Misc. Flashcards
Burn ankles
Want to plantar, neutral to extend
What position would a hip be in with a SCFE (Slipped Capital Femoral Epiphysis)
Flexed and external
Burn Hips
Want to flex, abduct, external. Splint straightextension
How do you provoke pain and check for a SCFE
Rotate internal and extend
What is a heliotrope rash
purple on exposed skin, eyes, interphalangeal, fingers
What can C5 SCI do independently
Manual or power wheelchair
What is harder to get, IEP or 504 plan
504 has a much broader definition of disability (for adults and kids), school must remove barriers
Difference Wilson disease and williams
Wilson (copper) bad liver
Williams (friendly with bad heart)
Grade 1 concussion
Confused, no black out, back and good by 15 min
Medications for Dermatomyositis
Sunscreen Topical steroids Ora/IV steroids Methotrexate IVIg Hydroxychloroquine for rash Diltiazem for calcium deposits
What is Klippel-Feil
Carvical Synostosis (self fusion)
Burn elbow
wants to flex and pronate, splint in extension and supinate
What do vertebrae look like with sickle cell
Fish mouth
Name 4 complications of Down
- Hypothyroid
- Congenital Cataracts
- Hip dysplasia
- Atlantoaxial instability
American Academy of Pediatrics guidelines for folic acid supplementation
All woman childbearing 400 mcg
Women w/ spina bifida or prior NTD pregnancy 4 mg/day through 1st trimester
(reduces risk 70%)
High risk (Diabetes and valprioc acid) 4mg/day
How does younger age (before 8) affect the risk of cervical spinal cord injury
Higher at younger age. More elastic spinal ligaments.
What does Helio mean
From Greek, meaning “Sun”, like Helios-Titan God of the Sun
Other clinical features of Nonaccidental Trauma
Retinal Hemorrhage
Bruises
Concussion return to play (Classic)
-One Grade 1, 15 min when clear
2 Grade 1, one week
-One grade 2, 1 week, 2 grade 2 2 weeks
-Grade 3, 1, 2, or 3 weeks
What is the Oberlin procedure
Transfers one or multiple ulnar nerve fascicles to the musculocutaneous nerve as it enters the biceps.
Grade I Intraventricular hemorrhage
Blood lining the ventricles, no spill into
Scale for 1 to3 yo cognition
Bayley
Which glands produce saliva unstimulated (meaning most of the time even without food)
Submandibular and Sublingual
What can C6 SCI do independently
Feed, dress UE, manual and power w/c, drive
Burn anterior neck
Wants to flex, place in extension
Grade 3 concussion
Any black out
What is the treatment for DI
Desmopressin (artificial antidiuretic hormone) = trade DDAVP
What organ to watch in Friedreich’s Ataxi
Heart
Cerebral salt wasting
Low sodium, does not involve hypothalamus-pituitary system. Direct effect of brain on renal tubular function. So it is a direct effect of TBI on kidney function. These patients are dehydrated. Given that fluids and salt
Grade 2 concussion
Confused, no black out, more than 15 min
What is the ADA
Americans with Disabilities Act - 1990
What is the IDEA
Individuals with Disability Education Act
Surgical intervention for Brachial palsy
Commonly recommended for those have less than antigravity in elbow fees at 6 months
What’s worse, TBI or Nonaccidental trauma
Nonaccidental Trauma
Severe TBI
GCS 3-8
PTA over 24 hrs
Duration unconscious 3 mo or less
How to Remember Legg-Calve-Perthes
Legg = A
Calve = V
Perthes = N
Avascular necrosis of the hip in kids
What is the only thing C1-4 SCI can do
Drive a chair
Burn knees
want to flex, extend
When to brace idiopathic scoliosis
20 degrees
Grade IV Intraventricualr hemorrhage
Blood filling the ventricles and spilling out to the surrounding brain
What does DDH stand ford
Developmental Dysplasia of the hip
Grade III Intraventricular hemorrhage
Blood filling the ventricles with swelling
Risk factors for brachial plexus injuries
- increased birth weight
- multiparous mothers
- shoulder dystocia
What is a 504 plan for school
Physical Accommodations based on Section 504 of the Rehabilitation Act of 1973
Where is weakness in Dermatomyositis
Proximal and symmetric
What does the Individual with Disability Education Act do
Provides a free public education for all students with disabilities.
