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PM682Gastrointestinal systemGastrointestinal refresher (continued)Key treatments Surgical intervention: pyloromyotomy performed bylaparoscopyLEAD TOXICITYKey signs and symptoms Anorexia, vomiting Weight lossKey test results X-rays reveal lead lines near the epiphyseal lines (areas ofincreased density) of long bones.

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Key treatments Radiation therapy Radioactive iodine therapy Thyroidectomy (total or subtotal); total thyroidectomy andradical neck excision(continued)313419NCLEX-RN_Chap09.

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NURSING DIAGNOSESCAUSES Imbalanced nutrition: Less than bodyrequirements Delayed growth and development Deficient fluid volume Diarrhea Congenital defects (in some cases, inheritance plays a role) Part of another chromosomal or mendelianabnormality Prenatal exposure to teratogensTREATMENTASSESSMENT FINDINGS Diet: gluten-free but includes corn and riceproducts, soy and potato flour, breast milk orsoy-based formula, and all fresh fruits Folate Iron (Feosol) supplements Vitamins A and D in water-soluble forms Abdominal distention from swallowed air Cleft lip: can range from a simple notch onthe upper lip to a complete cleft from the lipedge to the floor of the nostril, on either sideof the midline but rarely along the midlineitself Cleft palate: may be partial or complete Difficulty swallowingNote that cleft lip with or without cleftpalate is obvious at birth; cleft palate withoutcleft lip may not be detected until a mouthexamination is done or until feeding difficultiesdevelop.

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