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