MERCY COLLEGE GRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES PA 505 - FUNDAMENTALS OF CLINICAL MEDICINE III PEDIATRICS COMPONE This component will address the issues specitic to the care of the pediatrie patient. The course begins with an introduction to the care and assessment of the newborn, and reviews medical tations specific 10 the neonatal period. General growth and developmental issues and patient care considerations specific to pediatries will be discussed. In addition, the course includes an overview of issues related to adolescent med Course Text: ical Diagno: Harrison Principles of Internal medi Component Outlin: Subject Pediatries Component Overy of Pediatrie _ Resuscitation .ssessment of Normal Growth and Development; Child Ab Genetic Sereening; Inborn Errors of Met ‘bolism Unit 8 - Pediatric GI Disorders Tait 9 - Pediatric Neurologic Disorders Unit 10 - Pediattie Onthoped Unit 11 Pediatrie Bacterial and Viral Disorders | Unit 12 - Adolescent Mei Wn Pediatrie Population |MERCY COLLEGE GRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES, xam - Units 6-12 PA 505 - FUNDAMENTALS OF C ICAL MEDICINE II MPONENT UNIT 1: OVERVIEW OF PEDIATRIC DN OBJECTIVES: After completion of this component unit, the student will be able to: 1. Discuss the pediatric evaluation (A) History of presentation and parental concerns Pediatric Past Medical History -Prenatal history Perinatal (birth) history: scores -Growth, developmental and nutritional history Immunization history and status = Childhood Immunization schedule sstational age, birth weight, labor and deliv Discuss the aspects of the physical examination and the significance of the findings unique to children (general pediatric population) (A) Vital signs—normal values in newborn, toddler Growth parameters General appearance HEENT Cardiopulmonary Abdominal Genitalia Extremities Skin/Nails (Imtegument) Neurological (Infantile automatisms/ CNS reflexes of infancy) 3. Discuss aspects of the physical examination unique to the newborn (fetal and neonatal population) and the significance of the findings (A) Fetal maturity (Prematurity/preterm and Postmaturity/ full-term) APGAR score Gestational Age Assessment Complete physical exam (A) Denotes gore knowledge - essential to appropriately recognize the presentation, perform the assessment, derive the diagnosis, and treat the disorder asa primary care provider (B) Denotes key knowledge - important to appropriately recognize the pres diagnose the disorder as a primary care referral jon, perform the assessment, andMERCY COLLEGE GRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES (C) Denotes important knowledge - helpful to appropriately recognize to enhance and augment knowledge in the core and key areas oF medical practice PA 505 - FUNDAMENTALS OF CLINICAL MEDICINE III PEDIATRICS COMPONENT UNIT 2: N ZONATAL RESUSCITATION UNIT OBJECTIV! . the student will be able to: omponent uni Afier completion of th 1. Define general considerations of prenatal development (A) Recognize factors influencing fetal growth (Intrauterine Growth Restriction) 2, Discuss the components of the perinatal history in the assessment of the newborn. (A) ~ labor and deliver 3. Outline the pediatric considerations of labor and delivery (C) Outline the transition from fetal to neonatal physiology Outline the neonatal resuscitation of a newborn with low APGAR 4. Discuss the care of the infant in the immediate newborn period (A) Immediate routine delivery room (post-partum care unit) care of the newborn Newborn screening tests, Correlate the relationship of gestational age to birth weight Problems (infant morbidity/morality) associated with g Nutrition -Breast and Formula Feeding tational age and birth wel (A) Denotes core knowledge - essential to appropriately recognize the presentation, perform the assessment, derive the diagnosis, and treat the disorder as a primary care providerMERCY COLLEGE GRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES, (B) Denotes key knowledge - important 10 appropriately recognize the presentation, perform the assessment, and diagnose the disorder as a primary care reletral (C) Denotes important knowledge - helpful to appropriately recognize to enhanee and augment knowledge in the core and key areas oF medieal practice PA 505 - FUNDAMENTALS OF CLINICAL MEDICINE HI PEDIATRICS COMPONENT After completion of this component unit, the student will be able to: 1. Define the pathophy (newborn) complica ology, presentation, complications, and management of neonatal ms (A) Hypocaleemia al alcohol syndrome Respiratory distress = Assessment ~ Respiratory Distress Syndrome (Iyaline membrane disease) ~ Transient tachypnea Primary pulmonary hypertension Apnea. Anemia Hyperbilirubinemia (Neonatal Jaundice) + Kemnicterus (Bilirubin Encephalopathy) Necrotizing enterocolitis, Hypogl