Peds MSK/ Skin Flashcards
crossed adduction sign
tapping one patella adducts contralateral leg “upper motor neuron”
adrenoleukodystrophy
emotional lability after normall motor and cognitive development around 7 years old X-linked
adrenoleukodystrophy mutation?
mutation in ABCD1 gene that results in defective oxidation of long-chain fatty acids in peroxisomes. Very long-chain fatty acids accumulate in myelin, adrenal glands, and elsewhere. Phenotypes can be milder, with adrenal insufficiency in adrenomyeloneuropathy and spastic paraplegia.
digital amputations strands of tissue attached to hands
amniotic band sequence occurs randomly Tissue strands may also transect head and body
Giant Congenital nevi
greatest risk of malignancy

osgood schlatter name
traction apophysitis
Patellar Tendonitis
repetitive kicking
anterior knee pain at inferior pole of patella
Prepatellar Bursitis
Chronic irritation of anterior knee
pain with direct pressure and superficial swelling
tibial osteomyelitis
bone infection
refusal to bear weight .
Pain does not remit with rest (ddx. Osgood Schlatter)
Patellofemoral syndrome
overuse in runners
knee pain worsens with descending steps or hills
Onset of Duchennes, Beckers, Myotonic

Genetic Inheritence of Duchennes, Beckers, Myotonic

which MD has testicular atrophy
Myotonic
which MD has scoliosis
Duchennes
what is cause of death in Myotonic MD
respiratory or heart failure
unable to release hand after hand shake
think myotonic MD
describe Erysipelas
red, indurated, tender plaque with overlying bullae/vesicles… lympatic streaking
Fever Chills Malaise

Erythema Toxicum Neonatorum
Benign neonatal rash with blanching papules. Numerous eosinophils present

treatment for HSV or Varicella
immediate acyclovir
sandpaper rash following strep
Scarlet Fever
erythema marginatum following strep
rheumatic fever
high fever,
bullous lesions,
painful oral erosions
Stevens-Johnson
Strawberry Hemangioma
Superficial Hemangioma
Strawberry hemangioma tx
B-blockers
purpura fulminans
black hemorrhagic purpuric lesions
fever,
hypotension,
evidence of DIC
purpura fulminans from what
Neisseria or Strep Pneumo
Conjuctivitis
lips
toungue
rash
desquamation of hands and feet
cervical lymphadenopathy
- CRP, Neutrophilia, sterile pyuria, reactive thrombocytosis
Kawasaki
Kawasaki
Conjuctivitis
lips
toungue
rash
desquamation of hands and feet
cervical lymphadenopathy
CRP, Neutrophilia, sterile pyuria, reactive thrombocytosis
hand, foot, mouth
coxsackie
fever,
buccal blisters,
cutaneous lesions on palms and soles
Name and treatment
Coxsackie (hand, foot, mouth)
self-resolves 2-3 days
sandpaper rash
scarlet fever

Ewing Sarcoma
onion skin appearance
osteolytic lesion

osteoid osteoma
central nidus of lucency
pain that is worse at night and releived by NSAIDS

aseptic necrosis of femoral head
complication of Sickle Cell Disease. occlusion of end arteries supplying femoral head, bone necrosis, collapse of periarticular bone and cartilage
Match:
Cafe au lait
Ash leaf
port wine
NF
Tuberous Sclerosis
Sturge Weber
soft palate damage… damage to what vessel
think internal carotid
supracondylar fracture of humerus… worry about what
Brachial artery injury

complication of supracondylar humerous fractures other than artery injury
compartment syndrome
Torticollis dx
get X-ray

equinus positin of foot

talipes equinovarus
what is tx?
when do tx?
Club foot (talipes equinovarus) is a deformity of the foot and ankle that a baby can be born with
Tx. stretching and casting
START TREATMENT IMMEDIATELY

how to tell if rash is fungal
it will have satellite lesions
urticaria
comes and goes
erythema multiforme
what bugs
HSV or
mycoplasma

TEN vs. Steven Johnson
<10% = Steven Johnson
>30% = TEN
image

pustular melanosis

milia
hemangioma over eye

think Sturge Weber
port wine stain
(if on mandible .. could be infiltrating the subglottic area)
parvo rash
spares area around nose and mouth
eczema herpeticum tx
acyclovir

which acne causes scarring
inflammatory
charcots joint
Loss proprioception
Loss pain temp
arthritis
(not really sure about this)
what causes charcots joint
syringomyelia
dec B12
Tabes Dorsalis
Boy with repeat fractures
Osteogenesis imperfecta… type one collagen
high yeild!!
Osteogenesis Imperfecta
Blue Sclera
blue-gray teeth from discolored dentin
hearing loss
recurrent fractures
autosomal dominant
Pectus Excavatum

Marfans or Ehler’s Danlos
Blueberry muffin rash

CMV or Rubella
or… metastatic neuroblastoma maybe
Ospits Sign
pull scab back and it bleeds in Psoriasis
Impetigo tx
Mupriocin