MSK, ER, Optho, ENT Flashcards
Scoliosis requiring bracing
`25-45 DEGREES
kyphosis
hump back
Imaging for Developmental Dysplasia
U/S if <4-6 months
Xray if >6 months
myositis ossificans
extraskeletal ossification after soft tissue injury
differentiate from malignant mass based on separation from bone tissue
Legg-Calve-Perthes disease
avascular necrosis of femoral head
ratty appearance on imaging
Klippel-Feil Syndrome
congential fusion of cervical vertebrae
posterior hairline
Femoral Anteversion
most resolve by 11
most comfortable sitting in W position
Metataraus Adductus
intoeing at birth caused by intrauterine crowding
usually resolves by 1 year
tennis elbow
lateral epicondylitis
osteochondritis dissecans
pain, stiffness, knee giving away
focal area of subchonrdal bone undergoes necrosis
Mechanism for ACL tears
sudden slowing down and pivoting
Lamp Oil Ingestion
= hydrocarbon
observe, CXR at 6 hours (pneumonitis)
TCA overdose, give
Sodium Bicarb
Retinal hemorrhages from birth resolve in
2-6 weeks
Ingestion associated with tongue thrusting, neck spasms, oculogyric crisis
phenothiazine or other anti-psychotic
Treatment for Salicylate Poisinoing
Sodium Bicarb for alkalinzation
Five Stages of Iron Poisoning
GI Stabliziation Systemic Toxicity Hepatic Toxicity GI/Pyloric Scarring
Organophosphate poisoning, symptoms
cholinergic
DUMBELS: diarrhea, urination, miosis, bronchospasm, emesis, lacrimation, salivation
Salter Harris Type 1-3
1: straight across
2: above
3: lower
Salter Harris Type 4
Two or Through (through metaphysis, epiphysis, diaphysis)
Salter Harris Type 5
Rammed Together (crush injury)
Ottawa Ankle Criteria for Children
Unable to ambulate
palpation to distal posterior 6cm of either malleolus
5th meta-tarsal and navicular bone
HAGMA + visual complaints
methanol
Bannayan-Riley-Ruvalcaba syndrome
pigemented penile lesions
pTEN
unrelenting pruritis + normal GGT in infants
progressive familial intrahepatic cholestasis type 1
BP goals for kids under 10 in shock
systolic = 70 + age x 2
blue footballs
Xanax
When to use Rule of 9s
14 and older
Spider bite with hemorrhagic vesicle and transformation to eschar
Brown Recluse
Spider bite with pain, at and away from site + cramping
Black Widow
Complication of sodium bicarb for urine alkalanization
hypokalemia
Midline mass associated with ectopic thyroid
thyroglossal duct cyst
Chronic SOM time frame
> 6 weeks
Sinusitis Treatment
high dose amox x 10-21 days
Hyphema
blood in anterior chamber
Acute Bacterial Sinusitis in those less than 6
persistent respiratory symptoms for >10 but <30 days
Common Causes of Unilateral Lymphadenitis
Staph or GAS
Colobloma
hole like structure in eye
Lisch Nodule / Harmatoma
yellow-ish brown dome elevations projecting from iris
Chalazion vs Hordeolum
Chalazion - lump
Hordeolum - swollen, pus
triad of infant glaucoma
excessive tearing, photophobia, blepharospasm
Two types of bone cysts
unicameral
aneurysmal
Treatment of unicameral bone cysts
serial plain films, observation, fracture prevention
Treatment of Aneurysmal bone cysts
surgical excision
Hydrocele repair at
1 year
Medications for maladaptive behaviors in ASD
risperidone
Mydriasis - Medications
Eye Dilation, AAS:
Anti-histamines
Anticholinergics (atropine)
Symptathometics: cocaine, LSD, meth
