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34 Cards in this Set
- Front
- Back
most common cause of brachial plexus injury |
d/t birth trauma |
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flaccid arm, assymetric Moro reflex, internal rotation*, "waiter's tip" |
C5,6 Erbs palsy |
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"claw hand" from unopposed finger flexion and can't extend elbow or flex the wrist |
C7,8 (horners if T1 as well) Klumpke's palsy |
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subluxation of radial head (kid keeps elbow flexed) from upward force on the arm |
nursemaids elbow |
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excessive EXternal rotation of shoulder |
anterior shoulder dislocation (do axillary* XR) |
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contracture of SCM muscle in utero |
congenital torticollis |
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tx for congenital torticollis |
stretch mucle for 6 months, resolves |
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too much hyperextension of the back causing stress fracture of pars interarticularis* |
spondylolysis |
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slipped disk from spondylolysis |
spondylolisthesis |
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most common cause of diskitis |
staph aureus infxn |
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risk factor for developmental hip dysplasia |
breech |
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"clunk"y hip |
DHD |
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assymetric gluteal folds |
DHD |
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Tx for DHD |
harness, then surgery |
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most common organisms causing septic hip |
staph aureus or strep pyogenes |
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labs on septic hip |
wbc, esr, crp, sometimes fever |
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what often precedes transient toxic synovitis of the hip |
URI or diarrhea |
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tx for transient synovitis |
nsaids, rest |
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what patients are more likely to have BILATERAL* SCIFE? |
those with hypothyroidism* |
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most common organisms causing osteomyelitis of the bone |
staph aureus & strep pyogenes, salmonella if sickle cell, pseudomonas if steps on a nail |
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cuases of IN-TOEING |
-metatarsus adductus (medial curvature of the metatarsals) -talipes equinovarus (clubfoot) -internal tibial torsion -femoral anteversion (fever angulates in) |
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patient is less than 1 years old, foot looks like a club foot but able* to dorsiflex |
metatarsus adductus, treat with casting |
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foot is fixed in* with no flexibility, cannot dorsiflex!!!q |
club foot |
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tibia is medially rotated, so foot points in |
internal tibial torsion: foot points medially when knee is flexed to 90degrees |
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most common cause of in-toeing in kids less than 2 |
intrnal tibial torsion |
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most common cause of in-toeing in kids older than 2 |
femoral anteversion (child sits in "W" position!!!) |
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gena varum (bowed legs) |
resolves by 2 years of age |
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blount's disease |
legs still bowed after 2 years: brace or do surgery |
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age of onset for genu valgum (knock knees) |
3-5yo |
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how long is it ok to hav knock knees |
till 10yo |
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growing pains |
pain doesn't interfere with play! ;) |
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kid falls on outstretched arm/elbow |
supracondylar fracture |
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point tenderness, swelling, deformity of elbow |
supracondylar fracture |
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when is supracondylar fracture an emergency? |
if it is displaced/angulated* because neurovasular injury and compartment syndrome can happen! |