Burn axilla
90 out
Mild TBI
GCS 13-15
PTA less than 1 hr
Duration unconscious max 30 min
Diabetes insipidus after TBI
DI (diabetes insipidus) = deficiency antidiuretic hormone which leads to excessive water loss, high salt, thirsty, and pee too much.
Burn wrist
Wants to flex, splint 20 of extension
Nonaccidental Trauma brain findings
Angular deceleration causing subdural
Cerebral Swelling
Contact injuries (skull fx, scalp hematoma, brain contusions)
Upper cervical injury
Five parts of ADA
- Equal employment
- Any government situation
- Transport
- Telecom
- Misc
What can C7 SCI do independently
Feed, dress UE, bladder, bowel, roll, transfer, wheelchair etc
Why do girls have more Rett
Rett is x-linked, Xq28. If a boy (XY) has it, then he only has the mutated X gene and no female “X” to balance it, so he dies). Girls have one affected X and another not, still very severe but not immediate death
Max Dysport kids
16 u/kg in each limb, cut off around 600 upper or 1000 lowers
SIADH means
Syndrome of of inappropriate antidiuretic hormone. Less pee,low sodium and low serum osmolality
Burns
See chart p 239 Ped Rehab
What is a PPT
Planning and Placement Team
What is SCIWORA
Spinal cord injury without obvious radiographic abnormality
What is Klumpke’s palsy
Involvement of C8 and T1
Brown sequard
Same side paralyzed, no vibration/position
Other side, no pain or temperature
What is Erb’s Palsy
C5 and C6 injury
Meds to avoid in CMT
Meds that can cause nerve damage: Vincristine Cisplatin Isoniazid Nitrofurantoin
Anterior axilla burn
shoulder adduction, 90 abduction
What is an IEP
Individual Education Plan
What is an AED
Anti
Eleptic
Drug
Important tool for infant and toddler development
Beyley
Need info
Bladder capacity one more time
Age + 2 in ounces
Multiple (age + 2) by 30 for ml (because 30 ml = 1 oz)
Brief description of Dermatomyositis
Inflammatory proximal myopathy with hand and skin rash of 5-10 year olds
Which gland produces the majority of saliva with food
Parotid
When to start Ponseti method
7 days (1 week)
Mild TBI
Alteration mental status
GCS 13 or greater
No MRI findings
What is the order of correction in Ponseti method
forefoot adduction, forefoot supination, then equinus
What is the Galeazi
On back Knees flexed Feet on table One leg lower than the other Indicates hip disloc or short femur
Anterior cord
Paralyzed, no pain, no temp
Dorsal ie, posterior no vibe/position
How many months are infants obligate nose breathers
6
Treatment SIADH
Water restriction and replete sodium
ANA positive in Pauciarticular JIA (Junevile Idiopathic Arthritis)
Marker for Uveitis in younger girls
3 days to 4 weeks newborn competence scale
Brazelton
Moderate TBI
GCS 9-12
PTA 24 hrs or less
Duration unconscious max 24 hrs
What happens if you bring sodium levels up too fast
Pontine myelinolysis
What is the hallmark of Systemic JIA
Fever 2x a day (up to 104)
Grade II Intraventricular hemorrhage
Blood into ventricles no swelling
Is Rheumatoid Factor (RF) often positive in JIA
No, less than 10%
Burn anterior neck, risk and prevention
Flexion of neck, extend
Burn Fingers
Want to flex, splint full extension, thumb radial
Burn MCPs
want to flex, splint full extension
Does an IEP legally binding
Yes!
What does AAC stand for
Augmentative and Alternative Communication
How many pregnancies USA neural tube defects (NDT)
3,000
Who gets Legg-Calve-Perthes, boys or girls
Boys 5:1