Seizures cemia Sepsis Meningitis Discuss the epidemiology, risk factors, and prevention theories of disorders of control of hing (A) -Sudden Infant Death S: «rome (SIDS) 3. Enumerate the urologic indications and contraindications of newborn circumeision (A) (A) Denotes gore knowledge - essential to appropriately recognize the presentation, perform the assessment, derive the diagnosis, and treat the disorder as a primary eare provider (8) Denotes key knowledge - important to appropriately recognize the presentation, perform the assessment, and diagnase the disorder as a primary care referralMERCY COLLEGE GRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES (© Denotes important knowledge - helpful to appropriately recognize to enhance and augment knowledge in the core and key areas of medical practiceFY OO)b\ MERCY COLLEGE GRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES, PA 505 - FUNDAMENTALS OF CLINICAL MEDICINE HI PEDIATRICS COMPONENT UNIT 4: A SSMENT OF NORMAL/ABNORMAL GROWTH AND DE CHILD ABUSE LOPMENT; UNIT OBJECTIVES: fier completion of this component unit, the student will be able to: 1. Define and discuss the normal growth development of'a newborn (A) Define screening for growth disturbances and dise growth concerns (A) s the identification of age-specific Growth charting, Visual and auditory acuity, Tanner staging 3. Discuss the etiology, clinical presentation, and management of Smalll for Gestational Age Newbom and Failure to Thrive Infants (A) 4. Define and discuss risk factors, clinical presentation, carly identification, evaluation, and reporting of child abuse (A) 5, Outline general principles of pediatric care and anticipatory guidance (A) Routine health care maintenance/ well child visit schedule Nutrition Recognize age-appropriate interaction changes/behavioral concerns -Attention deficit/ Hyperactivity disorder Age appropriate injury prevention cor lerations 6. Correlate the elements of the Denver II Developmental Standard Test (DDST) with the areas tested = Know the age appropriate developmental milestones = Reeognize the domains of potential developmental delays (A) (A) Denotes gore knowledge - essential to appropriately recognize the presentation, perform the assessment, derive the diagnosis, and treat the disorder as a primary eare provider (B) Denotes key knowledge - important to appropriately recognize the present diagnose the disorder as a primary eare referral (C) Denotes important knowledge - helpful to appropriately recognize to enhance and aygment knowledge in the core and key areas of medical practice jon, perform the assessment, andMERCY COLLEGE MERCY COLLEGE GRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES, PA 505 - FUNDAMENTALS OF CLINICAL MEDICINE HI PEDIATRIC: T NING; INBORN ERRORS OF METABOLISM Afier completion of this component unit 1. Outline the rules (principles) of Mendelian genetic inheritance patterns and give examples of disorders for each pattern (A) Autosomal dominant inheritance Autosomal recessive inheritance X-linked inheritance Outline principles of genetic counseling and sereening (A) Recognition and identification of historical risk factors Predict offspring transmission pattems based upon parental genetic carrier states General considerations and descriptions for the performance of genetic screening tests 3. Discuss the chromosomal abnormality and clinical features/management associated with genetic disorders (A) Down syndrome Klinefelter syndrome ‘Turmer syndrome 4, Discuss the incidence, pathophysiology, clinical presentation, and sereening test for inborn metabolic errors (A) Galactosemia Phenylketonuria (PKU) Homoeystinuria Maple syrup urine disease(A) Denotes gore knowledge - essential to appropriately recognize the presentation, perform the assessment, derive the diagnosis, and treat the disorder as a primary care provider (B) Denotes key knowledge - important to appropriately recognize the presentation, perform the assessment, and diagnose the disorder as a primary care referral (© Denotes important knowledge - helpful to appropriately recognize to enhance and augment knowledge in the core and key areas of medical practice GRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES, PA 505 - FUNDAMENTALS OF CLINICAL MEDICINE I PEDIATRICS COMPONENT, UN PEDIATRIC RESPIRATORY (INFECTIOUS AND ALLERGY) DISEASE, UNIT OBJECTIVE! After completion of this component unit, the student will be able to: 1. Outline the clinical and laboratory assessment techniques and management approaches of pediatric respiratory disease (A) Identify the etiology, signs and symptoms, pathogenesis, diagnosis and treatment of upper respiratory tract infections (A) is ‘Tracheitis Croup Fpiglott 3. Identify the etiology, signs and symptoms, pathogenesis, diagnosis and treatment of lower respiratory tract infections (A) Bronchiolitis Bronchiectasis Pneumonia 4, Discuss the presentation, assessment, differential diagnosis, and m: body aspiration (A) tem ¢ epidemiology, genetic component, etiology, pulmonary and multis) manifestations, diagnosis, complications, and management of eystic fibrosis (CF) (A) 6. Discuss the epidemiology, pathophysiolo nical presentation, clinical assessment, differential diagnosis, and management of reactive airway disease (A) Allergic hypersensitivity reactions Asthma Allergic rhinitisMERCY COLLEGE (A) Denotes gore knowledge - essential to appropriately recognize the presentation, perform the assessment, derive the diagnosis, and treat the disorder as a primary care provider (B) Denotes key knowledge - important to appropriately recognize the prese diagnose the disorder as a primary care referral (C) Denotes important knowledge - help ul to appropriately rec ‘core and key areas of medical practice tation, perform the assessment, and ize to enhance and augment knowledge in theMERCY COLLEGE GRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES. PA 505 - FUNDAMENTALS OF CLINICAL MEDICINE HI PEDIATRICS COMPONENT UNIT IATRIC CARDIAC DISE, SE UNIT OBJECTIVE! After completion of this component unit, the student will be able to: 1. Discuss the diagnostic evaluation and physical examination findir ss in pediatric heart Describe common symptoms and physical examination findings associated with congenital heart disease (A) Discuss the epidemiology and classification of congenital heart defects (C) 4, Describe the abnormal flow patterns and murmurs of acyanotic congenital heart (A) Atrial septal defect (ASD) Endocardial cushion defect Ventricular septal defect (VSD) Pulmonic stenosis Patent ductus arteriosus (PDA) Aortic stenosis Coaretation of the aorta 5. Describe the abnormal flow patterns and murmurs of eyanotic congenital heart disease (B) Tetralogy of Fallot Truncus arteriosus Transposition of the great arteries Hypoplastic left hear Tricuspid atresia Total anomalous pulmonary venous return 6. Identify and describe the four components of Tetralogy of Fallot (A) 7. Enumerate hereditary diseases with accompanying heart conditions A) (A) Denotes core knowledge - essential 1 appropriately recognize the presentation, perform the assessment, derive the diagnosis, and treat the disorder as a primary care provider (B) Denotes key knowledge - important to appropriately recognize the presentation, perform the assessment, and diagnose the disorder as a primary care referralMERCY COLLEGE (C) Denotes important knowledge - helpful to appropriately reco, core and key areas of medieal practi GRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES UNI PEDIATRIC GI DISORDERS UNIT OBJE IVE After completion of this component unit, the student will be able to: 1, Discuss the etiology, assessment, diagnosis, differential diagnos abdominal pain, vomiting and diarthea (A) Discuss the etiology, assessment, diagnosi constipation and encopresis (B) . differential diagnosis, and management of 3. Discuss the epidemiology, clinical presentation, assessment, diagnostic tests, and management of pyloric stenosis (A) cuss the epidemiology, clinical presentation, as management of gastroesophageal reflux disorder (A) ment, diagnostic 5. Outline the etiology, presentation and management of congenital abdominal malformations “ Gastrose Omphalos Imperforate anus (anorectal malformation) Hirschsprung's dise: Meckel diverticulum Umbilical hernia 6. Discuss the etiology, pathophysiolog; of intussusception (A) y. clinical presentation, diagnosis, and managementMERCY COLLEGE GRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES PA S05 - FUNDAMENTALS OF CLINIC . MEDICINE III CS COMPONENT (A) Denotes core knowledge - essential to appropriately recognize the presentation, perform the assessment, derive the diagnosis, and treat the disorder as a primary care provider (B) Denotes kev knowledge - important to appropriately recognize the presentation, perform the assessment, and diagnose the disorder as a primary care referral (C) Denotes important knowledge - helpful to appropriately recognize to enhance and augment knowled core and key areas of medical practice ge in the UNIT 9: EDIATRIC NEUROLOGICAL DISORDE! UNIT OBJE ‘TIV! After completion of this component unit 1. Describe the ineiden and outline the prox and types of anomali ‘dure for prenatal sereeni sociated with neural tube closure defects 1g for neural tube defects (A) Spina bifida -Meningomyelocele -Arold Chiari malformation Meningocele 2. Outline the pathophysiology, clinical presentation, differential diagnosis, of cranial closure abnormalities (A) and management Craniosynostosis Maerocephaly Hydrocephalus Microcephaly 3. Discuss the etiology, epidemiology, clinical presentation, diagnosis, differential diagnosis, ‘management, and complications of meningitis in children greater than 3 months of age (A) 4, Discuss considerations of seizure disorders specitic to pediatries (A) Infantile spasms (West syndrome) Status ep Febrile seizures Management considerations of seizure disorder in pediatriesMERCY COLLEGE 5. D the incidence, etiology, classification, signs and symptoms, extra-neural anomalies, and management of cerebral palsy (A) (A) Denotes gore knowledge - essential to appropriately recognize the presentation, perform the assessment, derive the diagnosis, and treat the disorder asa primary care provider (B) Denotes key knowledge - important to appropriately recognize the presentation, perform the assessment, and diagnose the disorder as a primary eare referral (C) Denotes important knowledge - helpful to appropriately recognize to enhance and augment knowledge in the ‘core and key areas of medical practice GRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES, PA 505 - FUNDAMENTALS OF CLINICAL MEDICINE III PEDIATRICS COMPONENT UNIT 10: PEDIATRIC ORTHOPEDIC DISORDERS UNIT OBJECTIV After completion of this component unit 1. Discuss mechanisms of injury and presentation of pediatric orthopedic disorders (A) Discuss the etiology, clinical presentation, diagnosis, and management of developmental dysplasia of the hip (A) Discuss the etiology, clinical presentation, diagnosis, management, and prognosis of Lege Calvé-Perthes disease (A) 4. Discuss the etiology, elinical presentation, diagnosis, and management of slipped capital femoral epiphysis (A) 5. Outline the etiology, presentation and management considerations of lower extremity torsional and angular deformities (A) Out-tocing Genu varumMERCY COLLEGE GRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES PA 505 - FUNDAMENTALS OF CLINICAL MEDICINE HI PEDIATRICS COMPON! In-tocing Genu valgum Club foot (Talipes equinovarus) 6. Discuss the etiology, presentation, diagnosis, and management of scoliosis (A) 7. Outline epiphyseal and non-epiphyseal fracture pattems; define the Salter-Harris classification system of epiphyseal injuries (A) 8. Discuss the recognition of abuse in a child with fracture presentation, and management (A) (A) Denotes gore knowledge - essential © appropriately recognize the presentation, perform the assessment, detive the diagnosis, and treat the disorder as a primary care provider (B) Denotes kev knowledge - important 10 appropriately recognize the presentation, perform the assessment, and diagnose the disorder as a primary care relerral (C) Denotes important knowledge - helpful to appropriately recognize (o enhance and augment knowledge in the core and key areas of medial practice UNIT 11: PEDIATRIC BACTERIAL AND VIRAL DISORDERS UNIT OBJECTIVES: After completion of this component unit 1. Discuss the assessment of infect story and physical -manifestation ferential diagnosi (viral versus bacterial) Identify common bacteriological infectious diseases and agents by age group (A) Neonate to 2 months 3 months to 3 years 4 years to pre-adolescent 3. Identify presenting signs and symptoms of sepsis and infeetion by age group (A) 4. Discuss the approach to the evaluation of fever (A) presentation, diagnosis, differential diagnosis and management of acterial agents (A)MERCY COLLEGE Streptococeus ssp. Staphylococeal ssp. Neisseria s Hemophilus influenzae 6. Outline the risk factors, etiolog: disorder (A) clinical presentation, diagnosis, and management specific Otitis Medi Osteomyeli Infective (suppurative or septic) arthritis Cellulitis Peritonsillar absces 7, Know how to compute and write a prescription order for bactMERCY COLLEGE GRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES UNIT 11 OBJECTIVES: (Cont.) . Afier completion of this component unit 8.Outline the etiology, clinical presentation, diagnosis, differential diagnosis, and management of exanthematous viral infections (A) Measles (Rubeola) Rubella (German Measles or 3 Roseola it tum (Exanthem Sut Erythema infectiosum (Fifth dise: Varicella (Chickenpox) ay Measles) jum, Sixth diseas ase) (A) Denotes core knowledge - essential to appropriately reeognize the presentation, perform the assessment, derive the diagnosis, and treat the disorder asa primary care provider (B) Denotes key knowledge - important to appropriately recognize the presentation, perform the assessment, and diagnose the disorder as a primary care referral (C) Denotes important knowledge - helpful to appropriately recognize to enhance and augment knowledge in the core and key areas of medieal practice-ILLIAT SUeSTANCE USE & DRUGS, SmokKING, toll — Past piseases “HEN, dheape DISEASE, DM thea PeoeieM’s ete. - PRR PREGNANCY —AbboeT10N, coNGRNITAL HaLhemanent, Coett nistlt peervpmsecy —Peesenr ONAN “GESTATIONAL AGE ,PRETERMA LABOR, PREECLAN[PS!A *Peeinara. 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