1. Schedule and Reading Assignments
Contents
SOAP Notes/Prescriptions/GU Exam for Male and Female: January 16 ........................................ 2
Required readings-Burns 1144-1147 .......................................................................................... 2
HEENT: January 23 .......................................................................................................................... 3
Required readings-Burns: 445-446, 477-478, 628, 638-648, 652-668, 803-806, 714-719......... 3
Respiratory Issues: January 30 ........................................................................................................ 6
Required readings-Burns: 708-738 ............................................................................................. 6
Neurological Issues: February 6 ...................................................................................................... 8
Required readings-Burns: 585-621 ............................................................................................. 8
Gastrointestinal Issues: February 13 ............................................................................................ 10
Required readings-Burns: 739-788 ........................................................................................... 10
Child Abuse: February 20 .............................................................................................................. 12
Required readings- .................................................................................................................... 12
Dermatological Issues: February 27.............................................................................................. 13
Required readings-Burns: 877-927 ........................................................................................... 13
Midterm and Fever/Sepsis: March 6 ............................................................................................ 16
Required readings-Burns: 485-489 ........................................................................................... 16
Musculoskeletal-Orthopedic-Injury Issues ................................................................................... 18
Required readings-Burns: 928-960, 1000-1031 ........................................................................ 18
GU/STI/Reproductive Health: March 27 ....................................................................................... 22
Required readings- Burns: 809-876 and 2010 STD Treatment Guidelines ............................... 22
Hematological Issues: April 3 ........................................................................................................ 25
Required readings-Burns: 557-584 ........................................................................................... 25
Newborn Issues: April 17 .............................................................................................................. 27
Required readings-Burns: 773-774, 605, 615-616, 834, 943, 973-999 .................................... 27
Communicable Diseases: April 17 ................................................................................................. 29
Required readings-Burns: 427-493 ........................................................................................... 29
Mental Health/Behavior Issues: April 24 ...................................................................................... 31
Required readings-Burns: 273-298,358-386............................................................................. 31
1
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2. SOAP Notes/Prescriptions/GU Exam for Male and Female: January 16
Required readings-Burns 1144-1147
Review of case studies
 Each class, people will be selected randomly to lead the case discussion
o What did you notice?
o Do you need additional information?
o Are there any areas of interest that you would like to research?
o What would you like to do?
o What educational/teaching issues would you like to address?
2
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3. HEENT: January 23
Required readings-Burns: 445-446, 477-478, 628, 638-648, 652-668, 803-806, 714-719
Ten question quiz before class.
Objectives:
1) Define and describe the etiology of following conditions,
2) Explain pathophysiology of each,
3) Analyze subjective finding associated,
4) Analyze objective findings associated with each,
5) Evaluate the assessment process used to diagnose each of the conditions including,
a. Use and interpretation of diagnostic tests
b. Criteria necessary for establishing diagnosis
6) Summarize appropriate nurse practitioner management for each of the conditions
a. Plans and education
b. Indications for consultation or referral
7) Identify potential complications or long term sequelae of these problems
 Herpangina
 Hand-foot-mouth disease
 Pharyngitis (1)
 Tonsillitis
 Sinusitis (16)
 Rhinitis
 Conjunctivitis (2)
o Newborn
o Bacterial
o Viral
o Allergic
 Blepharitis
 Hordeolum
 Chalazion
 Nasolacrimal Duct
o Dacryostenosis
o Dacrocystitis
 Periorbital Cellulitis
 Corneal Abrasion
 Cerumen impaction
 Otitis externa (3)
 Foreign body in ear/nose
 Acute otitis media (10)
 Otitis media with effusion (6)
3
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4.  Mastoiditis
 Gingivostomatitis
 Aphthous ulcer
 Benign migratory glossitis (geographic tongue)
 Ankyloglossia
 Epistaxis
 Lymphedema/Lymphenadenitis
(#) Associated CHOA protocol
4
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5. HEENT
Other information needed? Differentials? Management?
A newborn female, 2 weeks, presents A two-year-old male presents with
with discharge from both eyes. Mom fussiness and increased drooling.
states it started 2 days ago and she’s Mom states he does not want to eat
been cleaning her eyes with tea and anything and he has felt warm for the
describes it as green and thick. No last 2 days.
fever.
A seven-year-old female presents with A 14-year-old male presents with sore
ear pain for one day. She missed throat for two days. Says something
school today and looks miserable. is going around school and my tummy
Mom states she had a fever of 102.1F hurts. School called the parents when
(38.9C) and has been holding her he presented with fever and said he
head. She gave her Advil, not sure of had to be cleared before returning.
the quantity, but it didn’t really help.
5
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6. Respiratory Issues: January 30
Required readings-Burns: 708-738
Ten question quiz before class.
