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27 Cards in this Set
- Front
- Back
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Disturbed blood supply to femoral head that leads to necrosis is what disease?
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Legg-Calve Perthes Disease
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Manifestations of Legg-Calve Perthes Disease?
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-insidious onset
-limp on affected side -stiffness of hip in the morning -referred pain |
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Management of Legg-Calve Perthes Disease?
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-non-weight bearing and rest
-Later, activity is encouraged -Abduction braces -Directs head into acetabulum |
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In scoliosis, uncorrected deformities more than 60 degrees results in ___?
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cardiopulmonary compromise
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In scoliosis, bracing is required for mild to moderate curves. What degrees?
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20-40 degrees
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Post-op for scoliosis:
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-Foley first 48 hours due to urinary retention
-Neuro checks - compression paralysis -Log-rolled |
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Most common bone tumor in adolescents is called?
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osteosarcoma
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This bone tumor is associated with rapid growth spurts.
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osteosarcoma
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This bone tumor usually occurs in long bones such as the femur.
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osteosarcoma
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This bone tumor has higher incidences with retinoblastoma.
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osteosarcoma
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Where can osteosarcoma metastasize to?
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lungs
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An increase in alkaline phosphatase may occur in ___.
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osteosarcoma
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Management for osteosarcoma:
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-If amputation - fitted for prosthesis immediately after surgery
-phantom limb sensation -Usually elevate the stump X 24 hours |
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Elevated LDH occurs in this disease.
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Ewing's sarcoma
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Pain and palpable mass would occur in this disease.
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Ewing's sarcoma
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What occurs with radiation in children?
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growth retardation
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Amputation is not always needed in this disease.
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Ewing's sarcoma
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FACT:
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In Ewing's sarcoma, avoid heat or ice packs to the irradiated area.
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Bacterial inflammation of bone and joints is called?
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osteomyelitis
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Osteomyelitis occurs in usually how many bones?
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1
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Manifestations of osteomyelitis?
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-Epiphyseal perforation
< age 1 -Severe, throbbing pain |
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Management of osteomyelitis:
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-Bed rest with immobilization
-IV antibiotic - large doses/long term -2 tubes (drainage and antibiotics) -Wound irrigatoin, I&O, neuro checks |
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What kind of diet for bone healing?
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high calorie diet
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S/S of iridocyclitis:
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-Redness, pain, photophobia
-Decreased acuity, non-reactive pupils -May distort pupil, may have cataracts |
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A slit lamp exam is performed twice a year for 5 years for this disease.
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iridocyclitis
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What is the first line treatment for iridocyclitis?
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NSAIDS
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With Gold, used for the treatment of iridocyclitis:
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-Avoid exposure to strong sunlight
-Skin rash, stomatitis, -Monitor liver, kidney, platelets |
