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Manama > Pediatrie > Flashcards

Pediatrie Flashcards

1
Q

Classificatie spasticiteit

A

Modified Ashword: traag en normale snelheid
Tarideu: normale en snelle snelheid

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2
Q

Rossolimo reflex

A

Rossolimo’s sign is a clinical sign in which percussion of the tips of the toes causes an exaggerated flexion of the toes.

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3
Q

Classificatie Osteogenesis imperfecta

A

Sillence classificatie

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4
Q

Metafysaire chondrodysplasie: 3 soorten

A

Mc Kusick
Jansen
Schmid

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5
Q

Classificatie preaxial polydactyly

A

Wassel classification

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6
Q

Chirurgie preaxial polydactyly wassel 2

A

Bilhaut Clocquet procedure

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7
Q

Charcot marie tooth inheritance

A

Type 1 en 2: AD
Ook AR en X-linked
Chromosoom 17

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8
Q

syringomyelia

A

a syrinx (fluid filled cavity) within the spinal cord that progressively expands and leads to neurologic deficits

craniocervical junction abnormalities

spinal cord trauma

spinal cord tumors

post-infectious (e.g. meningitis)

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9
Q

Klippel-Feil Syndrome (KFS)

A

is a rare congenital condition caused by failure of normal segmentation or formation of cervical somites during embryological development that leads to abnormalities in multiple cervical segments.
Diagnosis is made from physical examination, medical history and imaging findings including congenital fusion of 2 or more cervical vertebrae.

Congenital scoliosis and sprengel deformity

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10
Q

Welke brace bij scoliose?

A

Boston brace: Apex onder T8
Milwaukee brace: Apex boven T8

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11
Q

Criteria Neurofibromatose

A

Two or more:
- six or more café-au-lait macules over 5 mm in greatest diameter in prepubertal individuals and over 15 mm in postpubertal individuals.
- two or more neurofibromas of any type or one plexiform neurofibroma.
- freckling in the axillary or inguinal region.
- optic glioma.
- two or more Lisch nodules (iris hamartomas).
- a distinctive osseous lesion such as sphenoid dysplasia or thinning of long bone cortex with or without pseudarthrosis.
- a first-degree relative (parent, sibling, or offspring) with NF-1

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12
Q

Anteromedial tibia bowing

A

Fibulaire hemimellie (longitudinal deficiency of fibula)

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13
Q

Baumann angle

A

Radio-capitellaire hoek. Voor opvolging van supracondylaire humerusfractuur bij kinderen => cubitus varus? 64-81°

R/ Closing wedge valgiserende osteotomie

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14
Q

Gen therapie SMA

A

Nusinersen - intrathecaal gentherapie - Stimuleert productie van SMN2

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15
Q

Chorea

A

Onbedoelde, niet ritmische bewegingen, snel, schokkerig

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16
Q

Athetose

A

Langzaam onwillekeurige bewegingen

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17
Q

Dystonie

A

Continue of repitieve spiercontracties

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18
Q

Baclofen

A

Gaba agonist - vermindert excitatie op ruggenmergniveau

19
Q

Catabole status

A

Keto-acidose, hypoglycemie, hypokaliemie

20
Q

Ludloff approach

A

Tussen pectineus lateraal en adductor longus en brevis mediaal

21
Q

Classificatie voor CP patiënten bovenste lidmaat

A

House classification (9 graden)

22
Q

Zancolli classificatie

A

Bij CP: De Zancolli classificatie beschrijft een aantal patronen van de mate van actieve strekking van pols en vingers.

23
Q

Green&Banks peestransfer

A

FCU naar ECRB

  • Vermindering polsflexie/pronatie/deviatie
  • Augmentatie polsextensie
  • Actieve supinatie
24
Q

Volkmann angle

A

Bij CP: Assessing a wrist flexion contracture is done by extending all the fingers with the wrist in maximal flexion, then extending the wrist. The degree to which the wrist cannot fully extend is the Volkmann angle.

25
Q

Vroege neonatale reflexen

A

De Moro reactie
Assymetrische Tonische NekReflex
Tonische Labyrinth Reflex: With this reflex, tilting the head back (extension) while lying on the stomach causes the back to stiffen and even arch backwards, the legs to straighten, stiffen, and push together, the toes to point, the arms to straighten (not bend at the elbows and wrists, and the hands to become fisted or the fingers to curl).

26
Q

Cozen fractuur

A

Proximale metafysaire tibia fractuur. Opvolgen genu valgus.

27
Q

Open hemiepiphysiodese met botblokje

A

Phemistet

28
Q

Chiari osteotomy

A

Osteotomy starts above the acetabulum to the sciatic notch and ileum is shifted lateral beyond the edge of the acetabulum
Depends on fibrocartilage
metaplasia for successful results

29
Q

Salter osteotomy

A

Single transverse cut above the acetabulum through the ilium to sciatic notch
Acetabulum hinges through the pubic symphysis

30
Q

Pao Ganz osteotomy

A

Involves multiple osteotomies in the pubis, ilium, and ischium near the acetabulum
Allows for improved 3D correction of the acetabulum configuration
Technically the most challenging
Posterior column and pelvic ring remain intact
Patients are allowed to weight bear early

31
Q

Dega osteotomy

A

Osteotomy from acetabular roof to triradiate cartilage (incomplete cuts through pericapsular portion of the innominate bone)
Acetabulum hinges through the triradiate cartilage
Does not enter the sciatic notch and is therefore stable and does not need internal fixation

32
Q

Classificaties LCP

A
  • Waldenstrom: evolutie tijd
  • Herring: laterale pijler
  • Conway-Diaz: serial pin hole botscan
33
Q

Skew foot

A

Valgus achtervoet
Adductie voorvoet

34
Q

Amyoplasie

A

Arthrogryposis multiplex congenita

(Ander type is “distal arthrogryposis syndrome” en “larsen syndrome”)

35
Q

Chromosoom CMT

A

Chromosoom 17

36
Q

Chromosoom SMA

A

Chromosoom 5q

37
Q

Classifactie functioneel spina bifida

A

Rancho classifiactie

38
Q

Twister cables

A

Opvangen rotationele deformiteiten bij MMC

39
Q

Sharrard procedure

A

Bij MMC heup stabilisatie. Psoas transfer => flexor wordt extensor.
Psoas door ilium window.

40
Q

Glucose synoviaal vocht bij septische artritis

A

50mg minder dan serum glucose level

41
Q

Behandelinh septische artritis

A

Ceftriaxone + Clindamycine

42
Q

Inhalatie anaesthetica DMD

A

RYR1 related congenital myopathy: rhabdomyolyse + hyperthermie

43
Q

DMD gentherapie

A

Exin skipping

Manama (11 decks)

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