Yasser is falling behind

Descripción

Mapa Mental sobre Yasser is falling behind, creado por shahid alzaghari el 10/11/2017.
shahid alzaghari
Mapa Mental por shahid alzaghari, actualizado hace más de 1 año
shahid alzaghari
Creado por shahid alzaghari hace alrededor de 7 años
141
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Resumen del Recurso

Yasser is falling behind
  1. Yasser 2 years 1 month old
    1. Main diagnosis
      1. Growth Hormone Deficiency
        1. Growth hormone
          1. Produced (somatotrophs) and secreted in
            1. exerts effects on almost all tissues
              1. Adipose tissue
                1. Cartilage
                  1. Bone
                    1. Liver
                      1. Muscles
                        1. Indirectly
                          1. Directly
                            1. 191 amino acids-polypeptide chain-2 internal disulfide bridges
                              1. The pituitary gland does not make enough growth hormone
                                1. Criteria to Initiate Evaluation for GHD
                                2. Clinical presentation:
                                  1. Congenital
                                    1. Exaggerated jaundice in the first days
                                      1. Growth failure
                                        1. Slower developmental milestones
                                          1. Reduced energy
                                            1. Impaired concentration
                                              1. Memory loss
                                      2. Acquired
                                        1. Delayed puberty
                                          1. Baldness in men
                                            1. Reduced bone mass and osteoperosis
                                              1. Reduced energy
                                                1. Increased body fats (around waist line)
                                      3. Epidemiology
                                        1. 3-10 in every 100 babies are born smaller than normal
                                        2. Investications:
                                          1. Growth chart
                                            1. Normal
                                              1. GHD
                                              2. Physical examination
                                                1. Tests:
                                                  1. Blood tests
                                                    1. GH
                                                      1. IGF-1
                                                        1. CBC
                                                          1. Serum protein
                                                          2. Karyotyping
                                                            1. X-ray
                                                              1. Left wrist
                                                          3. Treatment
                                                      2. Anatomy and histology of pituitary gland
                                                        1. Brain
                                                          1. Forebrain
                                                            1. Diencephalon
                                                              1. Ventral: hypothalamus
                                                                1. Pituitary gland
                                                                  1. Hypothalamic nuclei and neuroendocrine cells
                                                                    1. Adenohypophysis
                                                                      1. Pars distalis
                                                                        1. Pars intermedia
                                                                          1. Pars tuberalis
                                                                          2. Neurohypophysis
                                                                            1. Pars nervosa
                                                                              1. Infundibular stem
                                                                                1. Median eminence
                                                                          1. NORMAL growth rate
                                                                            1. Height
                                                                              1. Weight
                                                                                1. yasser was taken to the M&CH center (maternity hospital) where they get so many services and check the child health and normal growing
                                                                                  1. Services:
                                                                                    1. All pediatric services
                                                                                      1. Emergency services
                                                                                        1. and others....
                                                                                      2. Follow the patient up
                                                                                        1. To increase compliance
                                                                                          1. To adjust the doses
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