Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MSK > TIM Ausink PEDS > Flashcards

TIM Ausink PEDS Flashcards

1
Q

LCP Legg Calve Perthes

A

Causes avascular necrosis of the femoral head
Boys>girls ages 4-8 yr
PE: Limited Abduction
XR: AP+ Frog

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Tender berg sign

A

Positive when patient leans out to opposite side

Appears with short leg and odd gait

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Hip Dysplasia

A

Usually in infants 1st 4 months of life
Do Barlow ortolani and gallezati
Place in pavlick harness
May have medial knee pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Osteogenesis imperfecta typ1

A

Most subtle collagen disorder in children
Triad: blue sclera, angular kelitis
Brittle bone dz

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Neck tortoicollis

A

Mostly scm stressed

Can be rare vertebral abnml think this after pt does not work

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Blount Dz

A

One portion of proximal Tina stops growing and other portion keeps growing
Order XR
Obese early walkers and African American children
Type infantile and adolescent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

WHY ARE CHILDREN MORE PRONE TO INFECTION IN BONE

A

D/T high vascular ergo more room for infarction, bleeding, osteomyelitis risk increases.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Clinodactyl

A

Finger bend out (pinky)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Cyndactly

A

Club foot

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Diagnostic tool for Hip dysplasia is what?

A

US

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What other location may hip injuries present as ?

A

Medial knee pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Club foot components

A

Pathological with rigid foot
Tendon abnmlaity
Order serial casting and bracing
Check all other joints

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Three levels of Torsion include

A

1 femoral
2 tibial
3 metatarsal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Slipped capital femoral epiphysis - SCIFY

A 
Typically 
Boys 12-15 and Gorls 10-13
Obese children 
Limp and Hip pain with out trauma 
STOP WEIGHT BEARING REFER QUICKLY
XR: will show “ice cream slip off the cone” 
TX: Surgical pinning
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Idiopathic scoliosis and characteristics

A

No pain
Send to spine surgeon
Cobb angle greater than 50
XR: AP and lateral view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Scheurmann Kyphosis

A

Thoraci kyphosis typically in teens

Refer to surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Valgus signs

A

L shaped legs like riding horse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Varus signs

A

Like an R out legs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Children approach to FX

A

If it looks broken acts broken but the XR is nml Then treat it as its broken
Recheck XR in 10-14 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

How do you care for a newborn clavicle fx?

A

Leave it be
Document both arms moving
Risk for brachial plexus injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is most common fx in children

A

Spiral tibia fx

Child will not weight bear and be irritable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Non accidental fx in child would be considered a red flag in what fx?

A

Spiral femur fx

23
Q

Suspicious fractures include

A 
Corner fractures 
Rib posterior 
Eternal 
Skull
Scapula fx
Order skeletal survey observe for multiple lesions at various healing times
24
Q

Why do we worry about growth plate injuries in children ?

A

This can delay or stop growth

25
Q

Spine spondylosis

A

Seperation in vertebral pars
Xr: has a Scottie dog appearance
Order XR: lumbar film

26
Q

Spine spodylythithesis

A

Restrict physical activity
This is a spine slippage can cause foot drop
Refer to PT ortho

27
Q

Shoulder growth separation

A

Also called little league pitcher arm, gymnastics, volleyball
This results in a seperation from growth place and shoulder
Results in salter Harris 1 rx

28
Q

Acute brachial plexus injury “stinger”

A

Caused by 2 moa: compression, direct blow and hyper extension of neck and shoulder
SX: burning pain numbness down 1 arm resolves in minutes

29
Q

Apophysis

A

Bony area where muscle and tendon attach. Can also looks very similar to fix but this runs parallel to the diaphysis not perpendicular like a fox

30
Q

Epiphysis

A

End of bone involved in longitudinal growth

31
Q

Knee osteochondritis

A

Pain felt at medial femoral condyle

Worse when climbing up stairs

32
Q

What is the most common saltar Harris fx?

A

Type 2 A above

33
Q

Type 1 saltar Harris fx

A

Straight across epipheseal plate

34
Q

Type 2 saltar Harris fx

A

Above epiphiseal plate

35
Q

Type 3 saltar Harris fx

A

Lower Than the epiphiseal plate

36
Q

Saltar Harris type 4

A

Through the epiphiseal plate

37
Q

Saltar Harris 5

A

Crushed epiphiseal plate

38
Q

Buckle fx

A

D/t axial loading compression fx

39
Q

Greentsick fx

A

Direct blow w angulation

Short term immobilization w/ viler splint 3-4 weeks

40
Q

Osteomyelitis in children

A

Higher risk of infection due to open growth plates high vascular ivy
Kids wiht heme issues are more at risk d/t low o2 carrying capacity- like sickle cell
Room for more infarct and bleeding
MC: femur And tibia bone

41
Q

Osteomyelitis presentation

A

Hot joint toxic patient
Elevated ESR, CRP, CBC
Order: xr, mri, bone scan
Give:v Iv abx until crp less than 50%

42
Q

MC agent causing osteomyelitis in children

A

Staph Aures

43
Q

Mc Osteomyelitis in 3–4 year olds

A

Kingealle kingae, salmonella

44
Q

Septic arthritis

A

Unilateral pain in joint hot edematous joint
Fever
Source typically puncture wound, cellulitis
Aspirate: gram stain culture cell count
Iv abx Mc agents staph, strep, in teens Gonorrhea

45
Q

Growing pains present as

A

Pain that is relieved in the AM

46
Q

Most common source of joint infection

A

Blood

47
Q

Mc bacteria causing osteomyelitis

A

Staph Aures

48
Q

Malignant bony lesions include

A

Osteosarcoma

Ewing’s sarcoma

49
Q

Osteosarcoma characteristics

A

Found in teens present with bone pain femur and tibia metaphysis

50
Q

Ewing’s sarcoma

A

10- 20 years age range indicative of leukemia pathological fx of long bone
To: chemo and radiation

51
Q

Pathological suspicious

A

Bone pain wakes child at night
Child limits activity
Younger child

52
Q

Reactive arthritis

A 
Often follows after a URI 
With nml labs 
Afebrile 
Order viral panel, viral culture 
Send patient home rest pain management
53
Q

SLE SYSTEMIC lupus errythematous

A

Malar butterfly rash
Plus renal dz
Order UA to see for protein spill

54
Q

Juvenile idiopathic arthritis

A

Joint paint in 1 joint for more than 6 wks
Autoimmune inflammation
Non toxic appearing patient
Will have uveitis and a rash
Labs: Ana, anemia
Send to: rheumatoid specialist, NSAIDs, steroids 85% goes away

MSK (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions