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Schedule and Reading Assignments


Contents
SOAP Notes/Prescriptions/GU Exam for Male and Female: January 16 ........................................ 2
   Required readings-Burns 1144-1147 .......................................................................................... 2
HEENT: January 23 .......................................................................................................................... 3
   Required readings-Burns: 445-446, 477-478, 628, 638-648, 652-668, 803-806, 714-719......... 3
Respiratory Issues: January 30 ........................................................................................................ 6
   Required readings-Burns: 708-738 ............................................................................................. 6
Neurological Issues: February 6 ...................................................................................................... 8
   Required readings-Burns: 585-621 ............................................................................................. 8
Gastrointestinal Issues: February 13 ............................................................................................ 10
   Required readings-Burns: 739-788 ........................................................................................... 10
Child Abuse: February 20 .............................................................................................................. 12
   Required readings- .................................................................................................................... 12
Dermatological Issues: February 27.............................................................................................. 13
   Required readings-Burns: 877-927 ........................................................................................... 13
Midterm and Fever/Sepsis: March 6 ............................................................................................ 16
   Required readings-Burns: 485-489 ........................................................................................... 16
Musculoskeletal-Orthopedic-Injury Issues ................................................................................... 18
   Required readings-Burns: 928-960, 1000-1031 ........................................................................ 18
GU/STI/Reproductive Health: March 27 ....................................................................................... 22
   Required readings- Burns: 809-876 and 2010 STD Treatment Guidelines ............................... 22
Hematological Issues: April 3 ........................................................................................................ 25
   Required readings-Burns: 557-584 ........................................................................................... 25
Newborn Issues: April 17 .............................................................................................................. 27
   Required readings-Burns: 773-774, 605, 615-616, 834, 943, 973-999 .................................... 27
Communicable Diseases: April 17 ................................................................................................. 29
   Required readings-Burns: 427-493 ........................................................................................... 29
Mental Health/Behavior Issues: April 24 ...................................................................................... 31
   Required readings-Burns: 273-298,358-386............................................................................. 31




                                                                                                                                            1
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
SOAP Notes/Prescriptions/GU Exam for Male and Female: January 16
Required readings-Burns 1144-1147




Review of case studies

      Each class, people will be selected randomly to lead the case discussion
          o What did you notice?
          o Do you need additional information?
          o Are there any areas of interest that you would like to research?
          o What would you like to do?
          o What educational/teaching issues would you like to address?




                                                                                  2
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
HEENT: January 23
Required readings-Burns: 445-446, 477-478, 628, 638-648, 652-668, 803-806, 714-719

Ten question quiz before class.

Objectives:
   1) Define and describe the etiology of following conditions,
   2) Explain pathophysiology of each,
   3) Analyze subjective finding associated,
   4) Analyze objective findings associated with each,
   5) Evaluate the assessment process used to diagnose each of the conditions including,
           a. Use and interpretation of diagnostic tests
           b. Criteria necessary for establishing diagnosis
   6) Summarize appropriate nurse practitioner management for each of the conditions
           a. Plans and education
           b. Indications for consultation or referral
   7) Identify potential complications or long term sequelae of these problems

          Herpangina
          Hand-foot-mouth disease
          Pharyngitis (1)
          Tonsillitis
          Sinusitis (16)
          Rhinitis
          Conjunctivitis (2)
               o Newborn
               o Bacterial
               o Viral
               o Allergic
          Blepharitis
          Hordeolum
          Chalazion
          Nasolacrimal Duct
               o Dacryostenosis
               o Dacrocystitis
          Periorbital Cellulitis
          Corneal Abrasion
          Cerumen impaction
          Otitis externa (3)
          Foreign body in ear/nose
          Acute otitis media (10)
          Otitis media with effusion (6)

                                                                                           3
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
   Mastoiditis
          Gingivostomatitis
          Aphthous ulcer
          Benign migratory glossitis (geographic tongue)
          Ankyloglossia
          Epistaxis
          Lymphedema/Lymphenadenitis

(#) Associated CHOA protocol




                                                                    4
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
HEENT

Other information needed? Differentials? Management?
A newborn female, 2 weeks, presents A two-year-old male presents with
with discharge from both eyes. Mom       fussiness and increased drooling.
states it started 2 days ago and she’s   Mom states he does not want to eat
been cleaning her eyes with tea and      anything and he has felt warm for the
describes it as green and thick. No      last 2 days.
fever.
A seven-year-old female presents with A 14-year-old male presents with sore
ear pain for one day. She missed         throat for two days. Says something
school today and looks miserable.        is going around school and my tummy
Mom states she had a fever of 102.1F hurts. School called the parents when
(38.9C) and has been holding her         he presented with fever and said he
head. She gave her Advil, not sure of had to be cleared before returning.
the quantity, but it didn’t really help.




                                                                                 5
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
Respiratory Issues: January 30
Required readings-Burns: 708-738

Ten question quiz before class.

Objectives:
   1) Define and describe the etiology of following conditions,
   2) Explain pathophysiology of each,
   3) Analyze subjective finding associated,
   4) Analyze objective findings associated with each,
   5) Evaluate the assessment process used to diagnose each of the conditions including,
           a. Use and interpretation of diagnostic tests
           b. Criteria necessary for establishing diagnosis
   6) Summarize appropriate nurse practitioner management for each of the conditions
           a. Plans and education
           b. Indications for consultation or referral
   7) Identify potential complications or long term sequelae of these problems

          Upper respiratory infection (4)
          Asthma (5)
          Bronchiolitis (8), including RSV
          Pneumonia (18)
          Croup (24)
          Pertussis
          Foreign body aspiration
          Bronchitis
          Epiglottitis

(#) Associated CHOA protocol




                                                                                           6
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
Respiratory Issues

Other information needed? Differentials? Management?
Update Case Study                      Update Case Study
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd

Update Case Study                      Update Case Study
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd




                                                                    7
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
Neurological Issues: February 6
Required readings-Burns: 585-621

Ten question quiz before class.

Objectives:
   1) Define and describe the etiology of following conditions,
   2) Explain pathophysiology of each,
   3) Analyze subjective finding associated,
   4) Analyze objective findings associated with each,
   5) Evaluate the assessment process used to diagnose each of the conditions including,
           a. Use and interpretation of diagnostic tests
           b. Criteria necessary for establishing diagnosis
   6) Summarize appropriate nurse practitioner management for each of the conditions
           a. Plans and education
           b. Indications for consultation or referral
   7) Identify potential complications or long term sequelae of these problems

          Closed head injury (9)
          Partial seizures:
               o Simple
               o Complex
               o Partial seizures secondarily generalized
          Generalized seizures:
               o Clonic
               o Tonic
               o Tonic-Clonic
          Absence
          Status epilepticus (19A)
          Febrile seizures (19B)
          Bell palsy
          Meningitis
          Gullain-barre syndrome
          Headaches
               o Types and management
          Migraines

(#) Associated CHOA protocol




                                                                                           8
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
Neurological Issues

Other information needed? Differentials? Management?
Update Case Study                      Update Case Study
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd

Update Case Study                      Update Case Study
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd




                                                                    9
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
Gastrointestinal Issues: February 13
Required readings-Burns: 739-788

Ten question quiz before class.

Objectives:
   1) Define and describe the etiology of following conditions,
   2) Explain pathophysiology of each,
   3) Analyze subjective finding associated,
   4) Analyze objective findings associated with each,
   5) Evaluate the assessment process used to diagnose each of the conditions including,
           a. Use and interpretation of diagnostic tests
           b. Criteria necessary for establishing diagnosis
   6) Summarize appropriate nurse practitioner management for each of the conditions
           a. Plans and education
           b. Indications for consultation or referral
   7) Identify potential complications or long term sequelae of these problems

          Acute gastroenteritis (7)
          Dysphagia
          Vomiting
          Dehydration
          Constipation
          Encopresis
          Diarrhea
          Gastroesophageal reflux
          Peptic Ulcer disease
          Colic
          Foreign body ingestion
          Appendicitis
          Intussusception
          Abdominal pain and functional abdominal pain syndrome
          Malabsorption
          Inflammatory Bowel disease/irritable bowel syndrome
          Parasites

(#) Associated CHOA protocol




                                                                                           10
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
Gastrointestinal Issues

Other information needed? Differentials? Management?
Update Case Study                      Update Case Study
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd

Update Case Study                      Update Case Study
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd




                                                                    11
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
Child Abuse: February 20
Required readings-




                                                                    12
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
Dermatological Issues: February 27
Required readings-Burns: 877-927

Objectives:
   1) Define and describe the etiology of following conditions,
   2) Explain pathophysiology of each,
   3) Analyze subjective finding associated,
   4) Analyze objective findings associated with each,
   5) Evaluate the assessment process used to diagnose each of the conditions including,
           a. Use and interpretation of diagnostic tests
           b. Criteria necessary for establishing diagnosis
   6) Summarize appropriate nurse practitioner management for each of the conditions
           a. Plans and education
           b. Indications for consultation or referral
   7) Identify potential complications or long term sequelae of these problems

          Cellulitis, Abscess, Impetigo (13)
          Fungal infections
               o Candidiasis
               o Tinea corporis/capitus/cruris/pedis/versicolor (20)
               o Intertrigo
          Herpes simplex
          Herpes zoster
          Molluscum contagiosum
          Warts
          Pediculosis
          Scabies
          Acne vulgaris
          Atopic Dermatitis
          Diaper dermatitis
          Seborrheic dermatitis
          Sunburn
          Urticaria
          Angioedema
          Drug reactions
          Erythema multiforme/ Stevens-Johnson
          Pityriasis rosea
          Psoriasis
          Lichen striatus
          Keratosis pilaris
          Nevi
          Acanthosis nigricans

                                                                                           13
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
   Vitiligo
          Alopecia
          Onychomycosis
          Paronychia
          Herpetic whitlow
          Eczema
          Café au lait spots
          Viral exanthems

(#) Associated CHOA protocol




                                                                    14
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
Dermatological Issues

Other information needed? Differentials? Management?
Update Case Study                      Update Case Study
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd

Update Case Study                      Update Case Study
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd




                                                                    15
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
Midterm and Fever/Sepsis: March 6
Required readings-Burns: 485-489

Ten question quiz before class.

Objectives:
   1) Define and describe the etiology of following conditions,
   2) Explain pathophysiology of each,
   3) Analyze subjective finding associated,
   4) Analyze objective findings associated with each,
   5) Evaluate the assessment process used to diagnose each of the conditions including,
           a. Use and interpretation of diagnostic tests
           b. Criteria necessary for establishing diagnosis
   6) Summarize appropriate nurse practitioner management for each of the conditions
           a. Plans and education
           b. Indications for consultation or referral
   7) Identify potential complications or long term sequelae of these problems

          Febrile infants (11)
          Febrile children (15)
          Fever of unknown origin

(#) Associated CHOA protocol




                                                                                           16
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
Fever/Sepsis

Other information needed? Differentials? Management?
Update Case Study                      Update Case Study
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd

Update Case Study                      Update Case Study
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd




                                                                    17
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
Musculoskeletal-Orthopedic-Injury Issues
Required readings-Burns: 928-960, 1000-1031

Ten question quiz before class.

Objectives:
   1) Define and describe the etiology of following conditions,
   2) Explain pathophysiology of each,
   3) Analyze subjective finding associated,
   4) Analyze objective findings associated with each,
   5) Evaluate the assessment process used to diagnose each of the conditions including,
           a. Use and interpretation of diagnostic tests
           b. Criteria necessary for establishing diagnosis
   6) Summarize appropriate nurse practitioner management for each of the conditions
           a. Plans and education
           b. Indications for consultation or referral
   7) Identify potential complications or long term sequelae of these problems

          Sprains/strains (17)
          Clavicular fractures
          Costocondritis
          Back pain
          Scoliosis
          Legg-calve-perthes disease
          Slipped capital femoral epiphysis
          Femoral anteversion
          Genu varum
          Genu valgum
          Osgood-schlatter
          Tibial torsion
          Knee injuries
          Pes planus
          Metatarsus adductus
          Talipes equinovarus
          Toe walking
          Leg pain
          Limps
          Overuse syndromes of childhood
          Abrasions
          Puncture wounds
          Ingrown toenails
          Lacerations

                                                                                           18
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
   Hematomas
          Stress fractures
          Bites (animal/child)
          Insect/stings
          Motor vehicle trauma

(#) Associated CHOA protocol

Common Orthopedic Terminology:
1.  Define the following terms:
               Varus
               Valgus
               Inversion
               Eversion
               Supination
               Pronation
               Abduction
               Adduction
               Flexion
               Extension
               internal rotation
               external rotation
               planus
               cavus
               equinus
               calcancus
               dorsiflexion
               plantarflexion
               sublux
               dislocate (luxate)
               epiphysis
               apophysis
               Gower sign

List of common musculoskeletal conditions in children:

                club feet (talipes equinovarus)
                metatarsus adductus
                pes planus
                vertical valus
                calcaneo valgus
                in-toe

                                                                    19
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
   out-toe
                genu varum
                genu valgum
                Blount's disease
                internal/external tibial torsion
                femoral anteversion/retroversion
                Osgood-Schlatter's disease
                congenital dislocatged hip (CDH)
                Legg-Perthes disease
                slipped capital femoral epephysis (SCFE)
                lordosis
                kyphosis
                scoliosis
                osteomyelitis




                                                                    20
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
Ortho Issues

Other information needed? Differentials? Management?
Update Case Study                      Update Case Study
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd

Update Case Study                      Update Case Study
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd




                                                                    21
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
GU/STI/Reproductive Health: March 27
Required readings- Burns: 809-876 and 2010 STD Treatment Guidelines
http://www.cdc.gov/STD/treatment/2010/default.htm

Ten question quiz before class.

