PART 1

All students are required to complete Tables 1-5 Download Tables 1-5as a component of the discussion. Completing these exercises will assist you in preparing for the discussion, weekly quiz, and the Competency Exam. The Burns Text should be the predominant resource used to complete the tables.

PART II

Select one of the following four case scenarios. Identify the prompt in the subject line of your post, for example, Case Scenario 1 – Turner

Complete all Part II elements of the discussion:

• Each prompt has additional key questions to address in the body of your response to ensure an understanding of learning objectives.
• Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.
• In your peer replies, please reply to at least two peers who chose a different case scenario – other than the one you selected. For example, if you selected Case Scenario 1, then reply to one peer who selected Case Scenario 2 and another peer who selected Case Scenario 3 or 4.
• Be prepared to answer additional questions relating to a secondary diagnosis or consideration posed by faculty.

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?