Peds ortho

Question 1

Risk factor for developmental hip dysplasia?

Answer 1

FIRST born b/c uterus is more cramped, female, breech, oligohydram

Question 2

Asymmetric fat folds in newborn think what?

Answer 2

hip dysplasia

Question 3

Who needs screening for hip?

Answer 3

any breech baby

Females with family history!

Question 4

Slipepd capital femoral epiphysis is 4 STAR

Answer 4

Pinn

Question 5

Legg calve perches is 4 star

What does it look like?

Answer 5

Avascular necrosis.

Affected head looks like melting ice cream

Question 6

Tx of Legge Calve Perthes?

Answer 6

Non weight bearing for extended period of time

Question 7

Duchenne problem?

Answer 7

X linked dystrophin problem

Question 8

History of Duchenne?

Answer 8

2-6 increased clumsiness then weakness and gower maneuver

Question 9

Tx of Duchenne?

Answer 9

Cardiac and resp failure is issue
So ACEi, steroids

PT to help

Flexion contractors happens too

Question 10

7 year old with growth delay and inner thigh pain?

Answer 10

Legg Calve Perthe

Question 11

Treatment of clav fracture in newborn?

Answer 11

none, just look for brachial plexus injury

Question 12

MEdial claviacl efracture?

Answer 12

Figure of 8 starp or arm sling

Question 13

Salter harris 1, 2, 3, 4, 5? NOT HIGH YIELD. Mnemonic?

Answer 13

Oriented with long bone going upward

SALTER:
Separation through physis 1
Above the physis II
Lower to the physis III
Through the epi/meta/physis IV
Erase the physis

Question 14

Rickets issue?

Legs dow what watching them walk?

Answer 14

Low vit D

Bowing of the legs

Question 15

XR in rickets?

Answer 15

Wide phases, bowing of long bones, translucent lines in bones, flat skull, and enlarged costal cartilage

Question 16

Vitamin supplement in breast fed babies?

Answer 16

Vit D

Question 17

Scoliosis tx?

Answer 17

Observe for mild, brace moderate, Surgeery severe b/c can become restrictive lung disease

Question 18

Hip flexed knee flexed gate think what?

Answer 18

Spondylolisthesis

Question 19

Pauciarticular juvenile arthritisN

Answer 19

Not many joints (4 or less)

Uveitis in 30% of cases

Question 20

Polyarticular juvenile arthritis?

Answer 20

5 or more joints.

Growth retardation can heppn

Question 21

Systemic juvenile arthritis looks like what at first?

Answer 21

Symptoms: fever, rash, organomegaly, lymphadenoapthy

Not early arthritis, it looks like leukemia

Question 22

Juvenile idioparthic arthritis tsx?

Answer 22

NSAIDs first

Then methotrexate, steriods, immunomodulators