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19 Cards in this Set

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Name the findings in each of the examination listed below suggestive of child abuse:
Dermatologic examination
Ecchymoses of varying stages and pattern injuries (iron/cigarette burns, immersion burns, belt markings)
Name the findings in each of the examination listed below suggestive of child abuse:
Ocular examination
Retinal hemorrhages (shaken baby syndrome)
Name the findings in each of the examination listed below suggestive of child abuse:
x-ray examination
Spiral fractures, rib fractures, metaphyseal corner fractures; fractures at different stages of healing
Name the findings in each of the examination listed below suggestive of child abuse:
Genitourinary examination
Sexually transmitted diseases, genital trauma
Name the findings in each of the examination listed below suggestive of child abuse:
Head CT
Subdural hematoma (shaken baby syndrome)
At what age does an average pediatric patient triple their birth weight?
1 year
What two criteria must be met before a baby can ride facing forward in a car seat?
Child must be 1 y/o and >20 lb
What cause of anemia occurs in children that are fed strictly cow mild-fed?
Iron deficiency anemia (iron in breast milk is more bioavailable)
What vitamin supplement must a child receive that is strictly breast-fed?
Vitamin D
What organism is assoicated with hemolytic uremic syndrome?
E.Coli O157: H7
What is the differential diagnosis for an infant with leukocoria (lack of a red reflex)?
Retinoblastoma, retinopathy of prematurity, and congenital cataracts
What two classic physical examination techniques can be used to identify congenital hip dislocation?
Barlow's (posteriorsuperior hip dislocation pressure) and Ortolani's (click with hip abduciton ) maneuvers
Name two additional physical exam findings that suggest a congenital hip dislocation.
Allis (unequal knee height) and Trendelenburg (pelvis sags when standing on affected leg) signs
What is the management of congenital hip dislocation?
Treat early with pavlik harness (maintains flexion and abduciton)
Name the most likely pathologic cause of a limp in each of the following clinical scenarios:
Obese, adolescent male with referred pain to the knee
Slipped capital femoral epiphysis (SCFE) - displacement of the femoral head medially and posteriorly to the femoral neck
Name the most likely pathologic cause of a limp in each of the following clinical scenarios:
Painless limp in a 5y/o child caused by avascular necrosis of the femoral head
Legg-Calve-Perthes disease
Name the most likely pathologic cause of a limp in each of the following clinical scenarios:
12y/o with tibial tuberosity point tenderness
Osgood-Schlatter disease
What type of radioigraphic evaluation is indicated in suspected SCFE?
AP and frog-leg lateral radiographs of both hips (appears as ice cream scoop falling off a cone)
What is the management of SCFE?
Closed reduction (in acute cases); ultimately requires prompt surgical pinning. Note: increased risk of premature degenerative joint dx