Pediatrics - Miscellaneous

Front 1

Name the findings in each of the examination listed below suggestive of child abuse:
Dermatologic examination

Back 1

Ecchymoses of varying stages and pattern injuries (iron/cigarette burns, immersion burns, belt markings)

Front 2

Name the findings in each of the examination listed below suggestive of child abuse:
Ocular examination

Back 2

Retinal hemorrhages (shaken baby syndrome)

Front 3

Name the findings in each of the examination listed below suggestive of child abuse:
x-ray examination

Back 3

Spiral fractures, rib fractures, metaphyseal corner fractures; fractures at different stages of healing

Front 4

Name the findings in each of the examination listed below suggestive of child abuse:
Genitourinary examination

Back 4

Sexually transmitted diseases, genital trauma

Front 5

Name the findings in each of the examination listed below suggestive of child abuse:
Head CT

Back 5

Subdural hematoma (shaken baby syndrome)

Front 6

At what age does an average pediatric patient triple their birth weight?

Back 6

1 year

Front 7

What two criteria must be met before a baby can ride facing forward in a car seat?

Back 7

Child must be 1 y/o and >20 lb

Front 8

What cause of anemia occurs in children that are fed strictly cow mild-fed?

Back 8

Iron deficiency anemia (iron in breast milk is more bioavailable)

Front 9

What vitamin supplement must a child receive that is strictly breast-fed?

Back 9

Vitamin D

Front 10

What organism is assoicated with hemolytic uremic syndrome?

Back 10

E.Coli O157: H7

Front 11

What is the differential diagnosis for an infant with leukocoria (lack of a red reflex)?

Back 11

Retinoblastoma, retinopathy of prematurity, and congenital cataracts

Front 12

What two classic physical examination techniques can be used to identify congenital hip dislocation?

Back 12

Barlow's (posteriorsuperior hip dislocation pressure) and Ortolani's (click with hip abduciton ) maneuvers

Front 13

Name two additional physical exam findings that suggest a congenital hip dislocation.

Back 13

Allis (unequal knee height) and Trendelenburg (pelvis sags when standing on affected leg) signs

Front 14

What is the management of congenital hip dislocation?

Back 14

Treat early with pavlik harness (maintains flexion and abduciton)

Front 15

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

Back 15

Slipped capital femoral epiphysis (SCFE) - displacement of the femoral head medially and posteriorly to the femoral neck

Front 16

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

Back 16

Legg-Calve-Perthes disease

Front 17

Name the most likely pathologic cause of a limp in each of the following clinical scenarios:
12y/o with tibial tuberosity point tenderness

Back 17

Osgood-Schlatter disease

Front 18

What type of radioigraphic evaluation is indicated in suspected SCFE?

Back 18

AP and frog-leg lateral radiographs of both hips (appears as ice cream scoop falling off a cone)

Front 19

What is the management of SCFE?

Back 19

Closed reduction (in acute cases); ultimately requires prompt surgical pinning. Note: increased risk of premature degenerative joint dx