PEDIATRIC Section 13: MSK (Metabolik_

Question 1

Not enough VIt D

Answer 1

Rickets

Question 2

Answer 2

Fraying + Cupping and irregularity along the physeal margin

Question 3

Kids with rickets have increased risk for?

Answer 3

Slipped Capital Femoral Epyphisis (SCFE)

Question 4

Answer 4

“Rachitic rosary” appearance from expansion of the anterior rib ends at the costochondral junctions.

Question 5

Whay is rickets never seen in a newborn?

Answer 5

Mom’s vitamin D is still doing its thaahng

Question 6

This looks like Rickets in a newborn.

Answer 6

Hypophosphatasia

Question 7

Deficient Serum alkaline phosphatase =

Answer 7

Hypophosphatasia

Question 8

Not enogh Vit C

Answer 8

Scurvy

Question 9

Scurvy Does NOT occur in this age group:

Answer 9

Before 6 months

Question 10

> 6 months + Bleeding d/o + SUbperiosteal hemorrhage + Hemarthrosis + Scobutic rosary

Answer 10

Scurvy

Question 11

“Scorbutic rosary”

Answer 11

Scurvy

Question 12

This is most commonly seen in kids less than two who eat paint chips.

Answer 12

Lead poisoning

Question 13

Classic finding in Lead Poisoning?

Answer 13

The classic finding is a wide sclerotic metaphyseal line (lead line), in an area of rapid growth (knee). It will not spare the fibula (as a normal variant line might).

Question 14

Answer 14

“Lead poisoning”

Wide sclerotic metaphyseal line (lead line), in an area of rapid growth (knee). It will not spare the fibula (as a normal variant line might).

Question 15

Dx and DD?

Answer 15

Lucent Metaphyseal Bands

• Leukemia
• Infection (TORCH)
• Neuroblastoma Mets
• Endocrine (rickets, Scurvy)