Objectives:
   1) Define and describe the etiology of following conditions,
   2) Explain pathophysiology of each,
   3) Analyze subjective finding associated,
   4) Analyze objective findings associated with each,
   5) Evaluate the assessment process used to diagnose each of the conditions including,
           a. Use and interpretation of diagnostic tests
           b. Criteria necessary for establishing diagnosis
   6) Summarize appropriate nurse practitioner management for each of the conditions
           a. Plans and education
           b. Indications for consultation or referral
   7) Identify potential complications or long term sequelae of these problems

          Urinary tract infection (14)
          Pyelonephritis
          Vesicoureteral reflux
          Hematuria
          Proteinuria
          Enuresis
          Nephrotic syndrome
          Nephritis/glomerulonephritis
          Nephrolithiasis/urolithiasis
          Wilms tumor
          Cryptorchidism
          Hypospadias
          Phimosis
          Hydrocele
          Varicocele
          Inguinal hernia
          Balanitis
          Scrotal trauma
          Testicular torsion
          Epididymitis

          Labial adhesions
          Vulvovaginitis


                                                                                           22
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
   Dysmenorrhea
          Amenorrhea
          Pregnancy
          Dysfunctional uterine bleeding
          Endometriosis
          Vaginitis/vaginal discharge
          Sexually transmitted infections (23)
          Pelvic inflammatory disease

(#) Associated CHOA protocol




                                                                    23
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
GU/STI/Reproductive Health Issues

Other information needed? Differentials? Management?
Update Case Study                      Update Case Study
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd

Update Case Study                      Update Case Study
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd




                                                                    24
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
Hematological Issues: April 3
Required readings-Burns: 557-584

Ten question quiz before class.

Objectives:
   1) Define and describe the etiology of following conditions,
   2) Explain pathophysiology of each,
   3) Analyze subjective finding associated,
   4) Analyze objective findings associated with each,
   5) Evaluate the assessment process used to diagnose each of the conditions including,
           a. Use and interpretation of diagnostic tests
           b. Criteria necessary for establishing diagnosis
   6) Summarize appropriate nurse practitioner management for each of the conditions
           a. Plans and education
           b. Indications for consultation or referral
   7) Identify potential complications or long term sequelae of these problems

          Anemia/iron deficiency (21)
          Anemias caused by inadequate red blood cell production
          Anemias caused by nutritional deficiencies or metabolic abnormalities
          Anemias caused by increased destruction of RBCs
          Thalassemia
          Sickle cell (21)
          Hereditary spherocytosis
          Platelet/coagulation disorders
          Childhood neutropenias

(#) Associated CHOA protocol




                                                                                           25
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
Hematological Issues

Other information needed? Differentials? Management?
Update Case Study                      Update Case Study
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd

Update Case Study                      Update Case Study
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd




                                                                    26
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
Newborn Issues: April 17
Required readings-Burns: 773-774, 605, 615-616, 834, 943, 973-999

Ten question quiz before class.

Objectives:
   1) Define and describe the etiology of following conditions,
   2) Explain pathophysiology of each,
   3) Analyze subjective finding associated,
   4) Analyze objective findings associated with each,
   5) Evaluate the assessment process used to diagnose each of the conditions including,
           a. Use and interpretation of diagnostic tests
           b. Criteria necessary for establishing diagnosis
   6) Summarize appropriate nurse practitioner management for each of the conditions
           a. Plans and education
           b. Indications for consultation or referral
   7) Identify potential complications or long term sequelae of these problems

          Common skin issues
          Caput succedaneum
          Cephalhematoma
          Cleft lip and palate
          Failure to thrive
          Brachial plexus
          Head growth, microcephaly/macrocephaly
          Hypospadias
          Hip dysplasia
          Jaundice (25)
          Respiratory distress syndrome
          Pyloric stenosis
          Hirschsprung disease
          Meconium ileus
          Hydronephrosis
          Metabolic disorders
          Hydrocephalus
          Ischemic insults

(#) Associated CHOA protocol




                                                                                           27
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
Newborn Issues

Other information needed? Differentials? Management?
Update Case Study                      Update Case Study
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd

Update Case Study                      Update Case Study
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd




                                                                    28
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
Communicable Diseases: April 17
Required readings-Burns: 427-493

Ten question quiz before class.

