Paeds 2

Question 1

Blood spot testing

Answer 1

5-9 days

Question 2

Barlows, ortalanis

Answer 2

Barlow’s test (looks for hips that are dislocatable)

Ortolani’s test (identifies hips which are) dislocated

Question 3

Missing testicle - what should you do?

Answer 3

Check 6-8 weeks
Again at 3/12
Refer at 6/12

Question 4

Chondromalacia patellae

Answer 4

Softening of the cartilage of the patella
Common in teenage girls
Characteristically anterior knee pain on walking up and down stairs and rising from prolonged sitting
Usually responds to physiotherapy

Question 5

Osgood-Schlatter disease

tibial apophysitis

Answer 5

Seen in sporty teenagers

Pain, tenderness and swelling over the tibial tubercle

Question 6

Patellar tendonitis

Answer 6

More common in athletic teenage boys
Chronic anterior knee pain that worsens after running
Tender below the patella on examination (at the tendon)

Question 7

Osteochondritis dissecans

Answer 7

Pain after exercise
Intermittent swelling and locking
Small segment of bone begins to separate from its surrounding region due to a lack of blood supply
If still growing tends to heal, if old then surgery