Rosh cards Flashcards

1
Q

Absent cremasters reflex is typically ass/w?

A

Testicular torsion

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2
Q

Testicular torsion is?

A

Twisting of the spermatic cord leading to lack of blood flow.

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3
Q

What population does Testicular torsion usually occur?

A

Late childhood to early adolescence

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4
Q

Testicular torsion presents as?

A

Sudden onset of testicular pain/swelling that is progressively worse.
Testicle will lay horizontally
Pain may radiate into abdomen
+- N/V

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5
Q

Testicular torsion Dx confirmation study?

A

Doppler U/S

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6
Q

TXT of Testicular torsion is?

A

Manual detorsion immediately.

W/in 6h Emergent surgery (orchiopexy bilaterally)

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7
Q

Hydrocele is general characteristics?

A

Oblong non-TTP mass

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8
Q

Pyuria/relief with scrotal elevation is ass/w

A

Epididymitis

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9
Q

Legg-calve-perthes disease is?

A

Idiopathic avascular necrosis of proximal femoral epiphysis.

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10
Q

Population of Legg-calve-perthes disease?

A

4-10yo M>F

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11
Q

Legg-calve-perthes disease presents as?

A
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)
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12
Q

Legg-calve-perthes disease is Dx how?

A

Hip XR (+- may be normal early in Dz process)

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13
Q

Legg-calve-perthes disease XR may show?

A

Smaller femoral head than unaffected side
Widened joint space = subchondral lucent zone (crescent sign)
Radiodensity - new bone formation at epiphysis

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14
Q

Legg-calve-perthes disease Mgmt?

A

Non-wgt bearing
Ortho referral
Keep femoral head w/in acetabulum (Splinting/surgery)

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15
Q

Osgood-Schlatter syndrome presents as?

A

TTP at tibial tiberosity - insertion of patellar tendon

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16
Q

Slipped capital femoral epiphysis is?

A

Posterior/inferior slippage of femoral epiphysis on metaphysis.

17
Q

Population of Slipped capital femoral epiphysis

A

Boys during adolescent growth spurts. (Esp. if >BMI)

18
Q

MC bacterial cause of septic arthritis?

A

Staphylococcus aureus

19
Q

MC cause of acute hip pain in 3-10yo?

A

Transient synovitis (any age however)

20
Q

Toxic (transient) synovitis is?

A

Reactive arthritis that affects the hip.

21
Q

Transient synovitis is ass/w what other process?

A

URI (1-2w prior)

22
Q

S/S of Transient synovitis?

A

Pain in groin, anterior thigh, knee, or hip
Painful limping gait
+- low fever
+- joint effusion (boggy)

23
Q

If a joint effusion is present w/ Transient synovitis what may be seen during the interview?

A

Hip held at -

  • flexed
  • abducted
  • laterally rotated
24
Q

Dx of Transient synovitis is made?

A

Clinically

Lab/Rad to r/o

25
Q

Rads of Transient synovitis will show?

A

XR - Nothing

U/S - Joint effusion +-

26
Q

TXT of Transient synovitis is

A

NSAIDs
Supportive - limit activites
Wgt bearing as tolerated

27
Q

Difference between Transient synovitis and Septic arthritis?

A

Septic arthritis pts will have more systemic illness w/ fever.

28
Q

Before Dx of Transient synovitis you must R/O?

A

Septic arthritis.

29
Q

What helps w/ iron absorption?

A

Calcium (orange juice)

30
Q

Bronchiolitis is?

A

Lower respiratory tract infection

- inflamed bronchioles

31
Q

Bronchiolitis MC pathogens?

A

RSV (MC)

- Rhino, parainflu, flu

32
Q

Pop of Bronchiolitis?

A

MC in <2yo Peds

33
Q

Clinical presentation of Bronchiolitis?

A

URI prodrome 1-3d prior
Fever, Cough
Respiratory distress (Tachy-P / retractions)
Wheezing/crackles

34
Q

Complications of Bronchiolitis?

A

Dehydration
Apnea (premmie or <2mo)
Aspiration pneumonia
Respiratory failure

35
Q

TXT of non-severe Bronchiolitis?

A

Nasal suctioning/hydration (conservative)

- current guidance

36
Q

TXT of severe Bronchiolitis?

A

Heated/high flow nasal cannula
CPAP
ET Intubation
+- inhaled B-dil