pediatric endocrine disorders ppt

BY: - PRAMOD KUMAR M.SC. BSPED aims to improve the care of children and young people with endocrine disorders and diabetes mellitus by bringing together professionals from a range of disciplines. It's FREE! This podcast is based on the 2019 Canadian Paediatric Society Statement, "The screening and management of newborns at risk for low blood glucose." 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 PEDIATRIC ENDOCRINE DISORDERS. Consensus statement on management of intersex disorders. Chromosomal abnormalities- Klinefelter syndrome, Idiopathic or exogenous obesity-early puberty, Homocystinuria-inherited inborn metabolism error, Symptoms variable depending on underlying, Familial or constitutional tall stature-Length, Precocious puberty- concern about height, early, Obesity-normal height and weight at birth. Endocrine disorder affects growth and development, metabolism, sexual function, and mood. OLDER CHILD Anatomic Biliary obstruction CHF Hemangiomas Malignancy Leukemia/lymphoma Hepatoblastoma ... - Anxiety Disorders Back to Basics 2012 Dr. Holly Dornan PGY-4 Psychiatry Resident University of Ottawa Anxiety LMCC Objectives Key Objectives In patients with many ... Physiologic anatomical peculiarities of endocrine system in children. - 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. Work with families on making dietary and activity changes that will. 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. 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%. 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. 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. Nursing Mrs. Nutan Makasare; M.Sc. - 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. Obstruction of flow e.g. chronic metabolic disorders with one common denominator hyperglycaemia, due to either absolute or relative insulin deficiency. Elevated sedimentation rate-vascular disease. Presentation Summary : Hypertension and hyperlipidemia. We are the endocrinology specialist specialize in endocrinology disorders, endocrinology pediatric, endocrinology for diabetes and endocrinology for thyroid. metabolic, INTRODUCTION OF THE INTERNAL MEDICINE （内科学总论） Baoyuan Chen. Shahzadshams shams. - Pediatric Neurogenetics Zheng (Jane) Fan, MD Medical Genetics Fellow UNC-CH 04/2006 What is Neurogenetics? Call for an Appointment Children who have hormone-related conditions that affect metabolism, growth, and development need an experienced team of pediatric endocrinologists and other specialists who can provide comprehensive care. Thyroid disease, Cushing’s disease. • 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. There are three types of glands in our body: Endocrine glands Exocrine glands Heterocrine glands endocrine and metabolic disorders. There are two kinds of thyroid disorders - hyperthyroidism and hypothyroidism. An Evidence-Based Assessment Of Pediatric Endocrine Emergencies. Treatment and Nursing Care for PKU • Special low-phenylalanine formula - Lofenalac, Minafen, and Albumaid XP • Diet low in phenylalanine – for life • Avoid high-protein foods such as meats, fish, eggs, cheese, milk, and legumes. When are Children most likely to be diagnosed with Diabetes? 6 TYPE 1 DIABETES MELLITUS. structure of the eye:. r.fielding department of community medicine, hku. Fatty Liver Disease. Call for expressions of interest from members: Paediatric Adrenal Insufficiency Guidelines, UK (PAIGUK) Deadline 01 Mar 21 2021-03-01 2021-03-01. Your thyroid gland is a butterfly-shaped gland located at the base of your neck, just above your collarbone. - 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. Cushing’s syndrome 8. presentations for free. It was created by Carina Lauzon, a fourth-year medical student, with Dr. Michael Narvey, co-author of this CPS statement, and neonatologist Dr. Marc-Antoine Landry. intercellular communication network hormones travel from cell, Pediatric and Neuromuscular Orthopedics - . Endocrine Disorders in Children ... 4 to 8% (30 to 50% in monozygotic twins). He also has a history of recurrent bowel obstructions. prof. dr. jan Škrha. endocrine systems . Diseases and Disorders of the Endocrine System - . endocrine system. 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. sclera cornea uvea, ENDOCRINE DISORDERS AND DIABETES MELLITUS - . PPT – Pediatric Endocrine Disorders PowerPoint presentation | free to view - id: 3be96a-NGJjY, The Adobe Flash plugin is needed to view this content. The endocrine diseases and disorders that affect the pediatric age group are varied and numerous, and their consequences are particularly serious, as they could have a lasting influence as the child grows into adulthood. Download PDF. endocrine glands regulate homeostasis, Endocrine System - . The endocrine system produces hormones, which are chemical signals sent out, or secreted, through the bloodstream. endocrine system. understanding the endocrine system in. 3rd department of internal medicine, first faculty of, Endocrine Physiology and Disorders - . Get powerful tools for managing your contents. inadequate peripheral perfusion where oxygen delivery does not meet, Pediatric Differences in theEndocrine System, Understanding the Endocrine System in Children, Collecting data during an Endocrine Assessment. So insulin dosing is based upon meal consumption and number of CHO choices • If >CHO choices are consumed= adjust insulin dose, About Insulin • Store insulin in a cool, dry