childhood conditions 2

Question 1

infx (discitis, osteomyelitis)
tumor in SC or column
trauma
-ddx for back pain in this age group

Answer 1

Pre-puberty

Question 2

idiopathic: scheuermann's dz
tumor in sc or column
trauma
inherited
Ddx for back pain in this age group

Answer 2

puberty

Question 3

warning signs for back pain in kids
<4yo 
functional deficiency
lasting >4w
and 4 more:

Answer 3

antalgic posture
neurological abnormalities
limited ROM
with fever

Question 4

before MRI was available, 30% of all peds cord injuries with pos neuro findings were called:

Answer 4

SCIWORA

spinal cord injury witho out radiographic abn

Question 5

best test for discitis, paired with s/s, hx of infx

Answer 5

bone scan

Question 6

enuresis is not dx until this age

Answer 6

5yo

Question 7

areas to check for enuresis

Answer 7

S2
LE, pelvis, lumbar, cervical
-myofascial release, nutrition

Question 8

MC type of genetic obesity

Answer 8

prader willi syndrome

-chrom abn

Question 9

MC hemolytic anemia, can cause preterm, spontaneous abortion, LBP, stillbirth, perinatal mortality

Answer 9

sickle cell anemia

Question 10

must do this if childhood HA is: acute, worst/thunderclap, chronic and progressive, neuro sx, abn eye movements, hemiparesis, ataxia, abn reflexes, NF, heart, vomits on awakening

Answer 10

imaging

Question 11

sudden/severe HA lasting up to 60 sec, possible sign of subarachnoid hemorrhage, trauma, stroke

Answer 11

thunderclap HA

-check T12 only

Question 12

childhood migraine criteria

Answer 12

5+ lasting 1-48h

• have at least 2 of: bilat/unilat, pulsating, mod-sev, exac by routine activities
• accomp by at least 1: n/v, photo/phonophobia

Question 13

CT autoimmune dz with polyarticular joint inflam, req davis series due to inc ADI, transverse lig instability

Answer 13

RA

Question 14

three types of JRA
____: 5-10yo, 10%
____: 2yo, 40-60%
____: 1-3yo, 30-40%

Answer 14

systemic
pauciarticular
polyarticular

Question 15

adult with “old” JRA

Answer 15

JCA

Question 16

spine infx that causes rapid disc space loss, without osteophytes, DDD, pre-vert ST swelling

Answer 16

spondylitis

ddx: mets (preserved disc space)

Question 17

4 seronegative spondyloarthropathies

(Rh-, HLA B27 +) Mc older

Answer 17

AS (MC)
PA
reiter’s
enteropathic arthritis

Question 18

MC seroneg spondyloarthrop, and its DDX

cant see cant pee cant dance with me

Answer 18

AS

ddx: OCI
- can’t adjust bamboo spine, maybe inc ADI

Question 19

wedging of 5* or more of 3 vert (T7, 8, 9)

Answer 19

sceuermann’s dz

Question 20

female triad

Answer 20

osteoporosis
ED
amenorrhea

Question 21

pn at prox lat humerus, xray shows epiph widening, fragmentation, sclerosis

Answer 21

little league shoulder

Question 22

irritation/inflam/degen of shoulder tissues

Answer 22

impingement

Question 23

sulcus sign, hill sachs, bankart lesion on xray all indicate

Answer 23

shoulder dislocation

Question 24

extensor carpi radialis brevis indicated in

Answer 24

lateral epicondylitis

Question 25

ulnar collateral ligament indicated in | -tommy john surgery

Answer 25

medial epicondylitis

Question 26

ant disloc of radial head ulnar fx Together known as

Answer 26

Monteggia Frx

Question 27

FOOSH can cause

Answer 27

scaphoid fx/disloc

Question 28

bennett's fx is a broken:

Answer 28

thumb

Question 29

ulnar collat lig of MCP 1 jt

Answer 29

skier's thumb | -FOOSH with abd thumb

Question 30

AVN of met head 2

Answer 30

freiberg

Question 31

AVN of navicular

Answer 31

kohler

Question 32

heel pn, often in soccer

Answer 32

sever dz

Question 33

boxer's/barroom fx

Answer 33

metacarpal 4/5 fx

Question 34

shin splints aka

Answer 34

medial tibial stress syndrome

Question 35

pars defect/frx w/o anterior slippage, 90% L5, MC white males scottie dog

Answer 35

spondylolysis

Question 36

MC type of spndylolisthesis

Answer 36

isthmic

Question 37

``` spondys I II III IV V ```

Answer 37

``` dysplastic *5* isthmic *MC* traumatic degenerative *L4* pathologic ```

Question 38

MC type of salter harris frx, thurston hollon sign | above epiphys plate

Answer 38

type 2 (A)

Question 39

salter harris phys frx straight across the epiphs plate

Answer 39

type 1 (S)

Question 40

older children, salter harris frx, starts thru GP and goes beLow

Answer 40

type 3 (L)

Question 41

salter harris goves starts above GP and exits Thru joint cartilage

Answer 41

type 4 (T)

Question 42

growth plate crushed in salter harris frx, most concerning prognosis (ERasure of gp)

Answer 42

type 5 (ER)

Question 43

4 stages of AVN | avascular -> ____ -> repair -> _____

Answer 43

revascularization | deformity

Question 44

subchondral bone collapse on xray is seen in ____ sign and the healing phase with osteoblastic activity in a fuzzy mushy appearance is ___ sign

Answer 44

crescent | snow cap

Question 45

PLASTICRAGS acronym for avn(?)

Answer 45

``` Pancreatitis/preg LCP, lupus Alcoholism/atherosclerosis Steroids Trauma Idiopathic/infx Caisson/collagen dz RA/radiation Amyloid Gaucher dz Sickle cell anemia ```

Question 46

segmental AVN presents with clicking, locking, limited ROM, swelling, pn on ROM, floaters

Answer 46

OCD

Question 47

MCC of BP in athletic teenages

Answer 47

facet tropism

Question 48

_____ is assoc with klippel feil and arnold chiari malform, scap winging

Answer 48

sprengel's deformity

Question 49

MCC of death in children

Answer 49

accidents