Pediatric HA LBP

Question 1

single episode of head pain wothout history of previous events

Answer 1

acute headache

Question 2

pattern of head pain separated by symptom- free intervals

Answer 2

acute-recurrent headache most commonly migraine

Question 3

acute-recurrent headach usually migraine superimposed on a chronic-progressive headache

Answer 3

mixed headache

Question 4

two examples of primary headaches

Answer 4

migraine and tension type

Question 5

some causes of secondary headaches

Answer 5

SOL
inflammation
increased ICP

Question 6

what type of headache has a bandlike sensation around the head and is associated with neck and shoulder pain. is also associated with stressfull events

Answer 6

Tension-type primary headaches

Question 7

what could be two causes of infectious back pain in pre-pubertal kids

Answer 7

diskitis

osteomyelitis

Question 8

kids with a diskitis may have pain refered where

Answer 8

hip

Question 9

age range for back pain in kids

Answer 9

greater than 12

Question 10

Gender bias for back pain in children

Answer 10

females

Question 11

what are a few thinks the predispose kids to back pain

Answer 11

previous back injury, sitting at school, carry back packs, familial tendenct

Question 12

what are the top three most common causes of LBP in children

Answer 12

schuermann’s disease
facet tropism
spondylolysis

Question 13

what disease
fatigue and pain in the upper back
exaggerated mid-thoracic kyphosis, cervical and lumbar lordosis and anterior pelvic tilt

Answer 13

Scheuermann’s

Question 14

how do you diagnose Scheuermanns

Answer 14

X-ray: anterior vertebral body wedging, loss of disc height and irregularity of the vertebral end-plates, 3 or more adjacent vertebrae

Question 15

what is the management for scheuermann’s

Answer 15

adjustments and soft tissue therapy
stretch hamstrings and strengthen abdominal msucles

strengthening exercises for back

Question 16

what facet in a facet tropism vertebra that has one in the sagittal plane and one in the coronal plane

Answer 16

avoid the sagittal facet- it is already hypermobile. slides ant and posterior no prob

Question 17

what movements should you avoid when you have a facet tropism in the typical place

Answer 17

avoid hyperextension and rotation of the lumbar spine

Question 18

how does scheuermanns disease present

Answer 18

fatigue and pain in the upper back

exaggerated mid-thoracic kyphosis, vervical and lumbar lordosis and anterior pelvic tilt

Question 19

a kid who cannot quite get comfortable in their seat may have what

Answer 19

scheuermanns disease

Question 20

how does a spondylo present

Answer 20

LBP aggravated by acitivity asymptomatic in some cases,

increased lumbar lordosis, hamstring tightness, gait abnormalities

Question 21

COuld you use a brace for a spondylo?

Answer 21

yes

Question 22

how often in adolescence do you xray a spondy

Answer 22

every 6 months

Question 23

what is the most common cause of back pain seen in the chiropractors office

Answer 23

subluxation

Question 24

infections and neoplasms are common causes of back pain in what age group

Answer 24

less than 4

Question 25

duration of how many weeks is a warning sign for pediatric back pain

Answer 25

greater than 4 weeks

Question 26

Birth trauma with resultant hamatoma formation followed by muscular contracture

Answer 26

Congenital muscular torticollis

Question 27

what is the most common way children get congenital muscular torticollis

Answer 27

Breech or difficult forceps delivery MC

Question 28

up to 20% of children with congenital muscular torticollis have what as well

Answer 28

congenital hip dysplasia

Question 29

infant presentation for Sternomastoid tumor aka Pseudotumor

Answer 29

visible sometimes palable swelling in the SCM painless hard mass appears 2-3 weeks rearly bilateral

Question 30

what is the scm finding with older children with torticolis and pseudotumor

Answer 30

tumor is less discrete | SCM appears thickened and foreshortended along its entire length.

Question 31

what is the standard treatment for torticollis that parents can do

Answer 31

parental physiotherapy 90% respond within one year.

Question 32

premature closure of the lambdoidal suture

Answer 32

synostotic plagiocephaly

Question 33

external pressures on the rapidly developing skull from prolonged exposure to one positionq

Answer 33

nonsynostotic plagiocephaly

Question 34

what is the problem suture palpates WNL ear on flat side appears more anterior ipsilateral forhead protrudes Bald spot on sie of flattening

Answer 34

Position Head deformity

Question 35

``` what is the problem palpable ridge ear on flat side appears more posterior forhead does not protrude no bald spot no sign of external pressure ```

Answer 35

Craniosynostosis