Musculoskeletal Function 2 Flashcards
Osteomyelitis
infection begins w metaphysis w sluggish blood supply
- moves to cortex + periosteum
- most common at 1-12 yo
Osteomyelitis
Education
often needs to stay at home during Tx
-contact school + ask for work to be sent home
septic arthritis
result fr extension of soft tissue infection into synovial space
septic arthritis
what happens to the joint during treatment
joint aspiration
>decompresses the joint while treating infection + preventing spread of infection
Osteogenesis Imperfecta
autosomal dominant genetic connective tissue disorder
Osteogenesis Imperfecta
manfiestations
- frequent fractures
- blue sclera
- x-ray similar to that of a child abuse victim
- weak muscles
- short stature
- hearing loss
Duchenne Muscular Dystrophy [DMD]
most common muscular dystrophy in kids
-x linked gene mutation
Duchenne Muscular Dystrophy [DMD]
prognosis
always terminal
-varying in progression
Duchenne Muscular Dystrophy [DMD]
usually _____ by age 12
usually ___ during adolescence due to ____ + ____
wheelchair bound by 12 yo;
dies during adolescence
>d/t resp or cardiac failure
Child Abuse
one of most common types of violence against children
6 Types of Child Abuse
1 Physical Abuse 2 Physical Neglect 3 Emotional Abuse 4 Emotional Neglect 5 Child Sexual Abuse 6 Munchausen Syndrome by Proxy
Physical Abuse
deliberate maltreatment of another individual that inflicts pain or injury
>may result in permanent or temp disfigurement or even death
Physical Neglect
deliberate withholding of or failure to provide necessary + available resources to kid
Emotional Abuse
shaming, ridiculing, embarassing, + insulting the kid
Emotional Neglect
caretaker’s emotional unavailability to kid
Child Sexual Abuse
exploitation of kid for sexual gratification of an adult
Munchausen Syndrome by. Proxy
fabrication of S/S of health condition in kids to meet abusers own psych need for attention
bruise in child less than 6 months….
suspect abuse
Child Abuse
clinical therapy
- careful hx
- phys examination
Careful Hx of child abuse
- speak w both kids + parents and separately
- involve social worker
Phys Exam of child abuse
- 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
Child Abuse
nursing mgmt
-mandated reporting to CPS
-interview kid + parent separately as well as together
»observe interactions
»interact non-judgmentally
