Block #4 - Extra Focus

Question 1

Cerebral Palsy: Etiology

Answer 1

Prenatal Encephalopathy

Question 2

Cerebral Palsy: Motor S/S

Answer 2

• Poor head control after 3 months
• Stiff or rigid limbs
• Arching back/pushing away
• Floppy tone
• Unable to sit without support at 8 months
• Clenched fist after 3 months

Question 3

Cerebral Palsy: Behavior S/S

Answer 3

• Excessive irritability
• No smiling by 3 months
• Feeding difficulties (hold jaw to feed)
• Persistent tongue thrusting
• Frequent gagging or choking while feeding
• Impaired socialization

Question 4

DMD: Characteristcs

Answer 4

• Onset b/w 3-5 years
• Progressive muscle weakness, wasting, and contractures
• Calf hypertrophy
• Progressive generalized weakness
• Death from respiratory or cardiac failure

Question 5

DMD: Clinical Manifestations

Answer 5

• Waddling gait, frequent falls, Gower Sign
• Lordosis
• Enlarged muscles, especially thigh and upper arms
• Profound atrophy in late stages
• Mental deficiency

Question 6

Legg-Calve-Perthes

Answer 6

Aseptic Necrosis of the Femoral Head

Question 7

Legg-Calve-Perthes: S/S

Answer 7

• Hip or knee soreness or stiffness

- Painful limp, quadriceps atrophy

Question 8

Legg-Calve-Perthes: Nursing Care

Answer 8

• Monitor non-weight-bearing activity
• Assess ROM, pain, and neuro status
• Educate the family
• Serial casting 1-3 years of age, will be able to return to normal