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Developmental Disorders

  • Developmental disorders are caused by events impacting the child during various critical periods:

    • Prenatally (before birth)

    • Perinatally (during birth)

    • Postnatally (after birth)

  • These disorders may interrupt normal development in one or multiple areas.

    • Example: Cerebral Palsy

    • Cause: Damage to brain areas controlling movement and coordination.

    • Damage may result from injury or infection during any developmental stage.

Genetic Disorders

  • Familial Combined Hyperlipidemia

    • Definition: A genetic disorder resulting in high cholesterol and elevated fat levels in the blood.

    • Inherited through family genes.

    • Consequences: Increases risk for early heart disease, heart attacks, and strokes.

    • Importance of early diagnosis, medical treatment, and healthy lifestyle choices to manage the disease.

  • Congenital Defects

    • Definition: Defects present at birth, detectable via modern technology, and sometimes treatable before birth.

    • Potential for diseases or disorders to manifest later (may be present at birth but not symptomatic).

Health Monitoring in Children

  • Regular pediatrician visits can help identify potential developmental disorders and help prevent infectious diseases through vaccinations.

Aging and Health

  • Older adults experience unique biological changes that increase susceptibility to diseases due to:

    • General reduction in body function at cellular and organ levels.

    • Inability of organs like the brain and heart to regenerate effectively.

Factors Predisposing to Disease

Gender

  • Differences between male and female anatomy can influence disease prevalence.

    • Example:

    • Osteoporosis is more common in women.

    • Parkinson's disease is more common in men.

Lifestyle

  • Compromising health habits include:

    • Smoking

    • Alcohol and drug misuse

    • Poor diet

    • Lack of exercise

  • Healthier choices can improve overall health status.

Environment

  • Environmental stressors contributing to poor health include:

    • Pollution (air/water)

    • Chronic stress

    • Unsanitary living conditions

Heredity

  • Genetic material inherited from parents can link to certain diseases.

  • Important to acknowledge the interaction between genetic makeup and lifestyle risk factors affecting susceptibility to diseases.

Prevention and Health Care

  • Preventive health care strategies can reduce the risk of various diseases

  • Healthy lifestyle choices:

    • Balanced diet

    • Regular exercise

    • Routine health screenings

    • Avoiding harmful behaviors

  • Emphasis on preventive health helps reduce treatment burdens in healthcare.

Signs and Symptoms of Disease

Definition

  • Signs: Objective measurements of disease present (e.g., fever, measurable symptom).

  • Symptoms: Subjective experiences that cannot be objectively measured (e.g., headache, nausea).

Pain and Inflammation

  • Pain: serves as a defense mechanism indicating potential issues.

    • Example: Significant pain may arise from a fracture, warning of injury.

  • Inflammation: Normal immune response involving

    • Redness

    • Heat

    • Swelling

    • Pain

  • Purpose of inflammation: to promote healing, not just from injury but also in response to pathogens.

Classifications of Disease

Infectious Diseases

  • Caused by pathogens (bacteria, viruses, fungi, parasites)

    • Pathogens may damage local tissues or produce toxic substances.

  • Types:

    • Communicable: Contagious and spread from person to person (e.g., flu).

    • Noncommunicable: Caused by pathogens but not contagious (e.g., food poisoning)

Noninfectious Diseases

  • Classification examples:

    • Cancers: Uncontrolled cell growth forming tumors, impacting normal body functions.

    • Immune Disorders: Ineffective immune defense leading to hypersensitivity (e.g., allergies) and immunodeficiencies (e.g., AIDS).

    • Autoimmune Disorders: Body's immune system attacks its own tissues (e.g., type 1 diabetes).

    • Genetic Disorders: Caused by changes in genetic material, impacting inherited traits (e.g., mutations).

    • Mental Disorders: Affect psychological well-being and behavior, with various unknown etiologies.

Trauma and Disease

  • Trauma leads to abnormal functioning of the body post-injury.

    • Types of trauma include physical injury or exposure to harmful agents.

Diagnosing Disease

Definition and Process

  • Diagnosis: Determining the nature and circumstances surrounding a diseased condition through a systematic approach:

    1. Collecting patient history.

    2. Patient examination.

    3. Utilizing diagnostic tests.

    4. Determining diagnosis, treatment, and prognosis.

Differential Diagnosis

  • Employed when multiple diseases may cause patient symptoms.

  • Involves a process of elimination based on patient assessments and test results.

Diagnostic Tests

  • Types of Diagnostic Tests:

    • Biopsy: Removal of tissue for lab analysis.

    • Screenings: Regular checks, e.g., mammograms for breast abnormalities.

Treatment of Disease

Types of Treatment Plans

  • Palliative Treatment: Aims to make patients comfortable, often used at terminal stages.

  • Therapeutic Treatment: Restores normal body function through physical or occupational therapy.

  • Preventive Treatment: Reduces the risk of disease through proactive measures.

Epidemiology

Definition

  • Epidemiology (EP-ih-DEE-mee-OL-oh-jee): Study of disease incidence, distribution, and control in populations.

  • Aims to improve public health responses, manage outbreaks, and inform healthcare practices.

Key Terms

  • Incidence: Number of new cases of a disease.

  • Prevalence: Total number of cases of a disease.

  • Epidemic: Widespread disease occurrence in a community at a specific time.

  • Pandemic: Widespread disease occurrence over broader regions.

R0 Value (Basic Reproduction Number)

  • Indicates how easily a disease spreads;

    • R0 > 1 means potential spread in the population.

    • Example: 1918 Flu had an R0 of 1.4 to 2.8.

Case Fatality Rate (CFR)

  • Measures death occurrence from a particular disease, independent of R0 value.

  • Example: Although measles spreads quickly, it has a relatively low CFR.