NR602 Primary Care of the Childbearing & Childrearing Family Week 3 Quiz, 100%
, Encopresis
Hernias
Pyloric stenosis
Pinworms
Viral gastroenteritis
Soft tissue trauma (sprains and strains)
Fractures of the lower and upper extremities
Legg-Calve’-Perthes
Oschgood-Schlatter disease
Scoliosis
Slipped capital femoral epiphysis
Genu Valgum and Genu Varum
Nurse Maid’s elbow and other dislocations
Boxer fracture
Jammed fingers or joints
Recognition of more serious conditions, including osteomyelitis, neoplasms of the bones, and juvenile
rheumatoid arthritis
Vomiting and Dehydration
Vomiting is the forceful emptying of gastric contents coordinated by the medullary vomiting center
and/or the chemoreceptor trigger zone of the brain. It is differentiated from regurgitation, which is a
passive reflux of gastric contents into the oral pharynx. It can be caused by GI or extraintestinal
disorders that are either acute or chronic. Vomiting can be classified as projectile (often arising from the
central nervous system [CNS]) or non-projectile (often seen in GER), and bilious, bloody, nonbilious, or
nonbloody.
The age of the child helps to formulate an appropriate list of potential diagnoses:
• Newborn or young infant—infectious process, congenital GI anomaly, CNS abnormality, or
inborn errors of metabolism
• Infants and young children—gastroenteritis, GERD, milk/soy protein allergies, pyloric stenosis
or obstructive lesion, inborn errors of metabolism, intussusception, child abuse, intracranial mass lesion
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