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Pediatrics I - OSCE > Floppy Infant > Flashcards

Floppy Infant Flashcards

1
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2
Q

Def of Floppy Infant

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3
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Etiology of Floppy Infant

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4
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Etiology of Floppy Infant

  • Central
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5
Q

Etiology of Central “Cerebral” Floppy Infant

  • Congenital
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6
Q

Etiology of Central “Cerebral” Floppy Infant

  • Traumatic
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7
Q

Etiology of Central “Cerebral” Floppy Infant

  • Infection
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8
Q

Etiology of Central “Cerebral” Floppy Infant

  • Chromosomal
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9
Q

Etiology of Central “Cerebral” Floppy Infant

  • Metabolic
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10
Q

Etiology of Central “Cerebral” Floppy Infant

  • Drugs
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11
Q

Etiology of Floppy Infant

  • Peripheral
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12
Q

Etiology of Peripheral Floppy Infant

  • AHCs
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13
Q

Etiology of Peripheral Floppy Infant

  • Peripheral Nerves
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14
Q

Etiology of Peripheral Floppy Infant

  • NMJ
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15
Q

Etiology of Peripheral Floppy Infant

  • Muscle
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16
Q

Etiology of Peripheral Floppy Infant

  • Others
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17
Q

Etiology of Floppy Infant

  • Most Common Causes in each category
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18
Q

CP of Werdnig-Hoffman Disease (SMA I)

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19
Q

CP of Atonic Cerebral Palsy

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20
Q

Which Sign is specific for Atonic Cerebral Palsy?

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21
Q

CP of Floppy Infant

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22
Q

CP of Floppy Infant

  • Abnormal Posture
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23
Q

CP of Floppy Infant

  • Frog-Leg Position
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24
Q

CP of Floppy Infant

  • Rag-Doll position
25
Q

CP of Floppy Infant

  • Abnormal Movements
26
Q

CP of Floppy Infant

  • Pull to Sit Maneuver (Traction response)
27
Q

CP of Floppy Infant

  • Vertical Suspension???
28
Q

CP of Floppy Infant

  • Scarf Sign
29
Q

CP of Floppy Infant

  • Heel to Ear Test
30
Q

CP of Floppy Infant

  • Hamstring Test
31
Q

Local Examination in Floppy Infant

32
Q

Local Examination in Floppy Infant

  • Muscle Power
  • Deep Reflexes
  • Fasiculations
33
Q

Compare Between Central Causes & Peripheral Causes of floppy Infant in Terms of:

  • Muscle State
  • muscle Power
  • Deep Reflexes
  • Pantar Reflexes
  • Features
34
Q

Clues to Specific Cause of Floppy Infant

35
Q

Clues to Specific Cause of Floppy Infant

  • Hepatosplenomegay
36
Q

Clues to Specific Cause of Floppy Infant

  • Renal cysts, high forehead, wide fontanelles
37
Q

Clues to Specific Cause of Floppy Infant

  • Hepatomefaly, Retinitis Pigmentosa
38
Q

Clues to Specific Cause of Floppy Infant

  • Abnormal Odour
A

Metabolic Disorders

39
Q

Clues to Specific Cause of Floppy Infant

  • Hypopigmentation, Undesended Testes
A

Prader Wili Syndrome

40
Q

Clues to Specific Cause of Floppy Infant

  • Examination of the mother
A
  • Congenital myotonic dystrophy
  • Myasthenia gravis
41
Q

From x & Examination if you found:
* Hypotonia + a degree of strength —-> …….
* Hypotonia + weakness ——> ………

A
  • Central cause is most likely
  • Peripheral cause is possible
42
Q

Investigations for Floppy Infant

A

Investigations for:

  • Central Causes
  • Peripheral Causes
43
Q

Investigations for Central Causes of Floppy Infant

44
Q

Investigations for Central Causes of Floppy Infant

  • Neuroimaging
A
  • Ultrasound scan in the first instance
  • MRI for structural abnormality
  • EEG: if seizures suspected
45
Q

Investigations for Central Causes of Floppy Infant

  • Genetic
46
Q

Investigations for Central Causes of Floppy Infant

  • STORCH
47
Q

Investigations for Central Causes of Floppy Infant

  • DNA Methylation Studies or FISH
48
Q

Investigations for Central Causes of Floppy Infant

  • Metabolic Workup
49
Q

Investigations for Peripheral Causes of Floppy Infant

  • Peripheral Causes
50
Q

Investigations for Peripheral Causes of Floppy Infant

  • Molecular Genetics
51
Q

Investigations for Peripheral Causes of Floppy Infant

  • Creatine Kinase
52
Q

Investigations for Peripheral Causes of Floppy Infant

  • NCS
53
Q

Investigations for Peripheral Causes of Floppy Infant

  • Muscle Bx
54
Q

Managment of Floppy Infant

55
Q

Managment of Floppy Infant

  • Main Line
56
Q

Managment of Floppy Infant

  • Physiotherapy
57
Q

Managment of Floppy Infant

  • Occupational Therapy
58
Q

Managment of Floppy Infant

  • Orthopedic therapy
59
Q

Managment of Floppy Infant

  • Chest Infections
  • Feeding
  • During Anasthetia
  • Genetic Counseling

Pediatrics I - OSCE (20 decks)

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