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Y4R1 - Pediatrics I 👶 > L2: Floppy Infant > Flashcards

L2: Floppy Infant Flashcards

1
Q

Def of Floppy Infant

A
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2
Q

Etiology of Floppy Infant

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3
Q

Etiology of Floppy Infant

  • Central
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4
Q

Etiology of Central “Cerebral” Floppy Infant

  • Congenital
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5
Q

Etiology of Central “Cerebral” Floppy Infant

  • Traumatic
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6
Q

Etiology of Central “Cerebral” Floppy Infant

  • Infection
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7
Q

Etiology of Central “Cerebral” Floppy Infant

  • Chromosomal
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8
Q

Etiology of Central “Cerebral” Floppy Infant

  • Metabolic
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9
Q

Etiology of Central “Cerebral” Floppy Infant

  • Drugs
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10
Q

Etiology of Floppy Infant

  • Peripheral
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11
Q

Etiology of Peripheral Floppy Infant

  • AHCs
A
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12
Q

Etiology of Peripheral Floppy Infant

  • Peripheral Nerves
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13
Q

Etiology of Peripheral Floppy Infant

  • NMJ
A
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14
Q

Etiology of Peripheral Floppy Infant

  • Muscle
A
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15
Q

Etiology of Peripheral Floppy Infant

  • Others
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16
Q

Etiology of Floppy Infant

  • Most Common Causes in each category
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17
Q

Types of SMA

  • Age
  • Inheritance
  • CP
  • Progression
A
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18
Q

Another Name of SMA I

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19
Q

Etiology of Werdnig-Hoffman Disease (SMA I)

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20
Q

CP of Werdnig-Hoffman Disease (SMA I)

A
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21
Q

CP of Atonic Cerebral Palsy

A
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22
Q

Which Sign is specific for Atonic Cerebral Palsy?

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23
Q

CP of Infantile Botulism

A
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24
Q

Dx of Infantile Botulism

A
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25
Q

Def of Myasthenia Gravis

A
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26
Q

Pathophysiology of Myasthenia Gravis

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27
Q

Types of Myasthenia Gravis

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28
Q

Etiology of Transient Myasthenia

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29
Q

CP of Transient Myasthenia

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30
Q

TTT of Transient Myasthenia

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31
Q

Etiology of Congenital Myasthenia

A
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32
Q

CP of Congenital Myasthenia

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33
Q

TTT of Congenital Myasthenia

A
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34
Q

Etiology of Congenital Myopathies

A
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35
Q

CP of Congenital Myopathies

A
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36
Q

Dx of Congenital Myopathies

A
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37
Q

Nemaline myopathy is the most common variant & often associated with feeding problems

A
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38
Q

Muscular Dystrophy

A
39
Q

CP of Muscular Dystrophy

A
40
Q

Muscular Dystrophy

  • Examination of Mother’s Face
A
41
Q

CP of Floppy Infant

A
42
Q

CP of Floppy Infant

  • Abnormal Posture
A
43
Q

CP of Floppy Infant

  • Frog-Leg Position
A
44
Q

CP of Floppy Infant

  • Rag-Doll position
A
45
Q

CP of Floppy Infant

  • Abnormal Movements
A
46
Q

CP of Floppy Infant

  • Pull to Sit Maneuver (Traction response)
A
47
Q

CP of Floppy Infant

  • Vertical Suspension???
A
48
Q

CP of Floppy Infant

  • Scarf Sign
A
49
Q

CP of Floppy Infant

  • Heel to Ear Test
A
50
Q

CP of Floppy Infant

  • Hamstring Test
A
51
Q

Dx of Floppy Infant

A
52
Q

Dx of Floppy Infant

  • What items of history to focus on?
A
53
Q

Dx of Floppy Infant

  • Family Hx
A
54
Q

Dx of Floppy Infant

  • Maternal Hx
A
55
Q

Dx of Floppy Infant

  • Hx of Pregnancy & Delivery
A
56
Q

Dx of Floppy Infant

  • Hx Since Deivery
A
57
Q

Dx of Floppy Infant

  • Items of Examination
A
58
Q

Dx of Floppy Infant

  • Identification of Hypotonia
A
59
Q

Dx of Floppy Infant

  • General Examination
A
60
Q

General Examination in Floppy Infant

  • Pectus Excavatum
A
61
Q

General Examination in Floppy Infant

  • Hip Dislocation & Multiple Contractures
A
62
Q

General Examination in Floppy Infant

  • Cry
A
63
Q

General Examination in Floppy Infant

  • MR
A
64
Q

Local Examination in Floppy Infant

A
65
Q

Local Examination in Floppy Infant

  • Muscle Power
  • Deep Reflexes
  • Fasiculations
A
66
Q

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

  • Muscle State
  • muscle Power
  • Deep Reflexes
  • Pantar Reflexes
  • Features
A
67
Q

Clues to Specific Cause of Floppy Infant

A
68
Q

Clues to Specific Cause of Floppy Infant

  • Hepatosplenomegay
A
69
Q

Clues to Specific Cause of Floppy Infant

  • Renal cysts, high forehead, wide fontanelles
A
70
Q

Clues to Specific Cause of Floppy Infant

  • Hepatomefaly, Retinitis Pigmentosa
A
71
Q

Clues to Specific Cause of Floppy Infant

  • Abnormal Odour
A

Metabolic Disorders

72
Q

Clues to Specific Cause of Floppy Infant

  • Hypopigmentation, Undesended Testes
A

Prader Wili Syndrome

73
Q

Clues to Specific Cause of Floppy Infant

  • Examination of the mother
A
  • Congenital myotonic dystrophy
  • Myasthenia gravis
74
Q

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

A
  • Central cause is most likely
  • Peripheral cause is possible
75
Q

Investigations for Floppy Infant

A

Investigations for:

  • Central Causes
  • Peripheral Causes
76
Q

Investigations for Central Causes of Floppy Infant

A
77
Q

Investigations for Central Causes of Floppy Infant

  • Neuroimaging
A
  • Ultrasound scan in the first instance
  • MRI for structural abnormality
  • EEG: if seizures suspected
78
Q

Investigations for Central Causes of Floppy Infant

  • Genetic
A
79
Q

Investigations for Central Causes of Floppy Infant

  • STORCH
A
80
Q

Investigations for Central Causes of Floppy Infant

  • DNA Methylation Studies or FISH
A
81
Q

Investigations for Central Causes of Floppy Infant

  • Metabolic Workup
A
82
Q

Investigations for Peripheral Causes of Floppy Infant

  • Peripheral Causes
A
83
Q

Investigations for Peripheral Causes of Floppy Infant

  • Molecular Genetics
A
84
Q

Investigations for Peripheral Causes of Floppy Infant

  • Creatine Kinase
A
85
Q

Investigations for Peripheral Causes of Floppy Infant

  • NCS
A
86
Q

Investigations for Peripheral Causes of Floppy Infant

  • Muscle Bx
A
87
Q

Managment of Floppy Infant

A
88
Q

Managment of Floppy Infant

  • Main Line
A
89
Q

Managment of Floppy Infant

  • Physiotherapy
A
90
Q

Managment of Floppy Infant

  • Occupational Therapy
A
91
Q

Managment of Floppy Infant

  • Orthopedic therapy
A
92
Q

Managment of Floppy Infant

  • Chest Infections
  • Feeding
  • During Anasthetia
  • Genetic Counseling
A
93
Q

Algorithm for managment of Floppy Infant

A

Y4R1 - Pediatrics I 👶 (28 decks)

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