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BÖLÜM: II - SAĞLIK SORUNLARINA YAKLAŞIM................................................................... 1101. ACİL DURUMLARA YAKLAŞIM................................................................................................. 110A. Temel ve İleri Yaşam Desteği ........................................................................................................ 110A.1 Temel Yaşam Desteği.............................................................................................................110A.2 İleri Yaşam Desteği................................................................................................................112B. Travma .......................................................................................................................................114B.1 Kanamalar............................................................................................................................. 114B.2 Kırıklar.................................................................................................................................. 118B.3 Çıkık ......................................................................................................................................119B.4 Burkulma............................................................................................................................... 120B.5 Kafa Travması....................................................................................................................... 120C. Anafilaksi ......................................................................................................................................122D. Konvülsiyonlar.............................................................................................................................. 122E. Zehirlenmeler................................................................................................................................ 1242. BAZI YAKINMALARA YAKLAŞIM ............................................................................................ 124A. Baş Ağrısı ......................................................................................................................................124B. Göğüs Ağrısı ................................................................................................................................. 127C. Karın Ağrısı................................................................................................................................... 130D. Kusma .......................................................................................................................................1323. ENFEKSİYON HASTALIKLARI.....................................................................................................134A. Akut Gastroenteritler..................................................................................................................... 134B. Pnömoniler.....................................................................................................................................134C. Viral Hepatitler...............................................................................................................................136D. İdrar Yolu Enfeksiyonu................................................................................................................. 138E. Döküntülü Hastalıklar .................................................................................................................. 138F. Kabakulak .................................................................................................................................... 138G. Sindirim Sistemi Parazit Enfestasyonları...................................................................................... 139H. Üst Solunum Yolu Enfeksiyonları................................................................................................. 1394. BESLENME İLE İLİŞKİLİ HASTALIKLAR.............................................................................. 139A. Şişmanlık ...................................................................................................................................... 139B. İyot Yetersizliği Hastalıkları.......................................................................................................... 142C. Demir Yetersizliği Anemisi........................................................................................................... 144D. Besin Alerjisi................................................................................................................................. 1475. DERİ HASTALIKLARI................................................................................................................... 148A. Bakteriyel Enfeksiyonlar............................................................................................................... 148A.1 İmpetigo ................................................................................................................................148A.2 Ektima................................................................................................................................... 149A.3 Follikülit / Bockhart İmpetigosu (Yüzeyel Püstüler Follikülit)............................................ 150A.4 Paronişi.................................................................................................................................. 151A.5 Anguler Keilitis..................................................................................................................... 151B. Viral Enfeksiyonlar........................................................................................................................152B.1 Herpes Simpleks Virus Enfeksiyonları................................................................................. 152B.2 Varisella Zoster Virus Enfeksiyonları................................................................................... 152B.3 Human Papilloma Virus Enfeksiyonları................................................................................ 154B.4 Pox Virus Enfeksiyonları...................................................................................................... 155T.C. Sağlık Bakanlığı Sağlık Hizmetlerinde Okul Sağlığı KitabıT.C. Sağlık Bakanlığı Refik Saydam Hıfzıssıhha Merkezi Başkanlığı, Hıfzıssıhha Mektebi Müdürlüğüxix
C. Paraziter Hastalıklar...................................................................................................................... 156C.1 Baş Bitlenmesi (Pedikulozis Kapitis).................................................................................... 156C.2 Vücut Bitlenmesi (Pedikulozis Korporis)............................................................................. 157C.3 Uyuz (Skabies)...................................................................................................................... 157C.4 Böcek Isırması....................................................................................................................... 159D. Diğer Deri Hastalıkları.................................................................................................................. 160D.1 Alopesi Areata....................................................................................................................... 160D.2 Pitriazis Alba......................................................................................................................... 1606. ÜROGENİTAL SİSTEM HASTALIKLARI.................................................................................. 161A. Üreme Sağlığı................................................................................................................................ 161B. Testis, Skrotum ve Spermatik Kordun Hastalıkları....................................................................... 163B.1 İnmemiş Testis....................................................................................................................... 163B.2 Mikropenis............................................................................................................................ 164B.3 Testis Torsiyonu.................................................................................................................... 165B.4 Varikosel................................................................................................................................ 166B.5 Hidrosel................................................................................................................................. 168B.6 Epididimitis........................................................................................................................... 169B.7 Kendi Kendine Testis Muayenesi.......................................................................................... 170C. Meme Hastalıkları......................................................................................................................... 171C.1 Jinekomasti............................................................................................................................ 171C.2 Kızlarda Meme Hastalıkları.................................................................................................. 173D. Jinekolojik Sorunlar...................................................................................................................... 176D.1 Himen Anomalileri................................................................................................................ 176D.2 Hematomlar........................................................................................................................... 176D.3 Follikülitis............................................................................................................................. 176D.4 Amenore................................................................................................................................ 176D.5 Premenstrüel Gerginlik......................................................................................................... 177D.6 Dismenore............................................................................................................................. 178D.7 Anormal Uterin Kanamalar................................................................................................... 179E. Tüylenme Sorunları....................................................................................................................... 182F. Polikisik Over Sendromu.............................................................................................................. 1837. SPOR YARALANMALARI............................................................................................................. 185A. Çocuk ve Spor............................................................................................................................... 185B. Spor Yapan Çocuklarda Bel Ağrısı................................................................................................ 187C. Osgood-Schlatter Hastalığı........................................................................................................... 188D. Sever Hastalığı.............................................................................................................................. 189E. Patello-Femoral Ağrı..................................................................................................................... 190F. Ayak Bileği Burkulması................................................................................................................ 191G. Kas Yaralanmaları, Kas Sertlikleri, Kas Ezilmeleri...................................................................... 193G.1 Kas Yaralanmaları................................................................................................................. 193G.2 Kas Sertlikleri, Kas Ezilmeleri.............................................................................................. 1948. DİĞER HASTALIKLAR................................................................................................................. 195A. Hipertansiyon................................................................................................................................ 195B. Akut Poststreptokoksik Glomerülonefrit...................................................................................... 197C. Nefrotik Sendrom.......................................................................................................................... 198xxT.C. Sağlık Bakanlığı Sağlık Hizmetlerinde Okul Sağlığı KitabıT.C. Sağlık Bakanlığı Refik Saydam Hıfzıssıhha Merkezi Başkanlığı, Hıfzıssıhha Mektebi Müdürlüğü
Page 2 and 3: T.C. SAĞLIK BAKANLIĞISAĞLIK HİZ
Page 6: PROJE ÇALIŞMA GRUBUProf. Dr. M. U
Page 9 and 10: PROJE 1. DEĞERLENDİRME KURULUProf
Page 11 and 12: PROJE 2. DEĞERLENDİRME KURULUProf
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Page 15: xivT.C. Sağlık Bakanlığı Sağl
Page 18 and 19: İÇİNDEKİLERÖNSÖZ.............
Page 22 and 23: D. Kronik Böbrek Yetmezliği......
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Height-for-age GIRLS5 to 19 years (
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BMI-for-age GIRLS5 to 19 years (z-s
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