4.4.1 The Limping Child Flashcards by Priyanka Bhandari

Q

What are the characteristics of Osgood-Schlatter Disease?

A

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Q

What are the findings associated with SCFE?

A

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Q

What are the characteristics of a 4-10 year old gait?

A

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Q

Children with AVN are at risk for? What is the treatment?

A

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Q

What is this an image of?

A

Osteomyelitis

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Q

How would you make a diagnosis of osteomyelitis?

A

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Q

What are the characteristics of adolescent gait?

A

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Q

What is the Kocher Criteria for Septic Arthritis of the Hip?

A

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Q

?What are the characteristics of osteomyelitis?

A

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Q

What should you do for children with DDH in an exam?

A

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Q

4 year old with worsening limp and leg pain. Recently URI. Uncomfortable, lying in bed, and cries when approached. X ray is normal.

A

Septic Arthritis

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Q

Most common organisms to cause Osteomyelitis?

A

Staph

H flu

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Q

5yo female with several days of leg and back pain decreasd appetite and activity and weight loss.

X ray was negative 2 days before

Thin, ill and uncomfortable appearing.

Cries with manipulation of the hip.

A

Need to think neoplasm

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Q

What is the difference between the antalgic, Trendelenburg, steppage, and vaulting abnormal gait?

A

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Q

What is Transient synovitis of hip?

A

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Q

2 year old with progressive limp and leg pain

X ray negative

Splinted for presumptive fracture

Dragging leg and refusing to walk now

Fever symptoms and CRP/ESR levated

A

Osteomyelitis

Q

Would you use a CT on a child?

A

Want to avoid due to expose to radiation

Q

How should you treat patients with DDH?

A

Q

What are these images of?

A

Epiphyseal fractures - think child abuse

Old fractures, multiple fractures, and epiphyseal

Q

What is this?

A

Neoplasm of the bone

Q

4 yo with a 3d history of limp and thigh pain

No fever

Some improvement with ibuprofen

Active and playful

Uncomfortable with rotation

A

Avascular necrosis

Q

What is SCFE?

A

Q

What is this?

A

Osgood-Schlatter’s

Pinpoint tenderness of knee

Q

18 mo

Walking for 3 months

Mother notes abnormal gait

Leg length discrepancy

Asymmetric abduction of the hips

Clunk on Barlow Provocative Test

A

Developmental dysplasia of the hip

What are the X Ray findings associated with SCFE?

What is the management of SCFE?

What is the diagnosis and treatment of septic arthritis?

What is the presentation of Septic Arthritis?

What is the barlow provocative test?

Dislocation of the hip Clunk in hip vs click

18 month old with acute onset of limp. Afebrile and no other complaints. Happy and playful until standing up.

What are the characteristics of toddler gait?

What is the Ortolani Maneuver?

Reduces dislocated hip