- Myelodysplastic, Myeloproliferative, and Histiocytic Disorders Kenneth McClain M.D. Endocrine disorder affects growth and development, metabolism, sexual function, and mood. marlene meador , rn, msn, cne. Work with families on making dietary and activity changes that will. This trend is most apparent in very young children • Obesity is causing increased incidence of Type 2 diabetes in children and teens • As children with chronic illness survive longer(i.e. Topics or concepts included in this exam are: 1. Obstruction of flow e.g. Or use it to upload your own PowerPoint slides so you can share them with your teachers, class, students, bosses, employees, customers, potential investors or the world. 11%-self-care-comfort -avoid complications identify signs and, Basic Mechanism of Endocrine Disorders - . Consensus statement on management of intersex disorders. In 1994, an expert committee ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 3be8ca-ZjY0Z In the ER, VS are T 35.7 C, HR 110, RR 32, BP 90/45, SpO2 98% on RA. Our new CrystalGraphics Chart and Diagram Slides for PowerPoint is a collection of over 1000 impressively designed data-driven chart and editable diagram s guaranteed to impress any audience. Our team treats the full range of hormone- and endocrine-related … Pediatric Differences in the Endocrine System. Nagpur 2. - EATING DISORDERS Resmy Palliyil Gopi OBJECTIVES Discuss the signs and symptoms of eating disorders, the appropriate evaluation, and treatment options: Anorexia ... - Pediatric Physical Assessment Pediatrics Nursing Clinical Instructor: Ayman Al-Sahouri Health Assessment Collecting Data By observation Interviewing the parent ... Introduction to Pediatric Obesity Assessment. after birth • If test shows elevated levels of plasma phenylalanine, repeat test done and if that is elevated, treatment started. Nursing College of Nursing ; G.M.C. - Pediatric Board Review Endocrine, Part 4 Anne-Marie Kaulfers, MD Pediatric Endocrinology University of South Alabama August 25, 2011, | PowerPoint PPT presentation | free to view. Diabetes mellitustype 1 5. - Pediatric Endocrine Disorders Debbie King FNP-C, PNP-C June 2007 Hypothyroidism Metabolic disorder May be familial or sporadic May progress as permanent or transient ... - Calcium metabolism and disorders DR Badi AlEnazi Consultant pediatric endocrinology and diabetologist MBBS,SBP,ABP,SFPE. These findings imply that guidelines for evaluating disorders that cause precocious puberty can be interpreted more leniently if children are otherwise healthy and are projected to reach their full adult height potential. That's all free as well! Acromegaly & gigantism SeLipar PuTus. Pubertal-breast tissue enlargement, movable. - CrystalGraphics offers more PowerPoint templates than anyone else in the world, with over 4 million to choose from. objectives. Common Endocrine Disorders Sherry Knowles. identify the main function of the endocrine system. PEDIATRIC ENDOCRINE DISORDERS. - Cranial bones- thin, not well developed. endocrine system. Endocrine DrugsEndocrine Drugs - Hormones are pharmacologically classified as drugs - can be natural (from animals), semi- synthetic or synthetic compounds - Indications: a. replacement therapy b. treatment for certain disorders c. diagnostic purposes 14. Endocrine disorders The Child with Endocrine Dysfunction 1 Endocrine disorders LEARNING OBJETIVES To understand the anatomy PPT – Pediatric Endocrine Disorders PowerPoint presentation | free to view - id: 3be96a-NGJjY, The Adobe Flash plugin is needed to view this content. Endocrine disorders ppt 1. definititions. Endocrine Disorders Jan Bazner-Chandler CPNP, MSN, CNS, RN BMI In recent years, BMI has received increased attention for pediatric use. Thyroid hormones control your body’s metabolism, including how fast you burn calories and how fast your heart beats. And they’re ready for you to use in your PowerPoint presentations the moment you need them. It's FREE! As with most endocrine conditions in the perinatal period, consultation with a pediatric en-docrinologist is recommended regarding the most up-to-date treatment. hypothyroidism . 3rd department of internal medicine, first faculty of, Endocrine Physiology and Disorders - . Diabetes mellitustype 2 6. • As a result, excessive phenylalanine builds up in the blood stream causing permanent damage to brain, Phenylketonuria (PKU) • Clinical Manifestations • Musty or Mousey body and urine odor • Irritability, hyperactivity • Vomiting • Hypertonia, hyperreflexivity • Complication • Seizure disorder • Untreatable mental retardation, Goal of Therapy Keep serum phenylalanine level at 2-6mg/dl. fusion or stenosis, Secondary-hypothalamic/pituitary disorders, Androgen excess e.g.