Peds Ortho and rheumatology Flashcards
1
Q
what is Legg-Calve Perthes Disease
A
blood supply interrupted to the femoral head and causes avascular necrosis
2
Q
s/s of LCPD
A
- limp
- pain or stiffness in the hip
- limited ROM
3
Q
diagnosis of LCPD
A
- Xrays
- MRI if xray inconclusive
4
Q
treatment of LCPD
A
- minimize impact
- PT
- avoid weight bearing
- traction
- casting
5
Q
types of developmental dysplasia of the hip
A
- unstable: hip loose in socket with abnormal movement
- subluxation: partial dislocation
- dislocation: hip completely out of socket
- dysplasia: wide spectrum term ranging from unstable to dysplastic to malformed
6
Q
s/s of DDH
A
- hip clicks
- painless, but exaggerated waddling limp
- trendelenburg
7
Q
diagnosis of DDH
A
- barlow and ortalani
- US under 4mo
- xray older
8
Q
treatment of DDH
A
- 0-6mo: pavlik harness
- 6-18mo: closed reduction and spica casting
- 18mo-6y: closed reduction vs open reduction
- 6y+: no treatment
9
Q
management of positive ortolani vs barlow
A
-ortolani: refer to specialist
-barlow: observe and follow
10
Q
criteria for juvenile idiopathic arthritis
A
chronic arthritis in 1 or more joints for at least 6 weeks
11
Q
presentation of oligoarticular JIA
A
- 4 or fewer joints
- asymmetrical
- mild pain or painless
- associated uveitis
12
Q
presentation of polyarticular JIA
A
- 5 or more joints
- symmetrical
- may or may not have + RF
13
Q
presentation of systemic JIA
A
- high fever
- salmon pink macular rash
- can involve any number of joints
14
Q
presentation of Enthesitis-Associated JIA
A
- inflammation of tendinous insertions
- low back pain or sacroiliitis
15
Q
labs for JIA
A
- some are RF+
- antiCCP
- ANA
- HLAB27
