...appointment. Due to her explanation of the symptoms of the infant child it sounds as if the child may have Robinow Syndrome. I'd advise her to make an appointment with the physician when possible so that her child can be diagnosed properly before a proper treatment can be performed, if possible. The mother of a 3-year-old boy calls to report her child had the onset of vomiting and abdominal pain during the night and is now experiencing blood in his urine. She says she just noticed a swelling on his left side toward his back. She requests and appointment. What is your response regarding the appointment? Given the onset of symptoms I'd advise this mother to take her child to the hospital. It seems like the child may have Wilms' Tumor and promptly taking care of this will help in the child's survival. The mother of a 15-day-old infant son reports that he started having episodes of vomiting with the emesis “shooting out of his mouth” after feeding. She also reports the infant appears hungry, continues to feed, and has not gained any weight. How do you respond to this call? I respond by letting this mother know that she should take her baby to the ER to be diagnosed and treated properly...
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...A cancer diagnosis at any age can be devastating and scary, but when it is a child that is diagnosed the devastation is even more profound. The diagnosis is not just a diagnosis for the child; it is a diagnosis for the entire family. It will uniquely affect each member at the time of diagnosis, during the course of treatment, and during the survivorship phase and will have a direct effect on how they cope. Treatment for a childhood cancer can be much longer than that of an adult treatment plan and the lengthy road can take its toll on everyone. Often times the focus remains on the patient alone and the parents and siblings become casualties of the disease process. The diagnosis and treatment of children and adolescent with cancer has tremendous and lasting effects on an entire family. Overview of Pediatric Cancer Cancers of any kind during childhood are rare. Childhood cancer accounts for less than two percent of all cancers diagnosed each year. About 150 to 160 per 1,000,000 children or around 12,000 children in total will be diagnosed in any given year (Abrams & Kurtz, 2011). The most common form of pediatric cancer is leukemia and more specifically acute lymphocytic leukemia (ALL) and central nervous system (CNS) tumors. Other tumor types include germ cell tumor, Hodgkin’s lymphoma, non-Hodgkin’s lymphoma, neuroblastoma, acute myeloid leukemia, Wilms tumor, osteosarcoma, rhabdomyosarcoma, thyroid carcinoma, melanoma, retinoblastoma and Ewing’s sarcoma (Abrams, et al. 2011)...
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...a project cancer and dna oncology information system with numerous illustrations oη by okeke chika tochukwu Department of computer science madonna unversity, elele campus ©august, 2012 TABLE OF CONTENTS declaration ��������������������������������������������������������������������������������������������� i dedication ������������������������������������������������������������������������������������������������ ii acKnoWledgement ���������������������������������������������������������������������������� iii aBstract ��������������������������������������������������������������������������������������������������� iv CHAPTER ONE �������������������������������������������������������� 1 introdUction �������������������������������������������������������������������������������� 1 BackGround oF study ���������������������������������������������������������������������������������������������������������������������1 oBJectives oF study ��������������������������������������������������������������������������������������������������������������������������1 scope oF the study ���������������������������������������������������������������������������������������������������������������������������2 JustiFication oF study ��������������������������������������������������������������������������������������������������������������������2 statement oF proBlem �������������������������������������������������������������������������������������������������������������������3...
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...Overview Hypercalcemia is the most common life-threatening metabolic disorder associated with neoplastic diseases, occurring in an estimated 10% to 20% of all adults with cancer. It also occurs in children with cancer, but with much less frequency (approximately 0.5%–1%).[1-3] Solid tumors (such as lung or breast cancer tumors) as well as certain hematologic malignancies (particularly multiple myeloma) are most frequently associated with hypercalcemia.[4] Although early diagnosis followed by hydration and treatment with agents that decrease serum calcium concentrations (hypocalcemic drugs) can produce symptomatic improvements within a few days, diagnosis may be complicated because symptoms may be insidious at onset and can be confused with those of many malignant and nonmalignant diseases. However, diagnosis and timely interventions not only are lifesaving in the short term but also may enhance the patient’s compliance with primary and supportive treatments and may improve quality of life.[5] When a patient has a refractory, widely disseminated malignancy for which specific therapy is no longer being pursued, the patient may want to consider withholding therapy for hypercalcemia. For patients or families who have expressed their wishes regarding end-of-life issues, this may represent a preferred timing and/or mode of death (as compared with a more prolonged death from advancing metastatic disease). This option is best considered long before the onset of severe hypercalcemia or...
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...Addison’s Disease Addisonian Anemia Albright’s Syndrome Alport’s Syndrome Alzheimer’s Argyll-Robertson Pupil Arnold-Chiari Malformation Barrett’s Bartter’s Syndrome Becker’s Muscular Dystrophy Bell’s Palsy Berger’s Disease Bernard-Soulier Disease Berry Aneurysm Bowen’s Disease Brill-Zinsser Disease Briquet’s Syndrome Broca’s Aphasia Brown-Sequard Bruton’s Disease Budd-Chiari Buerger’s Disease Burkitt’s Lymphoma Caisson Disease Chagas’ Disease Chediak-Higashi Disease Conn’s Syndrome Cori’s Disease Creutzfeldt-Jakob Crigler-Najjar Syndrome Crohn’s Curling’s Ulcer Cushing’s Cushing’s Ulcer de Quervain’s Thyroiditis Primary adrenocortical deficiency Pernicious anemia (antibodies to intrinsic factor or parietal cells → ↓IF → ↓Vit B12 → megaloblastic anemia) Polyostotic fibrous dysplasia, precocious puberty, café au lait spots, short stature, young girls Hereditary nephritis with nerve deafness Progressive dementia • Loss of light reflex constriction (contralateral or bilateral) • “Prostitute’s Eye” – accommodates but does not react • Pathognomonic for 3°Syphilis • Lesion pretectal region of superior colliculus Cerebellar tonsil herniation through foramen magnum = see thoracolumbar meningomyelocele Columnar metaplasia of lower esophagus (↑ risk of adenocarcinoma)- constant gastroesophageal reflux Hyperreninemia Similar to Duchenne, but less severe (mutation, not a deficiency, in dystrophin protein) CNVII palsy (entire face; recall...
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...00_078973706x_fm.qxd 1/14/08 2:42 PM Page i NCLEX-PN ® SECOND EDITION Wilda Rinehart Diann Sloan Clara Hurd 00_078973706x_fm.qxd 1/14/08 2:42 PM Page ii NCLEX-PN® Exam Cram, Second Edition Copyright © 2008 by Pearson Education All rights reserved. No part of this book shall be reproduced, stored in a retrieval system, or transmitted by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. No patent liability is assumed with respect to the use of the information contained herein. Although every precaution has been taken in the preparation of this book, the publisher and author assume no responsibility for errors or omissions. Nor is any liability assumed for damages resulting from the use of the information contained herein. ISBN-13:978-0-7897-2706-9 ISBN-10: 0-7897-3706-x Library of Congress Cataloging-in-Publication Data Rinehart, Wilda. NCLEX-PN exam cram / Wilda Rinehart, Diann Sloan, Clara Hurd. -- 2nd ed. p. cm. ISBN 978-0-7897-3706-9 (pbk. w/cd) 1. Practical nursing--Examinations, questions, etc. 2. Nursing--Examinations, questions, etc. 3. National Council Licensure Examination for Practical/Vocational Nurses--Study guides. I. Sloan, Diann. II. Hurd, Clara. III. Title. RT62.R55 2008 610.73'076--dc22 2008000133 Printed in the United States of America First Printing: February 2008 Trademarks All terms mentioned in this book that are known to be trademarks or service marks have been appropriately...
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