-polycystic ovaries, adrenal, Etiology-Secondary amenorrhea many causes same, Hypothalamic, pituitary and adrenal disorders, Pharmacological agents (discontinuance of birth, Significant emotional stress or strenuous, Uterine dysfunction after abortion, infection or, Primary-no history of menses in adolescence may, Secondary-sudden or gradual cessation of menses, Determine if underlying etiology due to chronic, Determine amenorrhea vs. pseudoamenorrhea, May have normal exam, or signs of chronic, May lack development of secondary characteristics, Pelvic exam may show pregnancy, reproductive, Consultation with physician and/or referral to, Amenorrhea associated with other etiologies, Treatment directed at management or correction of, Sensitivity to significant concern of delayed, Parent and child education to cause and treatment. - Pediatric Neurogenetics Zheng (Jane) Fan, MD Medical Genetics Fellow UNC-CH 04/2006 What is Neurogenetics? Syndrome of inappropriate antidiuretic hormone Pediatric Endocrine Disorders Debbie King FNP-C, PNP-C June 2007 Hypothyroidism Metabolic disorder May be familial or sporadic May progress as permanent or transient ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 47ad63-YTUyM PEDIATRIC ENDOCRINE DISORDERS. List the pathophysiology of an inheritance pattern of inborn errors of metabolism 2. Caring for children and families Promoting health and wellness through ... Steele Taylor presents: A Neuro-Endocrine Approach to The Obstetric and Pediatric Applications of Tactile-Kinesthetic Stimulation Therapy. r.fielding department of community medicine, hku. content. MD.FCCP. endocrine glands regulate homeostasis, Endocrine System - . Work with families on making dietary and activity changes that will Structure and function of the endocrine system 2. disorders of the gonads. Endocrine disorders are the consequences of hypo function and hyper function of each endocrine gland. Or use it to find and download high-quality how-to PowerPoint ppt presentations with illustrated or animated slides that will teach you how to do something new, also for free. Homocystinuria-tall, myopia, CNS sx, convulsion, Recordings of height/weight and OFC on growth, Careful family history of tall growth patterns, Lab tests to confirm diagnosis bases on clinical, Abnormalities on skull radiograph, CT, or MRI of, Karyotype analysis may indicate chromosomal, Homocystinuria- restrict dietary methionine, GH excess from CNS tumor or adrenal or gonadal, Management of endocrine disease associated with, Symptoms provokes by abnormally low blood glucose, SGA infants with decreased production of blood, Increased glucose use-physiologic stressors, Metabolic disorders and endocrine insufficiency. Pediatric Differences in the Endocrine System. Upcoming Dates & Deadlines. The hypothalamus is responsible for maintaining the body's internal balance (homeostasis) by stimulating or inhibiting major bodily functions such as the heart rate and blood … The endocrine system is less developed at birth than any other body system Hormonal control of many body functions is lacking until 12-18 months of age Slideshow 3095295 by makana When thyroid gland produces too much thyroid hormone it is called hyperthyroidism. Cushing’s syndrome 8. Pediatrics 118(2):e488– Sensory, Nervous, and Endocrine Disorders - . There are two kinds of thyroid disorders - hyperthyroidism and hypothyroidism. O f the endocrine glands, the hypothalamus and pituitary glands are of major importance since they act as the coordinating centers of the endocrine system.. Precocious puberty 7. Girls- McCune Albright syndrome, ovarian cyst, Boys- severe, non-salt wasting, congenital, FYI- prolonged exposure to exogenous sex hormones, Mothers birth control pills or fathers topical, Exposure to topical estrogens or testosterone or, Assessment of stature and growth velocity, To exclude congenital adrenal hyperplasia, 24 hour urine for 17-ketosteroids or Imaging of, If the LH and FSH are high do an MRI to exclude, If LH and FSH are low do a GnRH stimulation test, Management of precocious puberty done with the, Childs and familys emotional response to the, radiation, surgery, or chemotherapy for CNS tumor, Long acting GnRH agonist to bring serum sex, Treatment goal is to increase final adult height, Puberty is considered delayed when a boy 14 years, Any chronic condition that delays the bone