Cancer and Mobility

Question 1

what signs that a child might have cancer?

Answer 1

significant weight loss, petechia, ecchymosis, bone/joint pain, cold that wont go away, fever that wont go away

Question 2

what is petechia?

Answer 2

pinpoint red dots on skin

Question 3

what does eccymosis mean

Answer 3

bruising

Question 4

what are diagnostics for cancer?

Answer 4

cbc, cmp, bone marrow, ct, x ray, mri

Question 5

what are the side effects of chemo?

Answer 5

increased risk of infection, decreased clotting times, bruising, altered nutrition, anemia, nausea, vomiting, mucosal laceration, alopecia, and possible need for steroids

Question 6

what type of line do you need for chemo?

Answer 6

picc line/central line

Question 6

how long does it take alopecia to grow back in cancer patients?

Answer 6

3-6 months

Question 7

what are the symptoms of leukemia?

Answer 7

Weight loss
Bruising without cause
Bone and joint pain
Tired
febrile

Question 8

what are the treatments for leukemia?

Answer 8

chemo, radiation, and stem cell

Question 9

what is the prognosis for leukemia?

Answer 9

treatable

Question 10

what is wilms tumor?

Answer 10

a tumor that grows on the kidneys

Question 11

what does wilms tumor look like visually?

Answer 11

large mass on one side of the body that is not painful on palpation

Question 12

what is the treatment for wilms tumor?

Answer 12

surgically remove and chem

Question 13

what should you be careful of with a wilms tumor patient?

Answer 13

dont palpate and dont rupture the tumor

Question 14

what diagnostics are used to find wilms?

Answer 14

CT, MRI, ultrasound

Question 15

what vaccines should cancer patients void?

Answer 15

MMR, Varicella, RV

Question 16

are fractures common in infants?

Answer 16

no

Question 17

what is the most common bones broke in children?

Answer 17

radius and ulna

Question 18

what does pallor mean?

Answer 18

paleness

Question 19

what are the 6 ps?

Answer 19

pain, pulse, pallor, parasthesia, paralysis, and pressure

Question 20

what should be avoided in a cast?

Answer 20

getting it wet or sticking things inside

Question 21

what can be done to help with itching from cast?

Answer 21

diphenhydramine or cool air

Question 22

what should you do if limb starts to swell in cast ?

Answer 22

raise it above heart

Question 23

is a smell normal from a cast?

Answer 23

Yes but not a rancid

Question 24

what is compartment syndrome?

Answer 24

occurs when there is a lot of swelling in one area that leads to decreased perfusion

Question 25

what might need to be done if patietn has compartment?

Answer 25

fasciotomy

Question 26

what are symptoms of compartment syndrome in a cast?

Answer 26

pain, unpalpable pulse, cap refill great than 2 seconds, pale, modeling, tingling, hard to move, pressure, warm

Question 27

what type of cast an get a little wet?

Answer 27

fiberglass

Question 28

when is traction used?

Answer 28

when someone has an injury before they go to surgery

Question 29

what does traction reduce?

Answer 29

pain from spasms

Question 30

what things should you know about traction?

Answer 30

weight should not touch the ground....increase weight slowly....prop with pillows...use trapeeze bar

Question 31

what are complications of using traction?

Answer 31

decreased muscle tone, decreased bone density, decreased metabolism, infection, edema, constipation

Question 32

what are examples of skin traction

Answer 32

bucks, bryant, and russels

Question 33

what are examples of skeletal?

Answer 33

anything that attaches to pin that goes into skeletal structure

Question 34

what is developmental dysplasia of the hip?

Answer 34

displacement of the femur from hip

Question 35

what are risk factors for dysplasia?

Answer 35

breech baby and tight swaddles

Question 36

what does dysplasia look like on the baby?

Answer 36

Effected side is shorter, has misplaced gluteal fold and decreased hip abduction

Question 37

what test will be positive in dysplasia baby?

Answer 37

ortolani and barlow

Question 38

what direction is barlows test?

Answer 38

Adduction

Question 39

what direction is ortolani test?

Answer 39

abduction

Question 40

what are the treatments for hip dysplasia?

Answer 40

pavlik, spica, or surgery

Question 41

what age is the pavlik used?

Answer 41

less than 6 months

Question 42

when can the pavlik cast be removed?

Answer 42

only for changing and baths

Question 43

what is the spica cast?

Answer 43

a cast that is put on post op after the hip is put in best spot

Question 44

what is club foot?

Answer 44

deformity of foot and ankle that can be bilateral or unileteral

Question 45

what is the effect limb like in club foot?

Answer 45

shorter with calf atrophy

Question 46

what is the treatment for club foot?

Answer 46

serial casting for 4-6 weeks

Question 47

what should you watch for in club foot babies in cast?

Answer 47

6ps

Question 48

what is scoliosis?

Answer 48

deformity of the spine

Question 49

what causes scoliosis?

Answer 49

no know cause

Question 50

when is a spinal fusion done?

Answer 50

curves greater than 45

Question 51

what is the test for scoliosis?

Answer 51

bend over and look for asymetry

Question 52

what is the treatment for scoliosis?

Answer 52

surgery, TLSO or milwaukee brace

Question 53

do braces help with scoliosis?

Answer 53

yes but dont cure it

Question 54

what will post op be like for scoliosis?

Answer 54

catheter, IV, pain management, log rolling, 5-7 day stay, clear liquid diet that advances, expect to ambulate sooner than later, no prone for 1 week

Question 55

what is osteomyolitis?

Answer 55

infection in bone

Question 56

what is the treatment for osteomyolitis?

Answer 56

long term antibiotics

Question 57

what kind of line for osteomyelitis treatment?

Answer 57

picc or central line

Question 58

what is acute hematogenous osteomyelitis?

Answer 58

Bloodborn pathogen,

Question 59

what is exogenous osteomyelitis?

Answer 59

from puncture wound

Question 60

what is subacute ostemyeltits?

Answer 60

less harmful bacteria

Question 61

what is chronic osteomyelitis?

Answer 61

progression to the worse form

Question 62

what is going on in chronic osteomyelitis?

Answer 62

dead bone, drainage, sinus

Question 63

what assessment findings for ostemyelitis?

Answer 63

2-7 days of pain, warmth, tender, decreased rom, fever, lethargy, seems like arthritis or leukemia

Question 64

how is osteomyelitis diagnosed?

Answer 64

Culture, CBC, bone biopsy, bone scan, ct, mri

Question 65

how long will patient with osteomyolitis be on antibiotics?

Answer 65

3-4 weeks

Question 66

what diet will osteomyelitis patients need?

Answer 66

high cal high protein

Question 67

are osteomyelitis patients weight bearing or non weight bearing?

Answer 67

non weight bearing until antibiotics are started

Question 68

what are side effects of chemo?

Answer 68

infection, hemmorhage, anemia, N/V , nutritionn mucosal laceration, alopecia