CLIPP 17 Flashcards
what is the differential of limp or refusal to walk? (9)
leukemia
Osteomyelitis
Reactive arthritis
Septic arthritis
Transient synovitis
trauma
Juvenile idiopathic arthritis
Slipped capital femoral epiphysis
Legg-Calve-Perthes disease
What are common sx in limp or refusal to walk caused by leukemia?
bone pain, fever, weight loss
what typically precedes transient synovitis?
viral URI
What is a slipped capital femoral epiphysis? How do you diagnose it?
a fracture though the growth plate of the femur head resulting in the neck and femur moves in an anterior direction with external rotation
Diagnosis: Usually with plain film showing posterior displacement of the femoral head, like an ice-cream scoop slipping off a cone.
what is Legg-Calve-Perthes disease?
hip disorder initiated by a disruption of blood flow to the head of the femur leading to avascular necrosis
what is developmental dysplasia of the hip (aka hip dysplasia)?
femoral head is not properly aligned with the acetabulum
How do you screen for hip dysplasia?
Ortolani and Barlow maneuvers
what are common symptoms of lime disease?
erythema migrans
fever
malaise
fatigue headache
What are common bugs that cause septic arthritis?
staph aureua
strep
Hib
N gonorrhea
Kingella kingae
When septic arthritis is suspected, what procedure needs to be done?
aspirate that shit
How do you treat transient synovitis of the hip?
rest and ibuprofin