Objectives:
1) Define and describe the etiology of following conditions,
2) Explain pathophysiology of each,
3) Analyze subjective finding associated,
4) Analyze objective findings associated with each,
5) Evaluate the assessment process used to diagnose each of the conditions including,
a. Use and interpretation of diagnostic tests
b. Criteria necessary for establishing diagnosis
6) Summarize appropriate nurse practitioner management for each of the conditions
a. Plans and education
b. Indications for consultation or referral
7) Identify potential complications or long term sequelae of these problems
 Upper respiratory infection (4)
 Asthma (5)
 Bronchiolitis (8), including RSV
 Pneumonia (18)
 Croup (24)
 Pertussis
 Foreign body aspiration
 Bronchitis
 Epiglottitis
(#) Associated CHOA protocol
6
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7. Respiratory Issues
Other information needed? Differentials? Management?
Update Case Study Update Case Study
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
Update Case Study Update Case Study
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
7
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8. Neurological Issues: February 6
Required readings-Burns: 585-621
Ten question quiz before class.
Objectives:
1) Define and describe the etiology of following conditions,
2) Explain pathophysiology of each,
3) Analyze subjective finding associated,
4) Analyze objective findings associated with each,
5) Evaluate the assessment process used to diagnose each of the conditions including,
a. Use and interpretation of diagnostic tests
b. Criteria necessary for establishing diagnosis
6) Summarize appropriate nurse practitioner management for each of the conditions
a. Plans and education
b. Indications for consultation or referral
7) Identify potential complications or long term sequelae of these problems
 Closed head injury (9)
 Partial seizures:
o Simple
o Complex
o Partial seizures secondarily generalized
 Generalized seizures:
o Clonic
o Tonic
o Tonic-Clonic
 Absence
 Status epilepticus (19A)
 Febrile seizures (19B)
 Bell palsy
 Meningitis
 Gullain-barre syndrome
 Headaches
o Types and management
 Migraines
(#) Associated CHOA protocol
8
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9. Neurological Issues
Other information needed? Differentials? Management?
Update Case Study Update Case Study
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
Update Case Study Update Case Study
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
9
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10. Gastrointestinal Issues: February 13
Required readings-Burns: 739-788
Ten question quiz before class.
Objectives:
1) Define and describe the etiology of following conditions,
2) Explain pathophysiology of each,
3) Analyze subjective finding associated,
4) Analyze objective findings associated with each,
5) Evaluate the assessment process used to diagnose each of the conditions including,
a. Use and interpretation of diagnostic tests
b. Criteria necessary for establishing diagnosis
6) Summarize appropriate nurse practitioner management for each of the conditions
a. Plans and education
b. Indications for consultation or referral
7) Identify potential complications or long term sequelae of these problems
 Acute gastroenteritis (7)
 Dysphagia
 Vomiting
 Dehydration
 Constipation
 Encopresis
 Diarrhea
 Gastroesophageal reflux
 Peptic Ulcer disease
 Colic
 Foreign body ingestion
 Appendicitis
 Intussusception
 Abdominal pain and functional abdominal pain syndrome
 Malabsorption
 Inflammatory Bowel disease/irritable bowel syndrome
 Parasites
(#) Associated CHOA protocol
10
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11. Gastrointestinal Issues
Other information needed? Differentials? Management?
Update Case Study Update Case Study
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
Update Case Study Update Case Study
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
11
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12. Child Abuse: February 20
Required readings-
12
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13. Dermatological Issues: February 27
Required readings-Burns: 877-927
Objectives:
1) Define and describe the etiology of following conditions,
2) Explain pathophysiology of each,
3) Analyze subjective finding associated,
4) Analyze objective findings associated with each,
5) Evaluate the assessment process used to diagnose each of the conditions including,
a. Use and interpretation of diagnostic tests
b. Criteria necessary for establishing diagnosis
6) Summarize appropriate nurse practitioner management for each of the conditions
a. Plans and education
b. Indications for consultation or referral
7) Identify potential complications or long term sequelae of these problems
 Cellulitis, Abscess, Impetigo (13)
 Fungal infections
o Candidiasis
o Tinea corporis/capitus/cruris/pedis/versicolor (20)
o Intertrigo
 Herpes simplex
 Herpes zoster
 Molluscum contagiosum
 Warts
 Pediculosis
 Scabies
 Acne vulgaris
 Atopic Dermatitis
 Diaper dermatitis
 Seborrheic dermatitis
 Sunburn
 Urticaria
 Angioedema
 Drug reactions
 Erythema multiforme/ Stevens-Johnson
 Pityriasis rosea
 Psoriasis
 Lichen striatus
 Keratosis pilaris
 Nevi
 Acanthosis nigricans
13
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14.  Vitiligo
 Alopecia
 Onychomycosis
 Paronychia
 Herpetic whitlow
 Eczema
 Café au lait spots
 Viral exanthems
(#) Associated CHOA protocol
14
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15. Dermatological Issues
Other information needed? Differentials? Management?
