4th Year Paeds + Bone Tumours

Question 1

lymphoma as a bone tumour?

Answer 1

marrow

metastasis

Question 2

common primary lymphoma bone sites?

Answer 2

femur

pelvis

Question 3

where does myeloma arise from?

Answer 3

marrow

Question 4

presentation of myeloma in the skeleton?

Answer 4

solitary lesion (plasmacytoma)
multiple osteolytic lesions throughout skeleton (multiple myeloma)

Question 5

management of plasmacytoma

Answer 5

radiotherapy

Question 6

management of multiple myeloma

Answer 6

chemotherapy

Question 7

what does painful scoliosis warrant?

Answer 7

investigation for tumour or infection

Question 8

most common form of CP

Answer 8

spastic

Question 9

what causes spastic CP?

Answer 9

damage to CST, motor cortex or UMNs

Question 10

where does ataxic CP affect?

Answer 10

cerebellum

Question 11

MSK problems in CP

Answer 11

hip dislocations
scoliosis
joint contractures

Question 12

presentation of spina bifida occulta

Answer 12

tuff of hair overlying the defect

Question 13

what is a meningocele?

Answer 13

meningies herniate through defect in spina bifida

Question 14

what is a myelomeningocele?

Answer 14

spinal cord herniates through defect

Question 15

what does a cystica defect need management wise?

Answer 15

closing within 48 hours