![]() ![]() GW does not seem bothered by the stuttering. Further probing reveals that the stuttering occurs frequently and lasts 1 to 2 seconds. ![]() The mother of 3 yo GW reports that he has begun to stutter. referring to a speech pathologist - ANSWER-a routine follow up at next well child visitĭ. While listening to 2.5 yo KL talk, you note that she frequently omits final consonants and her sentences are two and three words in length. snapping sensation when pressure is applied to parietal bone - ANSWER-c head circumference growing faster than height and weightĭ. Which of the following physical findings in a 2 month old child warrants an immediate referral to a neurologist/neurosurgeon?Ī. occasional waking from naps with dry diapersĭ. Which of the following is not a sign of readiness to toilet train?Ĭ. explain to DW that cheating is like lying and is not acceptable behavior - ANSWER-b make sure that DW understands the rules before starting to play the gameĭ. explain that DW is developmentally unable to comprehend rigid rulesĬ. encourage the parent to use 5 minute time-outs when cheating occursī. What is the most appropriate response to DWs behavior?Ī. The mother of 5yo DW is concerned that her son often cheats when playing board games with his older sister. The second and lower first molars are absent. While examining 10 yo RMs teeth you note that the upper incisors slightly overlap the lower incisors. Dtap, Hib, IPV, rotavirus, HepB 1, pneumo The appropriate immunizations to give at this time would be:Ī. He is seen today for the first time since discharge from the nursery. is a 9 week old preterm infant whose birth wt was 2.3 kg. count to five and draw a person with three parts - ANSWER-d recognize six colors and remember one's phone numberĭ. Which of the following scenarios is suggestive of a child who may not be ready to enter first grade? An inability to:Ī. you learn that she is not sleeping through the night and will not fall back to sleep without the parents rocking or feeding her. While taking the history of 6-month old E.M. refer the family to growth clinic for evaluation - ANSWER-B educate the family on the need for increased calories and nutrientsĭ. incorporate traditional foods into a management plan that will provide increased calories and nutrientsĬ. Suggest high-calorie breakfast drinks as sup. is a 5 yo Vietnamese child who has fallen off of his growth curve. Besides neoplastic, inflammatory, and infectious processes, many other disease processes may occasionally result in mesenteric lymphadenopathy.H.O. The distribution of the lymph nodes may indicate the exact nature of the underlying disease process, and the correct treatment may then be instituted. In addition, mesenteric lymphadenopathy may be the only indicator of an underlying inflammatory or infectious process causing abdominal pain. It is important to recognize mesenteric lymphadenopathy in patients with a history of a primary carcinoma because the lymphadenopathy affects the staging of the disease, which in turn will affect further management. Many of these causes may also result in lymphadenopathy elsewhere in the body. The most common causes of mesenteric lymphadenopathy are neoplastic, inflammatory, and infectious processes. Although the detected lymph nodes may be normal, there is a large number of disease processes that may lead to mesenteric lymphadenopathy. Because of the increasing volume of cross-sectional imaging examinations being performed, lymph nodes in the mesentery are being detected with increasing frequency. For the first time, normal mesenteric nodes may be reliably identified noninvasively. ![]() With the advent of multidetector computed tomography, routine evaluation of mesenteric lymph nodes is now possible. ![]()
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