Misc. Flashcards by David Feingold

Burn ankles

Want to plantar, neutral to extend

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What position would a hip be in with a SCFE (Slipped Capital Femoral Epiphysis)

Flexed and external

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Burn Hips

Want to flex, abduct, external. Splint straightextension

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How do you provoke pain and check for a SCFE

Rotate internal and extend

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What is a heliotrope rash

purple on exposed skin, eyes, interphalangeal, fingers

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What can C5 SCI do independently

Manual or power wheelchair

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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

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Difference Wilson disease and williams

Wilson (copper) bad liver

Williams (friendly with bad heart)

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Grade 1 concussion

Confused, no black out, back and good by 15 min

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Medications for Dermatomyositis

Sunscreen
Topical steroids
Ora/IV steroids
Methotrexate
IVIg
Hydroxychloroquine for rash
Diltiazem for calcium deposits

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What is Klippel-Feil

Carvical Synostosis (self fusion)

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Burn elbow

wants to flex and pronate, splint in extension and supinate

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What do vertebrae look like with sickle cell

Fish mouth

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Name 4 complications of Down

Hypothyroid
Congenital Cataracts
Hip dysplasia
Atlantoaxial instability

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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

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How does younger age (before 8) affect the risk of cervical spinal cord injury

Higher at younger age. More elastic spinal ligaments.

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What does Helio mean

From Greek, meaning “Sun”, like Helios-Titan God of the Sun

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Other clinical features of Nonaccidental Trauma

Retinal Hemorrhage

Bruises

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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

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What is the Oberlin procedure

Transfers one or multiple ulnar nerve fascicles to the musculocutaneous nerve as it enters the biceps.

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Grade I Intraventricular hemorrhage

Blood lining the ventricles, no spill into

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Scale for 1 to3 yo cognition

Bayley

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Which glands produce saliva unstimulated (meaning most of the time even without food)

Submandibular and Sublingual

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What can C6 SCI do independently

Feed, dress UE, manual and power w/c, drive

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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

1. Equal employment 2. Any government situation 3. Transport 4. Telecom 5. 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

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