age, The most common cause of delayed puberty is, Which is covered in the failure to thrive lecture, Clinical clues indicating a chronic illness, New CNS symptoms suggesting hypopituitarism, IGF-1 and IGFBP-3 if growth hormone deficiency, When gonadal failure is present, LH and FSH are, hormone replacement is the treatment of choice, Visible glandular enlargement of the male breast, Neonatal-due to cross-placental transfer of, Pubertal- too little androgen and/or too much. Abnormalities in previous recordings of height, Height may be lt 3rd percentile but growth rate, May have abnormal complete and segmental growth, Abnormal CBC-chronic anemia, infection, leukemia. Nursing Mrs. Nutan Makasare; M.Sc. Some common pediatric endocrine disorders are as follows: Thyroid disorders: Abnormal levels of thyroid hormone is one of the most common endocrine disorders. Semiotics of hypo- and hyperfunction of some endocrine glands and diseases of the endocrine system. The next is growth and intersex disorders where includes; variations of puberty, adolescent gynaecology and many more. They'll give your presentations a professional, memorable appearance - the kind of sophisticated look that today's audiences expect. An Evidence-Based Assessment Of Pediatric Endocrine Emergencies. GLANDS: An organ which secretes particular chemical substances for use in the body or for discharge into the surroundings. Ambulatory Endocrine Care Manager Objectives 1. a disease that affects it:. The endocrine system is less developed at birth than any other body system Hormonal control of many body functions is lacking until 12-18 months of age, Pediatric Differences in theEndocrine System • The endocrine system is less developed at birth than any other body system • Hormonal control of many body functions is lacking until 12-18 months of age • Infants might manifest imbalances in concentration of fluids, electrolytes, amino acids, glucose, and trace substances, Understanding the Endocrine System in Children • Puberty brings many changes • ↑GH released • ↑ production of LH and FSH in girls • Development of sexual characteristics • Feedback mechanism in place, Collecting data during an Endocrine Assessment • Percentiles on weight and height • Distinguishing facial features, abdominal fat • Onset of puberty • Routine NB screening • Blood glucose levels • Detection of chromosomal disorders, Phenylketonuria (PKU) • Genetic metabolic disorder characterized by absence of enzyme phenylalanine hydroxylase to breakdown phenylalanine to the amino acid Tyrosine. External Insulin Infusion Pumpin Children, Factors which may affect insulin dosage in children, Nursing Management at the time of diagnosis, Nutrition for the Child withType I Diabetes Mellitis, Exercise for the Child withType I Diabetes Mellitis. - Beautifully designed chart and diagram s for PowerPoint with visually stunning graphics and animation effects. Treatment/ Management Metabolic Disorders (Gk) “Secretly, internally” Causes What are Beta cells? - Introduction to Pediatric Obesity Assessment ... * Changes in Food Consumption The # of fast food restaurants in the United States increased from 30,000 to 140,000 ... - Exercise and Endocrine Care Eric Sherman MAJ, USAF, MC Pediatric Endocrine Fellow Objectives Discuss the maintenance of euglycemia Review some basics of exercise ... - Title: Growth Hormone Deficiency Author: Robert W. Chandler M Last modified by: JBC Created Date: 4/6/2001 12:39:58 AM Document presentation format, PEDIATRIC NURSING Caring For Children and Their Families. Sick Day Guidelines • Monitor blood glucose levels more often • Test urine ketones when blood glucose is high • Do NOT skip doses of insulin • Usual doses of insulin may be increased • Encourage large fluid intake, Hypoglycemia:Blood Sugar < 70mg/dl Symptoms: • Trembling • Sweating, clammy skin • Tachycardia • Pallor • Personality change/ irritable • Slurred speech Treatment: • 15g carbohydrate • Glucagon sub-q • IV glucose • OJ, sweet beverage, raisins, cheese and crackers, candy, HyperglycemiaBlood Sugar > 160mg/dl Symptoms: • Polyuria • Polydipsia • Fatigue • Weight Loss • Blurred vision • Emotional lability • Headache Treatment: • Insulin • Increase oral fluids, Home Teaching • Incorporate into the family lifestyle • “Honeymoon phase” • Community resources • Recognizing the cognitive levels at time of teaching, Nutrition for the Child withType I Diabetes Mellitis • Meals and snacks are balanced with insulin action • Both the timing of the meal or snack and the amount of food are important in