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37 Cards in this Set
- Front
- Back
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What are the 4 types of skin traction?
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- Bryant
- Bucks - Russell - Skeletal 90/90 |
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What are the 2 types of skeletal traction?
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- Femoral 90/90
- Suspension |
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What skeletal traction has weights?
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Suspension
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Hips should be where when in skin traction?
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Off of the bed
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True or False
A child's injury heals faster than adults so a child does not have to stay immobilized as long. |
False, a child's injury does heal faster but they are immobilized longer than an adult.
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When a bone breaks, what is the first thing to form in the healing process?
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A callous forms, which holds the bones together for healing
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What are the 4 factors that affect healing?
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- Growth plates
- Porous bones - Thick periosteum - Rapid healing |
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What are the 3 kinds of complete fractures?
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- Transverse
- Oblique - Spiral |
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What are the 2 kinds of incomplete fractures?
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- Greenstick
- Buckle |
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What is the most common fracture in children?
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Greenstick
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What fracture is a common sign of child abuse?
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Spiral
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What are the 5 P's?
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- Pain
- Pallor - Pulses - Perfusion - Temp |
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How is a clavicle fracture treated?
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immobilized in figure 8 or recumbent sling
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What is the difference between acute and chronic overload?
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- Acute is sudden with immediate symptoms: fractures, sprain, strain, contusion
- Chronic is from repetitive injury: stress fracture, bursitis, tendonitis |
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What does RICE mean? when is it used?
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- Rest, Ice, Compression, Elevate
- First 6-12 hrs of injury |
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When is treatment for clubfoot started? What are the treatments?
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- While still in hospital
- Wedged cast, Denis- Brown splint, surgery if the other 2 do not work after 3-12 months |
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In DDH, what part of the hip joint is the cause of the problem?
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The socket is abnormally developed
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What are the S/S of DDH?
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- Diminished movement of extremity
- Limitation of abduction - Ortolani's - Asymmetry of gluteal folds - Prominence of trochanter - Shortening of femur - External rotation - Delayed walking - Trendelenburg' s sign - Waddle gait |
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What do the x-rays show in a person with DDH?
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An obvious dislocation
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What is the harness used for DDH? what does it do?
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- Pavlik harness
- Puts the head of the femur into the socket and by the constant pressure it enlarges and deepens the socket |
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What is Legg Calve disease?
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- Aseptic necrosis of the femoral head
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What are the S/S of Legg Calve disease?
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- Hip/knee pain
- Soreness/ stiffness - Painful limp - Quadricep atrophy |
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What is the goal of treatment for Legg Calve disease? How is this done?
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- To keep the spherical shape of the head of the femur as it regenerates
- No weight bearing, cast |
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What happens in slipped capital femoral epiphysis?
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The epiphyseal plate is weak and can not stay in the socket.
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What is the main S/S of slipped capital femoral epiphysis?
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Child can not touch thigh to abdomen
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Osteogenesis Imperfecta is also known as?
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Brittle bone disease
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What are the two kinds of osteogenesis imperfecta?
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- Osteogenesis imperfecta congenita (fractures in utero, dwarfs)
- Osteogensis imperfecta tarda (delayed walking, presenting S/S) |
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What are the S/S of osteogensis imperfecta?
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- blue sclera
- Flaccid ligaments - Cataracts - Xrays - Normal calcium and phosphorus |
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Osteogensis imperfecta leads to the inability of the proper development and growth of?
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Cartilage
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What is the treatment for brittle bone disease?
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- Splints rather than casts
- Bone marrow transplants - Surgery with IM rods |
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Is there a cure for brittle bone disease?
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No
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What are the 3 subtypes of juvenile RA?
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- Systemic
- Pauciarticular - Polyarticular |
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What are the S/S of systemic juvenile RA?
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- Fever spikes once or twice a day
- Rash - Fatigue - Pericarditis, myocarditis, pleuritis - Hepatosplenomegaly - Lymphadenopathy - Hot, swollen, sore joints |
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What is the S/S that differentiate pauciarticular juvenile RA from the other forms?
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- Unilateral
- Affects fewer than 5 joints - Affects the eyes: blindness, cataracts, glaucoma - mildest form |
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In polyarticular juvenile RA, how many joints are affected?
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5 or more
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What are people with polyarticular juvenile RA more at risk for?
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Permanent deformity from joint fusion
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What are the 2 types of scoliosis?
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- Correctable (functional)
- Fixed (structural) |
