joint pains in paeds Flashcards
rf for developemental dysplasia of hips
frank breech
family history
first born
female sex
when does developmental dtsplasia occur
less than 3 months it is when the acebaulum doesn adequately cover the femoral head
presentation of DDH
- assymetry at buttock level
- limited leg movement
- uneven skin formation
- limited leg movement
diagnostis of DDH
USS
Barlow and ortholini means
barlow bad push down and Ortholini push dOwn
amanagment of DDH
pavlik harness for three month then surgery if pavlik fails
what is irritable hip
random pain acute onset sometimes felt in thigh or knee indicates underlying transcient synovitis or osteomyeitis or septic artheritis
symptoms of irritable hip
hip pain joint stiffness limp and non weight bearing
irritable hip managment
self limiting amit if broken bown infected joing 2 weeks no better pain bback get wrose
what is kocher criteria
fever, non weight bearing raised ESR and WCC - it is the criteria for septic artreritis
how does a venour hum sound
continuous blowing noise heard below the clavicles
how does a pul flow murmur sound
benign on the upper left sternal border
How does a still murmur sound
LLSE and is low pitched
what does raised conjugated bilrubin indicate
biliary atresia which need surgical intervention
what is characteristic of stills disease and what is it
salmon pink rash - it is a JIA in which ANA is positive and EF is negative
transcient synovitis / irritable hip an acute hip pain associated with viral infection and is the commonest type of hip pain - what is the managment
self limiting so rest and analgesia - he is systemically well and mild effusion is not a sign of infection
guthrie heal prick test
hypothyroidism, PKU, met disease, CF , medium chain acyl co a dehydrogenase deficiency (MCADD)
after birth how many times visit gp for check
only once at 6-8 weeks
moro reflex
disappears at 4 month
grassping
4-5 months
rooting
4 months
stepping reflex
present from 2 months
what causes a slapped cheek appearance
parovirus b19 or ertheme nodosum fifith disease or slapped cheek syndrome
cardinal sign of scarlet fever
after a sore throat/tonsilitis fever malaise and you guessed it STRAWBERRY TONGUE
WHAT IS THE nitrogen wash out test
when the infant is given 100% oxygen for ten minites then abg are done and hypoxia suggests congential heart disease. The test is done to differentiate between cardiac and non cardiac causes of cyanosis
where is pDA heard
under the left clavicle
where does measles start
behind the ears and to the rest of the body
