Exam 2 - Head

Question 1

Craniosynosotosis ?

Answer 1

Early fusion of skull bones. Requires surgical intervention.

Question 2

What are some major features related to the head?

Answer 2

Meningomyelocele
Microtia/Cryptotia

Question 3

OFC < ______% or > ____% needs investigating and may be concerning for ______

Answer 3

10
90
Craniofacial anomalies.

Question 4

What is difference between syndrome and disease?

Answer 4

Syndrome: collection of signs and symptoms known to frequently appear together but without known cause

Disease: morbid entity that has a cause, an identifiable group of s/s or consistent anatomic alterations.

Question 5

Other midline anomalies associated with clefts:

Answer 5

Face, skeleton and heart.

Question 6

Microtia may need a surgically created _____

Answer 6

Ear canal.

Question 7

If the child has a misshapen head what is the first thing that you need to consider?

Answer 7

Craniosynostosis. .

Question 8

Plan for craniosynostosis

Answer 8

CT/MRI, serial OFC, developmental assessment.
Refe to craniofacial, plastic surgery, neuro or neurosurgery.

Question 9

Positional plagiocephaly can lead to?

Answer 9

Strabismus due to eye strain always trying to look over the nose when looking sideways.

Question 10

Bone marrow hypertrophy (a type of microcephaly) can cause _______

Answer 10

Frontal bossing.

Question 11

Plan for hydrocephalus

Answer 11

Refer to Peds or peds neuro, VP shunt.

Question 12

Signs of ICP

Answer 12

Lethargy, vomiting, bulging of fontanelles, abnormal ocular motility.

Question 13

Large or small head - what do you do ?

Answer 13

Re-measure/re-plot
Comprehensive H+P
Measure parents and plot on 20yrs.
Ophthalmology consult
Audiogram
Peds Neuro
Genetics if dysmorphic features.