Peds Ortho OME

Question 1

what is Developmental Dysplasia of the Hip? how do you dx?

Answer 1

click on well-baby exam of a newborn. Dx w/4-6 week follow up reexamination + U/S if still present = put kid in harness

Question 2

Legg-Calve-Perthe Disease

tx?

Answer 2

~6yoa, avascular necrosis of the hip = insidious onset, knee pain, antalgic gait.

dx: xray and tx w/cast

Question 3

Slipped Capital Femoral Epiphysis

Answer 3

adolescent who is obese or under going a growth spirt

Question 4

dx of Slipped Capital Femoral Epiphysis

Answer 4

xray

Question 5

tx of Slipped Capital Femoral Epiphysis

Answer 5

surgery to fix

Question 6

Septic Hip

dx? tx?

Answer 6

any age group with previous or current febrile illness who is now complaining of joint pain

dx: xray then aspiration/culture
tx: abx + drain

Question 7

Transient Synovitis

what will you see on xray?
tx?

Answer 7

synovial inflammation seen up to 4 weeks after URI or GI viral illness, no fever, no leukocytosis, decreased inflammatory markers, Xray looks normal

tx: supportive

Question 8

Osgood-Schlatter Disease/Osteochrondrosis

tx?

Answer 8

teenage athletes, painful knee with swelling over the tibial tubercle

tx: 1. play thorugh it = taes a long as time to heal
2. stop & rest and let heal

Question 9

Scoliosis tx?

Answer 9

brace back or if severe do rod placement

Question 10

Bone tumor associated with retinoblastoma?

Answer 10

Osteogenic sarcoma

Question 11

sunburst bone tumor

Answer 11

osteogenic sarcoma

Question 12

onion skin bone tumor

Answer 12

ewings sarcaoma