Objectives:
   1) Define and describe the etiology of following conditions,
   2) Explain pathophysiology of each,
   3) Analyze subjective finding associated,
   4) Analyze objective findings associated with each,
   5) Evaluate the assessment process used to diagnose each of the conditions including,
           a. Use and interpretation of diagnostic tests
           b. Criteria necessary for establishing diagnosis
   6) Summarize appropriate nurse practitioner management for each of the conditions
           a. Plans and education
           b. Indications for consultation or referral
   7) Identify potential complications or long term sequelae of these problems

          Influenza
          Roseola
          Varicella
          Mumps
          Erythema infectiosum
          West nile
          Tick-borne disease
          MRSA
          Meningoccal
          Tuberculosis
          Infectious mononucleosis syndrome




                                                                                           29
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
Communicable Diseases

Other information needed? Differentials? Management?
Update Case Study                      Update Case Study
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd

Update Case Study                      Update Case Study
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd
    Abcd                                  Abcd




                                                                    30
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
Mental Health/Behavior Issues: April 24
Required readings-Burns: 273-298,358-386

   1) Define and describe the etiology of following conditions,
   2) Explain pathophysiology of each,
   3) Analyze subjective finding associated,
   4) Analyze objective findings associated with each,
   5) Evaluate the assessment process used to diagnose each of the conditions including,
         a. Use and interpretation of diagnostic tests
         b. Criteria necessary for establishing diagnosis
   6) Summarize appropriate nurse practitioner management for each of the conditions
         a. Plans and education
         b. Indications for consultation or referral
   7) Identify potential complications or long term sequelae of these problems

           ADHD
           Delayed milestones
           Learning disorders
           Autism
           Fears
           Anxiety
           Tic disorders
           PTSD
           OCD
           Mood disorders
                o Depression
                o Bipolar disorder
           Conduct disturbance
           Substance Abuse




                                                                                           31
t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx

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Emory NRSG 537 - Student Notes (2012)

