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14 Cards in this Set
- Front
- Back
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Congenital club foot is a severe inward rotation of the ankle, foot, and lower leg fixed in an abnormal condition in 1 or a combination of 4 deformities:
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1. Plantar flextion - toes pointed down
2. Dorsiflexion - toes pointed up 3. Vargus - foot turned in 4. Valgus - foot turned out |
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When does tx begin for club foot?
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Immediately and continues for 8-12wks, w/ foot placed in cast in overcorrected position
Casts are changed q1-2wks b/c of rapid growth |
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Patient teaching for a Pavlik harness?
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1. Worn 24h/day for 3-6mos
2. Infant must be sponge bathed 3. T-shirt and knee socks should be worn under brace to protect skin 4. Diaper should be placed under straps and changed w/o removing harness 5. Ensure child has adequate stimulation at appropriate eye level |
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What is the tx for osteomyelitis?
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Long term ABX therapy
1. IV ABX for 3-6wks 2. Oral ABX for 2wks following IV ABX therapy Increased sources of calcium and protein for bone healing |
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How do you assess for scoliosis?
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Have child bend forward at the hips w/ arms hanging freely
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What would you teach the parents of a child w/ Legg-Calve-Perthes?
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1. Rest
2. Goal: keep head of femur in contact w/ the acetabulum 3. Purpose, function, application, and care of corrective device 4. Compliance 5. Continuing school activities |
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Manifestations of osteogenesis imperfecta?
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1. Blue sclera
2. Thin, soft skin w/ easy bruising 3. Increased jt flexibility 4. Weak muscles 5. Short stature |
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Mgmt of osteogenesis imperfecta?
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1. Use a blanket for extra support when lifting or moving
2. Don't hold by ankles when changing diaper 3. Meds: Calcitonin, Biophosphates, Growth hormone 4. Encourage exercise such as swimming 5. Prevent obesity |
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What are the classic signs of scoliosis?
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1. Head and hips not aligned
2. Elevated shoulder or hip 3. One-sided rib hump when bending forward at the hips, arms hanging free |
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Teaching about a Milwaukee brace for the tx of scoliosis?
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1. Does NOT correct scoliosis, it only stops or slows the progression
2. Worn 23h/day, may be taken off to bathe or swim 3. Wear a t-shirt underneath to decrease skin irritation 4. Suggest clothing that camouflages the brace |
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What can happen if severe scoliosis is untreated?
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Respiratory difficulty
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What is osteomyelitis most often caused by?
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Bacteria:
1. S.aureus or 2. H.influenza |
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What inherited disorder is characterized by progressive muscle weakness, wasting, contractures, w/ loss of independent ambulation by 9-11yrs of age?
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Duchenne's muscular dystrophy
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What is the life expectancy for a child w/ MD and what is usually the cause?
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Death usually occurs by 20yrs of age from respiratory or heart failure
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