Rosh cards Flashcards
Absent cremasters reflex is typically ass/w?
Testicular torsion
Testicular torsion is?
Twisting of the spermatic cord leading to lack of blood flow.
What population does Testicular torsion usually occur?
Late childhood to early adolescence
Testicular torsion presents as?
Sudden onset of testicular pain/swelling that is progressively worse.
Testicle will lay horizontally
Pain may radiate into abdomen
+- N/V
Testicular torsion Dx confirmation study?
Doppler U/S
TXT of Testicular torsion is?
Manual detorsion immediately.
W/in 6h Emergent surgery (orchiopexy bilaterally)
Hydrocele is general characteristics?
Oblong non-TTP mass
Pyuria/relief with scrotal elevation is ass/w
Epididymitis
Legg-calve-perthes disease is?
Idiopathic avascular necrosis of proximal femoral epiphysis.
Population of Legg-calve-perthes disease?
4-10yo M>F
Legg-calve-perthes disease presents as?
Unilateral (20% bilateral) hip pain Pain refers to anteromedial thigh/knee gradually Worse w/ activity - Better w/ rest Limp or leg discrepancy may develop LROM of Hip (esp. internal rotation)
Legg-calve-perthes disease is Dx how?
Hip XR (+- may be normal early in Dz process)
Legg-calve-perthes disease XR may show?
Smaller femoral head than unaffected side
Widened joint space = subchondral lucent zone (crescent sign)
Radiodensity - new bone formation at epiphysis
Legg-calve-perthes disease Mgmt?
Non-wgt bearing
Ortho referral
Keep femoral head w/in acetabulum (Splinting/surgery)
Osgood-Schlatter syndrome presents as?
TTP at tibial tiberosity - insertion of patellar tendon