place; do not freeze or expose to heat or agitation • Check the expiration date on the vial before using • Once opened, date the vial and discard as recommended • When mixing two different types of insulin, inject the appropriate amount of air into both vials, then withdraw the short-acting (clear) insulin first, Newly Diagnosed • Many times the newly diagnosed child is admitted to the hospital in ketoacidosis (DKA) Signs of DKA • Signs of hyperglycemia plus • Abdominal pain / “Stomachache” • Nausea and vomiting • Acetone (fruity)breath odor • Dehydration • Increasing lethargy • Kussmaul respirations • Coma, Treatment for DKA • IV Fluids (boluses) • IV insulin - Wean off IV insulin when clinically stable • Electrolyte replacement • Oral feedings introduced when alert • Prevention of future episodes, Nursing Management at the time of diagnosis • Child is admitted to hospital • Nursing assessments directed toward: • Vital Signs • LOC • Hydration • Hourly monitoring of BS ____________________________________ • Dietary and caloric intake • Ability of family to manage, Focus of Child and Parent Education • Signs and symptoms of hypoglycemia and hyperglycemia and related treatment • Blood-glucose monitoring / urine ketone monitoring • Administration of insulin • “Sick day” guidelines • Nutrition. to, Pediatric urinary disorders - . Boasting an impressive range of designs, they will support your presentations with inspiring background photos or videos that support your themes, set the right mood, enhance your credibility and inspire your audiences. Comprehensive Care for Childhood Endocrine Disorders. rcw wong. Common Endocrine Disorders Sherry Knowles. Over secretion or under secretion of any hormone can cause harm to the body. Nutrition and Insulin Needs Children use carbohydrate counting: • 1 CHO choice =15 gm CHO • Young children consume 2-4 choices /meal • Older children and adolescents consume 6-8 choices /meal • **1 unit of insulin covers 8 Gm of CHO. explain the jobs done, Endocrine System - By: stephany chavez. In 1994, an expert committee ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 3be8ca-ZjY0Z identify the main function of the endocrine system. marlene meador , rn, msn, cne. 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.. - CrystalGraphics offers more PowerPoint templates than anyone else in the world, with over 4 million to choose from. Sensory, Nervous, and Endocrine Disorders - . In the ER, VS are T 35.7 C, HR 110, RR 32, BP 90/45, SpO2 98% on RA. Pediatric Differences in the Endocrine System. Newborn Screening • Required by state law • Should not be done until feeding on breast milk or formula • Should be done ~48 hrs. Final gigantism. For more information, visit us at http://www.endocrinologistthyroid.com. Explain studies used to diagnose inborn errors of metabolism and the role of the nurse 4. 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. When thyroid gland produces too much thyroid hormone it is called hyperthyroidism. Pathologic- secondary to drug side effects, Breast development in other then pubertal females, Neonatal-usually bilateral, tissue enlargement. Methodics of endocrine glands investigation. In 1994, an expert committee ... May progress as permanent or transient disorder, Congenital- may affect fetus in 1st trimester, Juvenile- acquired- usually have onset in, Primary- disease or disorder of thyroid gland, Secondary- disease or disorder of hypothalamus or, Absence, underdevelopment or atrophy of thyroid, Inherent dysfunction in transport or assimilation, Maternal disease adversely affecting fetal, Iodine deficiency causing endemic goiter and, Affects 1 infant in every 4000 live births, Higher incidence in Hispanic and Native-American, Higher incidence in areas with endemic iodine, Ablation of thyroid through medical procedure, Exposure to iodine-containing drugs and agents, Endemic goiter from nutritional iodine deficiency, May be associated with other autoimmune disease, Infants have no obvious signs during first month, History of lethargy, poor feeding, elevated, Differentiate primary Hypothyroidism due to, Congenital thyroxine-binding globulin deficiency, Axillary, prominent supraclavicular fat pads, Findings-Infants, children, and adolescents, Newborn screening for congenital Hypothyroidism, Evaluated serum TSH and low T4 diagnostic of, Positive TSH receptor-blocking antibodies-, Acquired Hypothyroidism secondary to pituitary or, Euthyroid sick syndrome secondary to acute or, Repeat thyroid function tests if clinical. Mood changes, nervousness, weakness, hunger, History-family may have symptoms of metabolic or. Endocrine ppt 1. We pride ourselves in providing state of the art healthcare in the state of Utah. repeated involuntary voiding or incontinence by a child past the age of, Chapter 17 Endocrine System - . transplants), diabetes becomes another side effect of their illness, Etiology • Autoimmune process • Inflammatory process in the insulin secreting islet cells of the pancreas • Destruction of the islet cells • Failure to produce or excrete insulin, Pathophysiology Failure to produce insulin leads to elevated blood glucose HYPERGLYCEMIA, Clinical Manifestations Three P’s, How would you tell polyuria in a toddler? Monday - Thursday 08:00 AM - 5:00 PM | Friday 8:00AM - 12:00PM ; Office are! Gk ) “ Secretly, internally ” Causes What are Beta cells | Friday 8:00AM - 12:00PM Office! 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