Musculoskeletal Function 2

Question 1

Osteomyelitis

Answer 1

infection begins w metaphysis w sluggish blood supply

• moves to cortex + periosteum
• most common at 1-12 yo

Question 2

Osteomyelitis

Education

Answer 2

often needs to stay at home during Tx

-contact school + ask for work to be sent home

Question 3

septic arthritis

Answer 3

result fr extension of soft tissue infection into synovial space

Question 4

septic arthritis

what happens to the joint during treatment

Answer 4

joint aspiration

>decompresses the joint while treating infection + preventing spread of infection

Question 5

Osteogenesis Imperfecta

Answer 5

autosomal dominant genetic connective tissue disorder

Question 6

Osteogenesis Imperfecta

manfiestations

Answer 6

• frequent fractures
• blue sclera
• x-ray similar to that of a child abuse victim
• weak muscles
• short stature
• hearing loss

Question 7

Duchenne Muscular Dystrophy [DMD]

Answer 7

most common muscular dystrophy in kids

-x linked gene mutation

Question 8

Duchenne Muscular Dystrophy [DMD]

prognosis

Answer 8

always terminal

-varying in progression

Question 9

Duchenne Muscular Dystrophy [DMD]
usually _____ by age 12
usually ___ during adolescence due to ____ + ____

Answer 9

wheelchair bound by 12 yo;
dies during adolescence
>d/t resp or cardiac failure

Question 10

Child Abuse

Answer 10

one of most common types of violence against children

Question 11

6 Types of Child Abuse

Answer 11

1 Physical Abuse
2 Physical Neglect
3 Emotional Abuse
4 Emotional Neglect
5 Child Sexual Abuse
6 Munchausen Syndrome by Proxy

Question 12

Physical Abuse

Answer 12

deliberate maltreatment of another individual that inflicts pain or injury
>may result in permanent or temp disfigurement or even death

Question 13

Physical Neglect

Answer 13

deliberate withholding of or failure to provide necessary + available resources to kid

Question 14

Emotional Abuse

Answer 14

shaming, ridiculing, embarassing, + insulting the kid

Question 15

Emotional Neglect

Answer 15

caretaker’s emotional unavailability to kid

Question 16

Child Sexual Abuse

Answer 16

exploitation of kid for sexual gratification of an adult

Question 17

Munchausen Syndrome by. Proxy

Answer 17

fabrication of S/S of health condition in kids to meet abusers own psych need for attention

Question 18

bruise in child less than 6 months….

Answer 18

suspect abuse

Question 19

Child Abuse

clinical therapy

Answer 19

• careful hx

- phys examination

Question 20

Careful Hx of child abuse

Answer 20

• speak w both kids + parents and separately

- involve social worker

Question 21

Phys Exam of child abuse

Answer 21

• esp look for bruing in butts, ab, back, + shape of objects
• burns w sharp demarcation or in shape of objects
• *** any bruise in less than 6mos is suspicious

Question 22

Child Abuse

nursing mgmt

Answer 22

-mandated reporting to CPS
-interview kid + parent separately as well as together
»observe interactions
»interact non-judgmentally