Update Case Study Update Case Study
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
Update Case Study Update Case Study
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
15
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16. Midterm and Fever/Sepsis: March 6
Required readings-Burns: 485-489
Ten question quiz before class.
Objectives:
1) Define and describe the etiology of following conditions,
2) Explain pathophysiology of each,
3) Analyze subjective finding associated,
4) Analyze objective findings associated with each,
5) Evaluate the assessment process used to diagnose each of the conditions including,
a. Use and interpretation of diagnostic tests
b. Criteria necessary for establishing diagnosis
6) Summarize appropriate nurse practitioner management for each of the conditions
a. Plans and education
b. Indications for consultation or referral
7) Identify potential complications or long term sequelae of these problems
 Febrile infants (11)
 Febrile children (15)
 Fever of unknown origin
(#) Associated CHOA protocol
16
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17. Fever/Sepsis
Other information needed? Differentials? Management?
Update Case Study Update Case Study
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
Update Case Study Update Case Study
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
17
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18. Musculoskeletal-Orthopedic-Injury Issues
Required readings-Burns: 928-960, 1000-1031
Ten question quiz before class.
Objectives:
1) Define and describe the etiology of following conditions,
2) Explain pathophysiology of each,
3) Analyze subjective finding associated,
4) Analyze objective findings associated with each,
5) Evaluate the assessment process used to diagnose each of the conditions including,
a. Use and interpretation of diagnostic tests
b. Criteria necessary for establishing diagnosis
6) Summarize appropriate nurse practitioner management for each of the conditions
a. Plans and education
b. Indications for consultation or referral
7) Identify potential complications or long term sequelae of these problems
 Sprains/strains (17)
 Clavicular fractures
 Costocondritis
 Back pain
 Scoliosis
 Legg-calve-perthes disease
 Slipped capital femoral epiphysis
 Femoral anteversion
 Genu varum
 Genu valgum
 Osgood-schlatter
 Tibial torsion
 Knee injuries
 Pes planus
 Metatarsus adductus
 Talipes equinovarus
 Toe walking
 Leg pain
 Limps
 Overuse syndromes of childhood
 Abrasions
 Puncture wounds
 Ingrown toenails
 Lacerations
18
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19.  Hematomas
 Stress fractures
 Bites (animal/child)
 Insect/stings
 Motor vehicle trauma
(#) Associated CHOA protocol
Common Orthopedic Terminology:
1. Define the following terms:
 Varus
 Valgus
 Inversion
 Eversion
 Supination
 Pronation
 Abduction
 Adduction
 Flexion
 Extension
 internal rotation
 external rotation
 planus
 cavus
 equinus
 calcancus
 dorsiflexion
 plantarflexion
 sublux
 dislocate (luxate)
 epiphysis
 apophysis
 Gower sign
List of common musculoskeletal conditions in children:
 club feet (talipes equinovarus)
 metatarsus adductus
 pes planus
 vertical valus
 calcaneo valgus
 in-toe
19
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20.  out-toe
 genu varum
 genu valgum
 Blount's disease
 internal/external tibial torsion
 femoral anteversion/retroversion
 Osgood-Schlatter's disease
 congenital dislocatged hip (CDH)
 Legg-Perthes disease
 slipped capital femoral epephysis (SCFE)
 lordosis
 kyphosis
 scoliosis
 osteomyelitis
20
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21. Ortho Issues
Other information needed? Differentials? Management?
Update Case Study Update Case Study
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
Update Case Study Update Case Study
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
21
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22. GU/STI/Reproductive Health: March 27
Required readings- Burns: 809-876 and 2010 STD Treatment Guidelines
http://www.cdc.gov/STD/treatment/2010/default.htm
Ten question quiz before class.
Objectives:
1) Define and describe the etiology of following conditions,
2) Explain pathophysiology of each,
3) Analyze subjective finding associated,
4) Analyze objective findings associated with each,
5) Evaluate the assessment process used to diagnose each of the conditions including,
a. Use and interpretation of diagnostic tests
b. Criteria necessary for establishing diagnosis
6) Summarize appropriate nurse practitioner management for each of the conditions
a. Plans and education
b. Indications for consultation or referral
7) Identify potential complications or long term sequelae of these problems
 Urinary tract infection (14)
 Pyelonephritis
 Vesicoureteral reflux
 Hematuria
 Proteinuria
 Enuresis
 Nephrotic syndrome
 Nephritis/glomerulonephritis
 Nephrolithiasis/urolithiasis
 Wilms tumor
 Cryptorchidism
 Hypospadias
 Phimosis
 Hydrocele
 Varicocele
 Inguinal hernia
 Balanitis
 Scrotal trauma
 Testicular torsion
 Epididymitis
 Labial adhesions
 Vulvovaginitis
22
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23.  Dysmenorrhea
 Amenorrhea
 Pregnancy
 Dysfunctional uterine bleeding
 Endometriosis
 Vaginitis/vaginal discharge
 Sexually transmitted infections (23)
 Pelvic inflammatory disease
(#) Associated CHOA protocol
23
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24. GU/STI/Reproductive Health Issues
Other information needed? Differentials? Management?