  • 1. Schedule and Reading Assignments Contents SOAP Notes/Prescriptions/GU Exam for Male and Female: January 16 ........................................ 2 Required readings-Burns 1144-1147 .......................................................................................... 2 HEENT: January 23 .......................................................................................................................... 3 Required readings-Burns: 445-446, 477-478, 628, 638-648, 652-668, 803-806, 714-719......... 3 Respiratory Issues: January 30 ........................................................................................................ 6 Required readings-Burns: 708-738 ............................................................................................. 6 Neurological Issues: February 6 ...................................................................................................... 8 Required readings-Burns: 585-621 ............................................................................................. 8 Gastrointestinal Issues: February 13 ............................................................................................ 10 Required readings-Burns: 739-788 ........................................................................................... 10 Child Abuse: February 20 .............................................................................................................. 12 Required readings- .................................................................................................................... 12 Dermatological Issues: February 27.............................................................................................. 13 Required readings-Burns: 877-927 ........................................................................................... 13 Midterm and Fever/Sepsis: March 6 ............................................................................................ 16 Required readings-Burns: 485-489 ........................................................................................... 16 Musculoskeletal-Orthopedic-Injury Issues ................................................................................... 18 Required readings-Burns: 928-960, 1000-1031 ........................................................................ 18 GU/STI/Reproductive Health: March 27 ....................................................................................... 22 Required readings- Burns: 809-876 and 2010 STD Treatment Guidelines ............................... 22 Hematological Issues: April 3 ........................................................................................................ 25 Required readings-Burns: 557-584 ........................................................................................... 25 Newborn Issues: April 17 .............................................................................................................. 27 Required readings-Burns: 773-774, 605, 615-616, 834, 943, 973-999 .................................... 27 Communicable Diseases: April 17 ................................................................................................. 29 Required readings-Burns: 427-493 ........................................................................................... 29 Mental Health/Behavior Issues: April 24 ...................................................................................... 31 Required readings-Burns: 273-298,358-386............................................................................. 31 1 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 2. SOAP Notes/Prescriptions/GU Exam for Male and Female: January 16 Required readings-Burns 1144-1147 Review of case studies  Each class, people will be selected randomly to lead the case discussion o What did you notice? o Do you need additional information? o Are there any areas of interest that you would like to research? o What would you like to do? o What educational/teaching issues would you like to address? 2 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 3. HEENT: January 23 Required readings-Burns: 445-446, 477-478, 628, 638-648, 652-668, 803-806, 714-719 Ten question quiz before class. Objectives: 1) Define and describe the etiology of following conditions, 2) Explain pathophysiology of each, 3) Analyze subjective finding associated, 4) Analyze objective findings associated with each, 5) Evaluate the assessment process used to diagnose each of the conditions including, a. Use and interpretation of diagnostic tests b. Criteria necessary for establishing diagnosis 6) Summarize appropriate nurse practitioner management for each of the conditions a. Plans and education b. Indications for consultation or referral 7) Identify potential complications or long term sequelae of these problems  Herpangina  Hand-foot-mouth disease  Pharyngitis (1)  Tonsillitis  Sinusitis (16)  Rhinitis  Conjunctivitis (2) o Newborn o Bacterial o Viral o Allergic  Blepharitis  Hordeolum  Chalazion  Nasolacrimal Duct o Dacryostenosis o Dacrocystitis  Periorbital Cellulitis  Corneal Abrasion  Cerumen impaction  Otitis externa (3)  Foreign body in ear/nose  Acute otitis media (10)  Otitis media with effusion (6) 3 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 4. Mastoiditis  Gingivostomatitis  Aphthous ulcer  Benign migratory glossitis (geographic tongue)  Ankyloglossia  Epistaxis  Lymphedema/Lymphenadenitis (#) Associated CHOA protocol 4 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 5. HEENT Other information needed? Differentials? Management? A newborn female, 2 weeks, presents A two-year-old male presents with with discharge from both eyes. Mom fussiness and increased drooling. states it started 2 days ago and she’s Mom states he does not want to eat been cleaning her eyes with tea and anything and he has felt warm for the describes it as green and thick. No last 2 days. fever. A seven-year-old female presents with A 14-year-old male presents with sore ear pain for one day. She missed throat for two days. Says something school today and looks miserable. is going around school and my tummy Mom states she had a fever of 102.1F hurts. School called the parents when (38.9C) and has been holding her he presented with fever and said he head. She gave her Advil, not sure of had to be cleared before returning. the quantity, but it didn’t really help. 5 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 6. Respiratory Issues: January 30 Required readings-Burns: 708-738 Ten question quiz before class. Objectives: 1) Define and describe the etiology of following conditions, 2) Explain pathophysiology of each, 3) Analyze subjective finding associated, 4) Analyze objective findings associated with each, 5) Evaluate the assessment process used to diagnose each of the conditions including, a. Use and interpretation of diagnostic tests b. Criteria necessary for establishing diagnosis 6) Summarize appropriate nurse practitioner management for each of the conditions a. Plans and education b. Indications for consultation or referral 7) Identify potential complications or long term sequelae of these problems  Upper respiratory infection (4)  Asthma (5)  Bronchiolitis (8), including RSV  Pneumonia (18)  Croup (24)  Pertussis  Foreign body aspiration  Bronchitis  Epiglottitis (#) Associated CHOA protocol 6 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 7. Respiratory Issues Other information needed? Differentials? Management? Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd 7 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 8. Neurological Issues: February 6 Required readings-Burns: 585-621 Ten question quiz before class. Objectives: 1) Define and describe the etiology of following conditions, 2) Explain pathophysiology of each, 3) Analyze subjective finding associated, 4) Analyze objective findings associated with each, 5) Evaluate the assessment process used to diagnose each of the conditions including, a. Use and interpretation of diagnostic tests b. Criteria necessary for establishing diagnosis 6) Summarize appropriate nurse practitioner management for each of the conditions a. Plans and education b. Indications for consultation or referral 7) Identify potential complications or long term sequelae of these problems  Closed head injury (9)  Partial seizures: o Simple o Complex o Partial seizures secondarily generalized  Generalized seizures: o Clonic o Tonic o Tonic-Clonic  Absence  Status epilepticus (19A)  Febrile seizures (19B)  Bell palsy  Meningitis  Gullain-barre syndrome  Headaches o Types and management  Migraines (#) Associated CHOA protocol 8 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 9. Neurological Issues Other information needed? Differentials? Management? Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd 9 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 10. Gastrointestinal Issues: February 13 Required readings-Burns: 739-788 Ten question quiz before class. Objectives: 1) Define and describe the etiology of following conditions, 2) Explain pathophysiology of each, 3) Analyze subjective finding associated, 4) Analyze objective findings associated with each, 5) Evaluate the assessment process used to diagnose each of the conditions including, a. Use and interpretation of diagnostic tests b. Criteria necessary for establishing diagnosis 6) Summarize appropriate nurse practitioner management for each of the conditions a. Plans and education b. Indications for consultation or referral 7) Identify potential complications or long term sequelae of these problems  Acute gastroenteritis (7)  Dysphagia  Vomiting  Dehydration  Constipation  Encopresis  Diarrhea  Gastroesophageal reflux  Peptic Ulcer disease  Colic  Foreign body ingestion  Appendicitis  Intussusception  Abdominal pain and functional abdominal pain syndrome  Malabsorption  Inflammatory Bowel disease/irritable bowel syndrome  Parasites (#) Associated CHOA protocol 10 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 11. Gastrointestinal Issues Other information needed? Differentials? Management? Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd 11 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 12. Child Abuse: February 20 Required readings- 12 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 13. Dermatological Issues: February 27 Required readings-Burns: 877-927 Objectives: 1) Define and describe the etiology of following conditions, 2) Explain pathophysiology of each, 3) Analyze subjective finding associated, 4) Analyze objective findings associated with each, 5) Evaluate the assessment process used to diagnose each of the conditions including, a. Use and interpretation of diagnostic tests b. Criteria necessary for establishing diagnosis 6) Summarize appropriate nurse practitioner management for each of the conditions a. Plans and education b. Indications for consultation or referral 7) Identify potential complications or long term sequelae of these problems  Cellulitis, Abscess, Impetigo (13)  Fungal infections o Candidiasis o Tinea corporis/capitus/cruris/pedis/versicolor (20) o Intertrigo  Herpes simplex  Herpes zoster  Molluscum contagiosum  Warts  Pediculosis  Scabies  Acne vulgaris  Atopic Dermatitis  Diaper dermatitis  Seborrheic dermatitis  Sunburn  Urticaria  Angioedema  Drug reactions  Erythema multiforme/ Stevens-Johnson  Pityriasis rosea  Psoriasis  Lichen striatus  Keratosis pilaris  Nevi  Acanthosis nigricans 13 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 14. Vitiligo  Alopecia  Onychomycosis  Paronychia  Herpetic whitlow  Eczema  Café au lait spots  Viral exanthems (#) Associated CHOA protocol 14 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 15. Dermatological Issues Other information needed? Differentials? Management? Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd 15 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 16. Midterm and Fever/Sepsis: March 6 Required readings-Burns: 485-489 Ten question quiz before class. Objectives: 1) Define and describe the etiology of following conditions, 2) Explain pathophysiology of each, 3) Analyze subjective finding associated, 4) Analyze objective findings associated with each, 5) Evaluate the assessment process used to diagnose each of the conditions including, a. Use and interpretation of diagnostic tests b. Criteria necessary for establishing diagnosis 6) Summarize appropriate nurse practitioner management for each of the conditions a. Plans and education b. Indications for consultation or referral 7) Identify potential complications or long term sequelae of these problems  Febrile infants (11)  Febrile children (15)  Fever of unknown origin (#) Associated CHOA protocol 16 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 17. Fever/Sepsis Other information needed? Differentials? Management? Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd 17 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 18. Musculoskeletal-Orthopedic-Injury Issues Required readings-Burns: 928-960, 1000-1031 Ten question quiz before class. Objectives: 1) Define and describe the etiology of following conditions, 2) Explain pathophysiology of each, 3) Analyze subjective finding associated, 4) Analyze objective findings associated with each, 5) Evaluate the assessment process used to diagnose each of the conditions including, a. Use and interpretation of diagnostic tests b. Criteria necessary for establishing diagnosis 6) Summarize appropriate nurse practitioner management for each of the conditions a. Plans and education b. Indications for consultation or referral 7) Identify potential complications or long term sequelae of these problems  Sprains/strains (17)  Clavicular fractures  Costocondritis  Back pain  Scoliosis  Legg-calve-perthes disease  Slipped capital femoral epiphysis  Femoral anteversion  Genu varum  Genu valgum  Osgood-schlatter  Tibial torsion  Knee injuries  Pes planus  Metatarsus adductus  Talipes equinovarus  Toe walking  Leg pain  Limps  Overuse syndromes of childhood  Abrasions  Puncture wounds  Ingrown toenails  Lacerations 18 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 19. Hematomas  Stress fractures  Bites (animal/child)  Insect/stings  Motor vehicle trauma (#) Associated CHOA protocol Common Orthopedic Terminology: 1. Define the following terms:  Varus  Valgus  Inversion  Eversion  Supination  Pronation  Abduction  Adduction  Flexion  Extension  internal rotation  external rotation  planus  cavus  equinus  calcancus  dorsiflexion  plantarflexion  sublux  dislocate (luxate)  epiphysis  apophysis  Gower sign List of common musculoskeletal conditions in children:  club feet (talipes equinovarus)  metatarsus adductus  pes planus  vertical valus  calcaneo valgus  in-toe 19 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 20. out-toe  genu varum  genu valgum  Blount's disease  internal/external tibial torsion  femoral anteversion/retroversion  Osgood-Schlatter's disease  congenital dislocatged hip (CDH)  Legg-Perthes disease  slipped capital femoral epephysis (SCFE)  lordosis  kyphosis  scoliosis  osteomyelitis 20 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 21. Ortho Issues Other information needed? Differentials? Management? Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd 21 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 22. GU/STI/Reproductive Health: March 27 Required readings- Burns: 809-876 and 2010 STD Treatment Guidelines http://www.cdc.gov/STD/treatment/2010/default.htm Ten question quiz before class. Objectives: 1) Define and describe the etiology of following conditions, 2) Explain pathophysiology of each, 3) Analyze subjective finding associated, 4) Analyze objective findings associated with each, 5) Evaluate the assessment process used to diagnose each of the conditions including, a. Use and interpretation of diagnostic tests b. Criteria necessary for establishing diagnosis 6) Summarize appropriate nurse practitioner management for each of the conditions a. Plans and education b. Indications for consultation or referral 7) Identify potential complications or long term sequelae of these problems  Urinary tract infection (14)  Pyelonephritis  Vesicoureteral reflux  Hematuria  Proteinuria  Enuresis  Nephrotic syndrome  Nephritis/glomerulonephritis  Nephrolithiasis/urolithiasis  Wilms tumor  Cryptorchidism  Hypospadias  Phimosis  Hydrocele  Varicocele  Inguinal hernia  Balanitis  Scrotal trauma  Testicular torsion  Epididymitis  Labial adhesions  Vulvovaginitis 22 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 23. Dysmenorrhea  Amenorrhea  Pregnancy  Dysfunctional uterine bleeding  Endometriosis  Vaginitis/vaginal discharge  Sexually transmitted infections (23)  Pelvic inflammatory disease (#) Associated CHOA protocol 23 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 24. GU/STI/Reproductive Health Issues Other information needed? Differentials? Management? Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd 24 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 25. Hematological Issues: April 3 Required readings-Burns: 557-584 Ten question quiz before class. Objectives: 1) Define and describe the etiology of following conditions, 2) Explain pathophysiology of each, 3) Analyze subjective finding associated, 4) Analyze objective findings associated with each, 5) Evaluate the assessment process used to diagnose each of the conditions including, a. Use and interpretation of diagnostic tests b. Criteria necessary for establishing diagnosis 6) Summarize appropriate nurse practitioner management for each of the conditions a. Plans and education b. Indications for consultation or referral 7) Identify potential complications or long term sequelae of these problems  Anemia/iron deficiency (21)  Anemias caused by inadequate red blood cell production  Anemias caused by nutritional deficiencies or metabolic abnormalities  Anemias caused by increased destruction of RBCs  Thalassemia  Sickle cell (21)  Hereditary spherocytosis  Platelet/coagulation disorders  Childhood neutropenias (#) Associated CHOA protocol 25 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 26. Hematological Issues Other information needed? Differentials? Management? Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd 26 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 27. Newborn Issues: April 17 Required readings-Burns: 773-774, 605, 615-616, 834, 943, 973-999 Ten question quiz before class. Objectives: 1) Define and describe the etiology of following conditions, 2) Explain pathophysiology of each, 3) Analyze subjective finding associated, 4) Analyze objective findings associated with each, 5) Evaluate the assessment process used to diagnose each of the conditions including, a. Use and interpretation of diagnostic tests b. Criteria necessary for establishing diagnosis 6) Summarize appropriate nurse practitioner management for each of the conditions a. Plans and education b. Indications for consultation or referral 7) Identify potential complications or long term sequelae of these problems  Common skin issues  Caput succedaneum  Cephalhematoma  Cleft lip and palate  Failure to thrive  Brachial plexus  Head growth, microcephaly/macrocephaly  Hypospadias  Hip dysplasia  Jaundice (25)  Respiratory distress syndrome  Pyloric stenosis  Hirschsprung disease  Meconium ileus  Hydronephrosis  Metabolic disorders  Hydrocephalus  Ischemic insults (#) Associated CHOA protocol 27 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 28. Newborn Issues Other information needed? Differentials? Management? Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd 28 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 29. Communicable Diseases: April 17 Required readings-Burns: 427-493 Ten question quiz before class. Objectives: 1) Define and describe the etiology of following conditions, 2) Explain pathophysiology of each, 3) Analyze subjective finding associated, 4) Analyze objective findings associated with each, 5) Evaluate the assessment process used to diagnose each of the conditions including, a. Use and interpretation of diagnostic tests b. Criteria necessary for establishing diagnosis 6) Summarize appropriate nurse practitioner management for each of the conditions a. Plans and education b. Indications for consultation or referral 7) Identify potential complications or long term sequelae of these problems  Influenza  Roseola  Varicella  Mumps  Erythema infectiosum  West nile  Tick-borne disease  MRSA  Meningoccal  Tuberculosis  Infectious mononucleosis syndrome 29 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 30. Communicable Diseases Other information needed? Differentials? Management? Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd 30 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  • 31. Mental Health/Behavior Issues: April 24 Required readings-Burns: 273-298,358-386 1) Define and describe the etiology of following conditions, 2) Explain pathophysiology of each, 3) Analyze subjective finding associated, 4) Analyze objective findings associated with each, 5) Evaluate the assessment process used to diagnose each of the conditions including, a. Use and interpretation of diagnostic tests b. Criteria necessary for establishing diagnosis 6) Summarize appropriate nurse practitioner management for each of the conditions a. Plans and education b. Indications for consultation or referral 7) Identify potential complications or long term sequelae of these problems  ADHD  Delayed milestones  Learning disorders  Autism  Fears  Anxiety  Tic disorders  PTSD  OCD  Mood disorders o Depression o Bipolar disorder  Conduct disturbance  Substance Abuse 31 t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx