompt has additional key questions to address in the body of your response to ensure an understanding of learning objectives.
· Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.
· In your peer replies, please reply to at least two peers who chose a different case scenario – other than the one you selected. For example, if you selected Case Scenario 1, then reply to one peer who selected Case Scenario 2 and another peer who selected Case Scenario 3 or 4.
· Be prepared to answer additional questions relating to a secondary diagnosis or consideration posed by faculty.
**Case Scenario 2:** Margaret brought in her 11-year-old daughter Sandy for her well-child exam. Sandy has developed axillary and pubic hair and has been complaining of mild abdominal cramping off and on for 3 days. Margaret also mentions to you that she is concerned about allowing her daughter to participate in a sexuality educational course offered at school.
· What does the evidence say about providing sexuality education at school to children?
· Which approach should you take when taking a sexual history from Sandy?
· What anticipatory guidance should you give Sandy about her body changes?
· What anticipatory guidance should you give Margaret about teaching Sandy about sex?
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