Pediatric Musculoskeletal Disorders Flashcards

1
Q

s/s of compartment syndrome

A

pain, pulselessness, pallor, paresthesia, paralysis, pressure

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2
Q

tx of compartment syndrome

A

cast removal, ice, steroids, fasciotomy

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3
Q

traction considerations

A

let weights hang freely, neurovascular assessments, pin sites for infection

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4
Q

s/s of osteogenesis imperfecta

A

blue sclera, hearing loss, frequent bone breakage

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5
Q

interventions for osteo imperfecta

A

get help for cares, no weight bearing, PT/OT

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6
Q

pamidronate

A

bisphosphonate, increased bone density, prevents fractures

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7
Q

complications of osteo imperfecta

A

contractures, muscle weakness, malalignment

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8
Q

s/s of Legg-Calve-Perthes

A

limp, hip pain, limited ROM, one leg shorter than other

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9
Q

interventions for Legg-Calve-Perthes

A

NSAIDs, rest & bracing if under 6, surgery if over 6, non weight bearing activities

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10
Q

scoliosis screening

A

10-12 for girls, 13-14 for boys

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11
Q

tx for scoliosis under 20 degrees

A

none

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12
Q

tx for scoliosis 20-39 degrees

A

flexible bracing - pt must be compliant

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13
Q

tx for scoliosis over 40 degrees

A

surgery, infection risk

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14
Q

s/s of JIA

A

joint inflammation and pain, stiffness/soreness worst in morning, fever, rash, eye inflammation in exacerbations

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15
Q

labs for JIA

A

ANA titer, rheumatoid factor, ESR, WBC

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16
Q

interventions for JIA

A

warm compresses, ROM exercises, low impact exercise, discourage rest

17
Q

maintenance JIA meds

A

DMARDs - methotrexate, sulfasalazine
TNF factors - infliximab, adalimumab

18
Q

exacerbation JIA meds

A

NSAIDs, steroids

19
Q

NSAID considerations

A

take with food, monitor renal fx, risk of ulcers/GI bleeding

20
Q

how is muscular dystrophy diagnosed

A

absence of protein dystrophin

21
Q

first signs of muscular dystrophy

A

difficulty running, climbing stairs, riding a bike

22
Q

Gower’s sign

A

rises from the floor slowly, braces themselves, indicates MD

23
Q

goals of MD

A

lessen strain on muscles, prevent constipation, contractures, atelectasis, pneumonia, skin breakdown, DVT, UTIs, etc.

24
Q

Greenstick fracture

A

doesn’t fully snap, since pediatric bones are soft

25
Q

interventions for fractures

A

immobilize, ice, pain meds, neurovascular assessment