Pediatrics Flash Cards - Case 17 - 4yo refuses walking
Trio of reactive arthritis?
can’t see can’t pee can’t climb a tree
Typical presentation of slipped capital femoral epiphysis?
Most commonly adolescent with months of vague hip or knee symptoms and limp with or without an acute exacerbation.
Legg-Calve-Perthes disease: aka? ususally seen in which group?
avascular necrosis of the capital femoral epiphysis. Most commonly boys 4 to 10yo
ESR is an indirect measurement of elevated … , an acute phase reactant.
fibrinogen
Which is a more specific measure of elevated acute phase reactants: ESR or CRP?
CRP
Most common causative organisms in septic arthritis in pediatrics?
STAPH; STREP (neonate: GBS infant & older: GrpA and Strep pneumo); HIB (if unimmunized); N. GONORRHEA (adolescents)
Pain of transient synovitis usually subsides in … days.
3 to 10 days
How do you diagnose transient synovitis?
Diagnosis of exclusion (r/o reactive arthritis, JIA, septic arthritis, leukemia, trauma, etc.)
How do you treat transient synovitis?
ibuprofen and rest
What is the pediatric dose of ibuprofen? And what is the concentration of ibuprofen oral suspension?
10 mg/kg q6–8 hrs PO (max dose = 40mg/kg/24 hr) || child oral susp = 100 mg/5 mL; infant oral susp = 200mg/5mL; tablets 100mg/ea
What is the pediatric dose of acetaminophen? And what is the concentration of acetaminophen oral suspension? Chewable tabs?
10-15 mg/kg q4-6 PO (Max 5 doses/day) || Oral susp = 160mg/5mL | Chewables = 80mg/tab
SCFE illness script and provocations to try and ilicit dx
Obese pre-pubertal male w/ sudden onset, unilateral hip OR knee pain w/ limited ROM and no erythema or swelling. Try to flex your hip and see if the leg externally rotates.
DX? rash which lasts only a few hours (evanescent) that is also macular and salmon, and high-spiking and appears periodically (once or twice a day)
systemic JIA
Transient synovitis is usually linked to a reccent case of …?…
URI; if the pt has a h/o GI bug, think reactive arthritis
