Pitcher CCP

Question 1

when do kids walk

Answer 1

12-15mo

Question 2

coordiation w. arm swing

Answer 2

2 yrs

Question 3

adult pattern gait

Answer 3

7-10yrs

myelinization in cephalocaudal pattern

Question 4

Developmental hip dysplasia

Answer 4

NEWBORN-4yrs
femoral head that does not fit
L hip more common

Females are more common!!!
test w. Barlow or Ortolani

genetic component, anything causing crowding of the fetus—large birth, oligohydraminos; female, first born, breech (esp. feet up)

Question 5

Toddler’s fracture

Answer 5

Spiral fracture of tibia under age of 5 years
from sudden twisting of tibia
pain, refusal to walk, minor swelling, tender

long leg cast

Question 6

Physeal fracture

Answer 6

Growth plate injuries are fractures
Age: 0-16 yrs girls; 0-18 yrs boys
Weakest area of growing bone
Boys>girls 
**Salater--Harris

Question 7

Stress fx

Answer 7

small crack in bone
overuse, high impact sports, jumping from high object

2nd/3rd metatarsal most common
Pain that increases w weight bearing

Question 8

Osteomyelitis

Answer 8

Inflammation of bone marrow & adjacent bone
metaphysis of long bone

will have fever, decreased ROM, inflammation,tenderness
need IV Abx

staph a in pt w/ heme spread

Question 9

Septic arthritis

Answer 9

infection w/in joint space

all ages, bacterial or viral or fungal

intense synovitis

monoarticular erythema

knee is most common

IV/PO Abx

Question 10

Toxic/Transient synovitis

Answer 10

**HIP PAIN POST INFECTION
acute hip pain w/ dec ROM
effusion w/in acetabulum

hip held in flexion/abd/ER

0-10yrs

dx of exclusion

self-limiting

Question 11

Legg-Calve-Perthes disease (LCP)

Answer 11

idiopathic osteonecrosis of the femoral head

collapse and flattening of the femoral head

blood supply will eventually return

limp, knee pain, thigh pain, limited ROM, LLD

boys (thin and active)

Question 12

Slipped capital femoral epiphysis

Answer 12

Noninflammatory condition; femoral head displaced from femoral neck

usually b/l

OW boys, superior sheer, may have hx of minor trauma

assc w/ hypothyroid or low GH

insidious onset

Question 13

Juevnile idiopathic arthritis

Answer 13

Chronic joint pain for min. of 6 wks & age onset <16 yrs

joint effusion, pain, limited ROM, warmth over the joint
***Morning Stiffnes
aspirate of WBCs w/o overlying infection

Question 14

Lyme arthritis

Answer 14

2nd MC presenting sx
months-yrs after infection
monoarthropathy of knee

IV/PO Abx, NSAIDs

Question 15

GC arhritis

Answer 15

Septic arthritis of joing d/t GC

10-18yos (sexually active)

aspirate and give IV/PO abx

Question 16

Growing pains

Answer 16

intermittent noarticualr pains of childhood

NOCTURNAL, calf, shin, thigh

pain free during day

use heat, massage, analgesics