Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Year 2 PCM IV midterm > MSK CCP 4? > Flashcards

MSK CCP 4? Flashcards

1
Q

important componenets of Hx for limping child

A

age
pain or weakness
trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

PE for limping child

A

gait- barefoot
inspection- abdomen, pelvis, back and extremities
palpation ROM
Neurovascular- strength, sensation, DTRs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

at what age should a child walk without support

A

12-15 mo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

at what age should a chile have reciprocal arm swing with gain

A

2 yeras

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

the neuro growth coordination balance of a child has to do with what process

A

myelinization in cephalocaudal pattern

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

when do children gain the adult gait pattern

A

8-10 yrs old

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is the stance phase

A

weight bearing phase of walking

heel strike to toe off

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is the swing phase of walking

A

toe off to heel strike

rotation and tiliting of pelvis and stability lumbar spine and abomen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are the 5 key maneuvers in gait assessment

A 
cadence
stride length
velocity
single limb support time
support base width
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what can cause antalgic gait

A

pain, less time in stance phase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what can cause trendelenburg limp

A

stance phase body sway away from weak hip abductor and swing phase will droop off weak side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what can cause waddling gate

A

b/l hip involvement or neuro

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what can cause stiff leg gait

A

knee extension and circumduction with pelvic elevation on affected side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

causes of toe walking gait

A

habitual or due to muscle contractures, spasticity or puncture wound on heel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

causes of steppage gait

A

difficulties with dorsiflexion

peroneal neuropathies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

causes of stooped gait

A

abdominal pathology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

generalized muscle weakness gait

A

muscular dystrophy or metabolic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

0-4 yr old child limping what could be development or trauma cause

A

hip dysplasia

fracture, wound, sprain, contusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

0-4 yr old limping child

infecitous causes

A

osteomyelitis
septic arthritis
transient/toxic synovitis
discitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

4-10 yr old limping child infectious causes

A

transiet toxic synovitis
septic arthritis
osteomyelitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

inflammatory cause of limping 4-1o year old

A

juvenile idiopathic arthritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

osteochondroses cause of limping child 4-10 years old

A

legg calve perthes disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what neoplasm could cause limping in 4-10 year old

A

leukemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what trauma on ddx for limping child 10-18 yr old

A

slipped capital femoral epiphysis
fracture
sprain
contusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

infectious causes of limping in child 10-18 yrears olf

A

osteomyelitis
septic arthritis
lyme arthritis
gonococcal arthritis

26
Q

microtrauma causing limping in 10-18 year old

A

stress fracture

27
Q

risk factors hip dysplasia

A 
genetic
large birth weight
oligohydramnios
female
first born
breech
28
Q

which hip is more common in hip dysplasia

A

L>R

29
Q

barlow and ortolani, galeazzi sign

A

hip dysplasia

30
Q

toddler with pain, refusal to walk

swelling over tibia and pain with palpation

A

spiral fracture tibia

31
Q

gender more likley to have salter harris fracture

A

boys

32
Q

stress fracture

A

small crack
overuse, high impact
2nd-3rd metatarsal most common

33
Q

where does osteomyelitis infect

A

metaphysis of long bone

34
Q

Tx osteomyelitis

A

IV antibiotics

usually s aureus

35
Q

Sx septic arthritis

A 
monoarticular
erythema
swelling
pain
dec ROM
36
Q

Tx septic arthritis

A

IV or PO antibiotics

37
Q

Tx transient toxic synovitis

A

5-7 days

NSAIDs

38
Q

what is legg calve perthes disease

A

lack of blood flow to femoral head causes collapse

blood supply returns in mo and new bone replaces old

39
Q

Sx legg calve perthes disease

A

limp
pain in knee thigh or groin
limited ROM
leg length discrepency

40
Q

Tx legg calve perthes disease

A

meds/ reduce activity to dec pain

splinting or surgery to keep hip stable

41
Q

What is a slipped catpital femoral epiphysis

A

noninflammatory condition
femoral head displaced from neck
b/l
ages 10-14

42
Q

assoc with slipped capital femoral epiphysis

A

overweight boys shear stress
endocrine disorders
primary hypothyroid and HGH deficiency

43
Q

Sx slipped capital femoral epiphysis

A

insidious, complaing of pain in hip and limp

44
Q

Tx slipped capital femoral epiphysis

A

surgical stabilization

45
Q

joint effusion, pain limited ROM
warmth
morning stiffness
chronic pain for > 6 weeks

A

juvenile idiopathic arthritis

46
Q

growing pains are what

A

Dx by exclusion

47
Q

type of pain in growing pains

A

pain at night and limited to calf thigh or shin

48
Q

what helps growing pains

A

heat, massage, or mild analgesics

49
Q

common causes septic arthritis

A

staph aureus

a beta hemolytic strep

50
Q

common septic arthritis in neonate

A

group B strep, staph

51
Q

common septic arthritis in infant

A

strep, staph, influenza

52
Q

common septic arthritis in child

A

s aureus, strep pneumonia, group A strep

53
Q

sickel cell patient with septic arthritis

A

think about salmonella

54
Q

puncture wound septic arthritis

A

think about pseudomonas

55
Q

What can destory articular cartilage in septic arthritis

A

the leukocytic cytokines TNF a and IL-1

56
Q

at risk for what with septic arthritis

A

avascular necrosis femoral head

57
Q

definitive Dx septic arthritis

A

aspiration and culture

58
Q

Tx for septic arthritis

A

cefotaxime IV
with improvement change to PO
total Tx 4-6 weeks

59
Q

mild slipped capital femoral epiphysis

A

up to 1/3 diameter femoral head

0-30 degrees

60
Q

severe SCFE

A

2/3- all of diameter femoral head

60-90 degrees

61
Q

Tx SCFE

A

non weight bearing until assessed by ortho

62
Q

Tx for SCFE

A

surgical fixation with central screw or gone graft epiphysiodesis

Year 2 PCM IV midterm (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions