Case Scenario 1: Mr. Rogers presents with his 3-year-old son, Turner. who has Down syndrome for evaluation of a second-degree burn that he received on the palmar surface of his left hand when he picked up his sister’s hot curling iron.
• What else should you know about how the burn occurred? • How would you classify the burn? • How should you manage this condition? Be specific about treatment, precautions,
and follow-up. • What type of anticipatory guidance should you give the father?
Case Scenario 2: Sue is an 11-year-old who was diagnosed with obsessive compulsive disorder two years ago. She is currently being managed with cognitive therapy and medication.
• Compare the characteristics of generalized anxiety disorder with obsessive compulsive disorder.
• What medications have been approved for managing obsessive compulsive disorder in children her age?
• What are the common side effects of these medications? • How has cognitive behavioral therapy, coupled with a medication, shown to be
effective for treatment in the pediatric population?
Case Scenario 3: Mandy is a 10-year-old who has been brought in by her new foster mother for a well-child exam. The foster mother states that Mandy was removed from her home due to neglect and physical and sexual abuse and expresses concerns Mandy may have an eating disorder.
• What types of abnormal behaviors might Mandy exhibit? • What physical findings might you find during the physical examination? • How should you manage Mandy’s history of abuse?
Case Scenario 4: During a well-child exam for Jimmy, an 18-month-old, you notice that he is playing with the window blinds, pushing them slightly, and then watching them sway back and forth. He avoids eye contact, flaps his hands in excitement, and only says a few words. His mother is concerned that he may have autism. There are two other
family members on the mother’s side who were diagnosed with mental retardation during early childhood.
• What more should you know about the family history? • What tools and diagnostic tests should you consider and why? • How should you manage this child’s condition?
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