orthopedics

Question 1

dysplasia of hip (DOH) workup..

Answer 1

1. find click with maneuvers… can be normal laxity

2. return in 4 weeks if still there u/s

Question 2

DOH tx

Answer 2

harness

Question 3

Legg calve perths aka

Answer 3

AVN of hip

Question 4

gradual onset of limp in kid toddler to 6

Answer 4

legg calve perths

Question 5

leg calve perths dx

Answer 5

xray

Question 6

legg calve perths tx

Answer 6

cast

Question 7

SCFE age typical

Answer 7

13 yr post growth spurt

Question 8

growth spurt
overweight kid
nontraumatic joint pain

Answer 8

frog leg xray

Question 9

SCFE tx

Answer 9

surgery

Question 10

septic joint occurs at __ age

Answer 10

any

Question 11

fever
leukocytosis
high ESR / CRP
non weight bearing

Answer 11

septic jt

Question 12

septic jt dx

Answer 12

arthrocentesis

WBC over 50,000

Question 13

septic jt tx

Answer 13

drain and abx

Question 14

transient synovitis occurs when?

Answer 14

any age

Question 15

hip pain post viral illness cant bear weight

Answer 15

transient synovitis

Question 16

transient synovitis dx

Answer 16

clinical

Question 17

transient synovitis tx

Answer 17

supportive

Question 18

kocher criteria?

Answer 18

used to figure out if need to tap a joint

Question 19

4 points kocher criteria

Answer 19

• NWB on affected side
• ESR over 40
• fever over 38.5
• WBC over 12,000

Question 20

osgood schlatters aka

Answer 20

osteochondrosis

Question 21

teen athletes knee pain and tibial swelling

Answer 21

osgood schlatters

Question 22

osgood schlatters dx

Answer 22

clinial

Question 23

osgood schlatters tx

Answer 23

rest sit it out = cure

work through it nodule on tibia for rest of life both benign

Question 24

adams test

Answer 24

scoliosis dx

confirm with xray

Question 25

tx scoliosis

Answer 25

rods: fast progression
brace: slow progression

Question 26

two main bone tumors

Answer 26

• ewing sarcoma

- osteosarcoma

Question 27

ewing sarcoma caused by…?

Answer 27

translocation 11 22

Question 28

ewing sarcoma found where

Answer 28

midshaft of bone

Question 29

xray: onion skin

Answer 29

ewing sarcoma

Question 30

distal femur lesion

Answer 30

osteosarcoma

Question 31

osteosarcoma correlates with…

Answer 31

rb retinoblastoma gene

Question 32

xray: sunburst

Answer 32

osteosarcoma

Question 33

focal atraumatic bone pain … get xray then what

Answer 33

if lesion get xray get MRI, Bx, then tx resection

Question 34

ORIF for kid anytime there is

Answer 34

• open fracture
• communited fracture
• growth plate involvement even if mild fracture