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9 Cards in this Set
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ACL is most likely defcnt pts w/ which follwg abns? 1-Cleidocranial dysplasia; 2-Congenital radial head; dislocation; 3-Apert syndrome; 4-Achondroplasia
5-Prox focal fem deficiency |
(PFFD) is present at birth & caused by a defect in the cartilage anlage of the proximal femur. associtd w/defcncy in develpmnt prox fem & : cervical pseudoarthrosis, fibular hemimelia, coxa vara, ACL deficiency. Ans5
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Genetics PFFD?
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AD form exists- associated with sonic hedge-hog gene (limb bud)
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12yo bballer routine physical. he reluctant to partake in full PE. Upon further questioning, he states member of coaching staff has touched him inappropriately on repeated occasions best outlines your legal responsibility as a Doc?
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1 Inform the parents; 2 Inform the school board; 3 Inform the athletic director; 4 Inform the child health & protective services; 5 Inform the police: strongly sugg child abuse. Any (<18 yrs) should be reported to Chld Protctve Servs (CPS)-Ans4
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What must be done whenever a non-ambulatory infant goes to ER w/ diaphyseal lng bn fx?1-consult w/ CPS & poss admit hosp; 2-Order serm vit D levls; 3-Order serm Ca & P; 4-MRI cervical spn; 5 Perform genetic testing COL1-A1 & COL1-A2
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missg a case of child abuse could result in further abuse child or even death. 28% of the time, abuse was underestimated at the time of evaluation. recommend admitting all patients in this age group with any fracture and consulting CPS.Ans1
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10mo in ER L elbow swellg & intact neurovasc. The parents: no hx of trauma. A x-ray min displcd dis hum physeal separation w/ abundant callous formtn. The next step? 1-CRPP; 2-Castg only; 3. skeletal survey & contact CPS; 4-Elbow arthrogram; 5 ORIF
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Distal humeral physeal separations in the infant or young child are most often the result of violent traction or rotation and are commonly associated with child abuse. Ans3
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2yo brought ER c/o pain L elbow. Xray Fig A & B. This injury pattern should raise concern for? 1-OI; 2 Larsen’s syndm 3 Kwashiorkor; 4-Marfan’s syndm; 5-Child abuse
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transphyseal separation dist hum. This inj pattern ->rotatory shear mech and has a high association with child abuse.Ans5
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Child abuse suspected isolated spiral fem fx child in which situations? 1- Child > 3 yo 2-Child is < predicted growth charts; 3-Child has a single parent; 4-Child has multiple siblg 5-Child had not yet achieved walking age
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whether a child had not yet achieved walking age (toddler) is the strongest predictor of likely abuse" in children with isolated femur fractures.Ans5
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What are the two MC lesions seen in abused children? 1-Skin lesions & head inj; 2 Skin lesions & fx; 3-Visceral inj & fx; 4-Visceral injuries & head injuries; 5-Skin lesions & visceral injuries
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Skin lesions MC presentation, follwd by fxs. App 1/3 abused child seen by ortho. No pathognomonic fx, but: metaphyseal lesns yng childrn, fxs in various stags healg, pos rib fx, & long-bn fx in < 2 yo. ddx: true accid inj, OI, metab bn dz.Ans2
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MC presentg fx pattern seen in abused children? 1-Metaphyseal corner fx; 2-Spiral lng bn fx; 3-Multiple fx in different stages healg; 4-Single trans long bn fx; 5-Pos rib fx
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1) metaphyseal cornr fx; 2) spiral fx 3) multiple fx diff stages heelg 4) single trans long bn fx; 5) pos rib fx 6) skull fx. single trans long bn fx are MC presenting fx pattern in abused child. skull fx M prevalent fxs ->battered child.Ans4
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