Week 5 Discussion
PART I 
All students are required to complete Tables 1-7 Download Tables 1-7as 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 
Identify the prompt in the subject line of your post, for example, Case Scenario 1 – Tommy
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.

Case Scenario 1: Tommy is a 2-year-old brought into the clinic for his well-child examination. His hemoglobin in the clinic is 9g/dL, his serum iron is below normal, TIBC is elevated, and his iron saturation is low. Although in remission, Tommy’s mother mentions she always worries about Tommy since he was diagnosed with infant ALL.

Based on these results, what type of anemia does Tommy have?
What symptoms and physical exam findings might you expect to find?
What is the treatment for this condition?
Please give the name of medication, form, dosage, frequency to be given, and describe what follow-up is needed.
What are some of the common causes for this type of anemia and what anticipatory guidance will you give the parents?
Week 5 Discussion Part I
Table 1
Classifications of Anemias
Complete the information.
Normocytic
Microcytic
Macrocytic
Description
Clinical Findings
Diagnostic Studies
Management
Table 2
Differentiate Common Childhood Leukemias
Clinical Findings:
Acute Lymphocytic
Leukemia (ALL)
Occurrence
Management
Acute Myelogenous Leukemia (AML)
Hemolytic Anemia
Table 3
Tanner Stages
Tanner Stages
Girls
(Breast Development)
Boys
(Genital Developmenttestes/penis)
Stage I
Stage II
Stage III
Stage IV
Stage V
Table 4
Delayed Puberty, Menarche, and Growth Spurts
Answer the following questions.
How is precocious puberty defined for boys and girls?
What is considered delayed puberty in boys and girls?
What labs tests should be ordered for delayed puberty?
During what age ranges do growth spurts occur in boys and girls?
What is the average age of menarche in the United States?
Table 5
Differentiate Types of Diabetes
Type 1 Diabetes
Type 2 Diabetes
Age of onset
Gender
Race/Ethnicity
Obesity
Family History of DM
Insulin Secretion
Insulin Sensitivity
Onset
Ketosis, DKA
Hypertension
Acanthosis nigricans
Polycystic ovarian syndrome
Islet Autoimmunity
Table 6
Hypothyroidism and Hyperthyroidism
Differentiate between hypothyroidism and hyperthyroidism
Clinical Findings
Hypothyroidism
Hyperthyroidism
Diagnostic Studies
Management
Table 7
Drug Interaction with Herbal Supplements
Please complete the table of common interactions between FDA-approved medications and herbal
supplements
Drug Category
Herb
Iron
Tannin-rich herbs (e.g.
caffeine containing herbs,
cat’s claw, tea, uva, ursi)
Laxative, stimulant (e.g., bisacodyl)
Aloe, cascara sagrada, senna,
yellow dock
NSAIDS
Gastric irritant herbs (e.g.
caffeine, rue, uva ursi)
Nettles
Oral contraceptives
Licorice, St. John’s wort
Salicylates (e.g. aspirin)
Herbs that alkalinize urine
(e.g. uva ursi)
Tamarind
Ginkgo, garlic
Theophyline
St. John’s wort
Thyroid Hormone
Horseradish
Kelp
Effect of Herb on the
Drug’s Action