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PEDS Rotation > Peds Musculoskeletal > Flashcards

Peds Musculoskeletal Flashcards

1
Q

Slipped Capital Fermoral Epiphysis (SCFE) is?

A

Weak epiphyseal plate of femur –»

Displaces femoral head

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2
Q

Slipped Capital Fermoral Epiphysis (SCFE) presentation?

A

Hip, thigh or knee pain

PAINFUL limp

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3
Q

Slipped Capital Fermoral Epiphysis (SCFE) epidemiology?

A

Boys 10-16 yo

C in black, obese, athlete

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4
Q

Slipped Capital Fermoral Epiphysis (SCFE) imaging findings?

Tx?

A

Posterior medial displacement

Pinning

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5
Q

Osgood-Schlatter Disease is?

A

Tibial tubercle pain and swelling from injury or overuse

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6
Q

Osgood-Schlatter Disease presentation?

A

Anterior knee pain/swelling over tubercle
Relieved with rest
Worse with use

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7
Q

Osgood-Schlatter Disease imaging findings?

A

U normal

P fragmentation of tubercle

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8
Q

Osgood-Schlatter Disease tx?

A

Rest x several months

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9
Q

Legg-Calve-Perthes Disease is?

A

Aseptic necrosis of hip –»
Loss of blood to trabecular bone –»
Collapsed femoral head

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10
Q

Legg-Calve-Perthes Disease presentation?

A

Pain, limp

Loss of internal rotation and abduction

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11
Q

Legg-Calve-Perthes Disease imaging?

A

MRI - TOC

XRay

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12
Q

Legg-Calve-Perthes Disease tx?

A

Protected weight bearing for kids

Alendronate (fosomax)

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13
Q

Salter-Harris Fracture I?

A 
Through epiphyseal (growth) plate
(horizontal thru plate)
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14
Q

Salter-Harris Fracture II?

A

Through epiphysis and metaphysis (above the epi)

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15
Q

Salter-Harris Fracture III?

A

Through epiphysis and articular surface (below the epi)

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16
Q

Salter-Harris Fracture IV?

A

Through metaphysis, epiphysis and articular surface (thru all 3)

17
Q

Salter-Harris Fracture V?

A

Crush of epiphysis

18
Q

Nursemaid Elbow is?

A

Subluxation of radial head

Annular ligament displaced between radial head and capitellum

19
Q

Nursemaid Elbow mechanism of injury?

A

Pulling on up stretched arm

20
Q

Nursemaid Elbow presentation?

A

Protecting arm, flexed elbow with forearm pronated

21
Q

Juvenile Rheumatoid Arthritis types?

A

Systemic
Pauciarticular
Polyarticular

22
Q

Juvenile Rheumatoid Arthritis: Systemic presentation?

A 
High fevers
Myalgias
Polyathralgias
Salmon-pink rash in p.m. w/ fever
Few arthralgias
23
Q

Juvenile Rheumatoid Arthritis: Systemic complications?

A 
Hepatospenomegaly
LAD
Leukocytosis
Pericarditis
Myocarditis
24
Q

Juvenile Rheumatoid Arthritis: Pauciarticular presentation?

A

<5 med or large joints

25
Q

Juvenile Rheumatoid Arthritis: Pauciarticular complications?

A

Uveitis

26
Q

Juvenile Rheumatoid Arthritis: Polyarticular presentation?

A

5+ small or large joints AND

Systemic: low fever, fatigue, RA nodules, anemia

27
Q

Juvenile Rheumatoid Arthritis dx?

A

None specific for JRA

  • RF (+ result at greatest risk for adult RA)
  • anti-CCP
  • ANA
  • ESR
  • CRP
28
Q

Juvenile Rheumatoid Arthritis tx?

A

NSAIDS
Occupational Therapy
Methotrexate
Most resolve

29
Q

Osteosarcoma U seen when?

A

10-20yo during growth spurts

30
Q

Osteosarcoma U seen where?

A

Metaphyses of long bones

U femur

31
Q

Osteosarcoma presentation?

A

Pain

+/- soft tissue mass

32
Q

Osteosarcoma imaging?

A

X-Ray shows:
Codman triangle
Sunburst pattern

33
Q

Muscular Dystrophy caused by?

A

U hereditary loss of dystrophin in kids

34
Q

Muscular Dystrophy presentation?

A

Boys 3-5 yo
Proximal mm weakness
Gower’s sign (use arms to rise from floor)
Lose ability to walk by 12 yo

35
Q

Osteogenesis Imperfecta results from?

A

Collagen dysfxn

36
Q

Osteogenesis Imperfecta presentation?

A

Multiple fractures
Blue sclera
Dental deformities
Deafness

37
Q

Osteogenesis Imperfecta tx?

A

Bisphosphonates (-dronate)

PEDS Rotation (10 decks)

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