Update Case Study Update Case Study
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
Update Case Study Update Case Study
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
24
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25. Hematological Issues: April 3
Required readings-Burns: 557-584
Ten question quiz before class.
Objectives:
1) Define and describe the etiology of following conditions,
2) Explain pathophysiology of each,
3) Analyze subjective finding associated,
4) Analyze objective findings associated with each,
5) Evaluate the assessment process used to diagnose each of the conditions including,
a. Use and interpretation of diagnostic tests
b. Criteria necessary for establishing diagnosis
6) Summarize appropriate nurse practitioner management for each of the conditions
a. Plans and education
b. Indications for consultation or referral
7) Identify potential complications or long term sequelae of these problems
 Anemia/iron deficiency (21)
 Anemias caused by inadequate red blood cell production
 Anemias caused by nutritional deficiencies or metabolic abnormalities
 Anemias caused by increased destruction of RBCs
 Thalassemia
 Sickle cell (21)
 Hereditary spherocytosis
 Platelet/coagulation disorders
 Childhood neutropenias
(#) Associated CHOA protocol
25
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26. Hematological Issues
Other information needed? Differentials? Management?
Update Case Study Update Case Study
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
Update Case Study Update Case Study
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
26
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27. Newborn Issues: April 17
Required readings-Burns: 773-774, 605, 615-616, 834, 943, 973-999
Ten question quiz before class.
Objectives:
1) Define and describe the etiology of following conditions,
2) Explain pathophysiology of each,
3) Analyze subjective finding associated,
4) Analyze objective findings associated with each,
5) Evaluate the assessment process used to diagnose each of the conditions including,
a. Use and interpretation of diagnostic tests
b. Criteria necessary for establishing diagnosis
6) Summarize appropriate nurse practitioner management for each of the conditions
a. Plans and education
b. Indications for consultation or referral
7) Identify potential complications or long term sequelae of these problems
 Common skin issues
 Caput succedaneum
 Cephalhematoma
 Cleft lip and palate
 Failure to thrive
 Brachial plexus
 Head growth, microcephaly/macrocephaly
 Hypospadias
 Hip dysplasia
 Jaundice (25)
 Respiratory distress syndrome
 Pyloric stenosis
 Hirschsprung disease
 Meconium ileus
 Hydronephrosis
 Metabolic disorders
 Hydrocephalus
 Ischemic insults
(#) Associated CHOA protocol
27
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28. Newborn Issues
Other information needed? Differentials? Management?
Update Case Study Update Case Study
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
Update Case Study Update Case Study
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
28
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29. Communicable Diseases: April 17
Required readings-Burns: 427-493
Ten question quiz before class.
Objectives:
1) Define and describe the etiology of following conditions,
2) Explain pathophysiology of each,
3) Analyze subjective finding associated,
4) Analyze objective findings associated with each,
5) Evaluate the assessment process used to diagnose each of the conditions including,
a. Use and interpretation of diagnostic tests
b. Criteria necessary for establishing diagnosis
6) Summarize appropriate nurse practitioner management for each of the conditions
a. Plans and education
b. Indications for consultation or referral
7) Identify potential complications or long term sequelae of these problems
 Influenza
 Roseola
 Varicella
 Mumps
 Erythema infectiosum
 West nile
 Tick-borne disease
 MRSA
 Meningoccal
 Tuberculosis
 Infectious mononucleosis syndrome
29
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30. Communicable Diseases
Other information needed? Differentials? Management?
Update Case Study Update Case Study
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
Update Case Study Update Case Study
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
 Abcd  Abcd
30
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31. Mental Health/Behavior Issues: April 24
Required readings-Burns: 273-298,358-386
1) Define and describe the etiology of following conditions,
2) Explain pathophysiology of each,
3) Analyze subjective finding associated,
4) Analyze objective findings associated with each,
5) Evaluate the assessment process used to diagnose each of the conditions including,
a. Use and interpretation of diagnostic tests
b. Criteria necessary for establishing diagnosis
6) Summarize appropriate nurse practitioner management for each of the conditions
a. Plans and education
b. Indications for consultation or referral
7) Identify potential complications or long term sequelae of these problems
 ADHD
 Delayed milestones
 Learning disorders
 Autism
 Fears
 Anxiety
 Tic disorders
 PTSD
 OCD
 Mood disorders
o Depression
o Bipolar disorder
 Conduct disturbance
 Substance Abuse
31
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