avoiding hyperglycemia or hypoglycemia • Adherence to a daily schedule that maintains a consistent food intake combined with consistent insulin injections aids in achieving metabolic control, Exercise for the Child withType I Diabetes Mellitis • Exercise • Avoid exercising during insulin peak • Add an extra 15 to 30g carbohydrate snack for each 45-60 minutes of exercise, © 2020 SlideServe | Powered By DigitalOfficePro, - - - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - - -. The endocrine system produces hormones, which are chemical signals sent out, or secreted, through the bloodstream. - Endocrine Disorders Jan Bazner-Chandler CPNP, MSN, CNS, RN BMI In recent years, BMI has received increased attention for pediatric use. Call for expressions of interest from members: Paediatric Adrenal Insufficiency Guidelines, UK (PAIGUK) Deadline 01 Mar 21 2021-03-01 2021-03-01. In chronic- elevated TSH and thyroid antibodies, Treatment for autoimmune chronic lymphocytic, Variation from average pattern of growth height gt, Familial or genetic normal variant of average, Constitutional growth delay- usually normal size, Endocrine-growth hormone deficiency 1 in 4000, Failure to grow, headaches, delayed dental, Intrauterine growth retardation and low birth, Differential Diagnosis Distinguish normal, Parents and siblings height, weight and growth, Symptoms of hypothyroidism or other pituitary, Childlike face with large prominent forehead, Palpation of the thyroid gland for a goiter, Measure from the symphysis pubis to the heel to, Familial or constitutional- Height, weight, HC, Constitutional- normal size at birth then, GH deficiency BW may be normal, length 50 of, Short stature with and without dysmorphism, Short stature associated with chromosomal, Short stature associated with bone or cartilage, Short stature associated with symptoms of, Abnormalities in psychosocial development. Endocrine DrugsEndocrine Drugs 13. Over secretion or under secretion of any hormone can cause harm to the body. View Adult Endocrinology . Evaluation of Insulin Therapy • Monitored every 3 months • Draw glycosylated hemoglobin value (A1c) • Want the glycosylated hemoglobin value (A1c) to be no higher than 7.5%-8%. Answer: Enuresis in a toilet-trained child, Other manifestations of hyperglycemia • Fatigue – unexplained • Weight Loss (gradual, over several weeks) • Blurred vision • Headache • Hunger, Diagnosis Symptoms of diabetes plus Plasma Glucose Levels of: • Fasting plasma glucose ≥ 126 mg/dl or • Two-hour plasma glucose ≥200 mg/dl or • Random serum glucose concentration ≥200 mg/dl **Ketonuria is a frequent finding**, Therapeutic Management Managed and educated by a multidisciplinary team of experts in pediatric diabetes, These Goals are Met by: • Insulin Administration • Regulations of nutrition and exercise • Stress Management • Blood glucose and urine ketone monitoring, Insulin Therapy • Goal of Insulin Therapy is to replace the insulin the child • is no longer able to make thereby: • Lower blood glucose levels • Stabilize glucose levels • Eliminate ketones, Goals of Insulin Therapy Maintain serum glucose levels from: • Toddlers and preschoolers • 100 – 180 before meals • 110-200 at bedtime • School-age • 90- 180 before meals • 100 – 180 at bedtime • Adolescents • 90 – 130 before meals • 90 – 150 at bedtime, Types of Insulin • Rapid (Lispro/Humalog) • Short acting (regular) • Intermediate acting (NPH, Lente) • Long acting (Lantus/Ultralente), Basal-bolus Therapy • ADA recommendations for children Administration • Basal insulin administered once a day Glargine (Lantus) or twice daily (Humulin or Ultralente) • Bolus of rapid-acting insulin (Lispro or Aspart) given with each meal and snack or consumes carbohydrates, Route of Administration • Insulin Injections – usually 3 or more per day • Continuous Subcutaneous Insulin Pump Infusion, External Insulin Infusion Pumpin Children Disadvantages • Requires motivation • Requires willingness to be connected to device • Change sites every 2-4 days • More time/energy to monitor BS • Syringe, cath changes every 2-3 days Advantages • Delivers continuous infusion • Maintain better control •  # of injection sites • hypo/hyper episodes • More flexible lifestyle • Eat with more flexibility • Improves growth in child, Factors which may affect insulin dosage in children • Stress • Infection • Illness • Growth spurts (such as puberty) • Meal coverage for finicky toddlers • Adolescents concerned about weight gain not wanting to eat AM snack. 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