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Pediatrics fall 2014 > Peds Emergency kate > Flashcards

Peds Emergency kate Flashcards

0
Q

Cushing’s Triad for vital signs

A

wide pulse pressure
bradycardia
abn resp

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1
Q

neuro status exam should include (4)

A

Glasgow Coma Scale (15/15)
pupils
sucking reflex (infants)
muscle tone

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2
Q

how to decide for CT?

A

PECARN, CHALICE, CATCH

or any substance use

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3
Q

low pressure bleed, associated w/ LOC, lingering symptoms

A

subdural hematoma

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4
Q

subdural hematoma is what kind of bleed

A

venous bleed

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5
Q

CT findings: crescent-shaped, usually in the parietal area, crosses suture lines

A

subdural hematoma

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6
Q

CT finding: elliptical shape, doesn’t cross sutures

A

epidural hematoma

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7
Q

head injury w/ brief LOC –> lucid period –> deterioration

A

epidural hematoma

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8
Q

bleed of parenchymal & subarachnoid vessels

A

subarachnoid hemorrhage

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9
Q

CT: small, dense “slivers” of blood in cisterns, sulci, & fissures. Blood in CSF

A

subarachnoid hemorrhage

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10
Q

blood in CSF?

A

subarachnoid hemorrhage

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11
Q

epiphyseal separation through the physis

A

Salter-Harris I

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12
Q

fracture through a portion of the physis but exiting across the metaphysis

A

salter-harris II

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13
Q

salter-harris mnemonic

A 
Separation
Above
Lower
Thru
Reduction
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14
Q

fracture through the physis but exiting across the epiphysis into the joint

A

salter harris III

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15
Q

fracture through metaphysis, physis, and epiphysis

A

salter harris IV

16
Q

crush injury to the physis

A

salter harris V

17
Q

non-displaced spiral fracture of the tibia. Inability/refusal to walk

A

Toddler’s fx

18
Q

concerns for abuse with which fractures?

A

multiple healed fxs
corner or bucket handle fracture
femur fracture
spiral fracture

19
Q

best exam for osteomyelitis

A

MRI

20
Q

fever, constant worsening joint pain, warm & swollen joint, pain on ROM, won’t voluntarily move joint at all

A

acute septic arthritis

21
Q

difference between acute septic synovitis & transient synovitis

A

TS is inflammatory- no fever, WBC & ESR can be normal

22
Q

Kocher criteria for sepsis

A 
WBC > 12,000
ESR > 40
Fever > 101.3
Non-weight bearing on the affected side
2/4 --> Joint Aspiration
23
Q

Legg-Calve-Perthes disease

A

Idiopathic avascular necrosis of the femoral head

24
Q

SCFE

A

femoral head “slips,” exposes the anterior/superior aspects of the femoral neck

25
Q

acute or subacute knee (referred) or hip pain in an obese male
on imaging, “the ice cream has fallen off the cone”

A

SCFE- surgical emergency

Pediatrics fall 2014 (9 decks)

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