Term
Which of the following is least indicated in In-Toeing in children?
Watchful waiting, Casting, Surgery |
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Definition
| Surgery 80 % improve spontaneously |
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Term
| Which of the following can have long-term neurologic involvement? In-toeing, femoral anteversion, out-toeing, Knock-knees |
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Definition
Outtoeing with External tibial torsion: Myelodysplasia, Cerebral palsy
Note: Calcaneovalgus foot out toeing usually improves spontaneously |
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Term
| While Knock-knees doesn't have neurologic involvement what could this appear to be when initially presenting? DDx of this is:... |
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Definition
Physiologic (most common)
Symmetric
Improved by age 2
Blount’s Disease
Rickets
Skeletal dysplasia |
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Term
| This super fat chubby baby comes in waddling into your pediatric clinic. You find that his legs are rather short and that he has growht retardation at his proximal tibial epiphysis. What else do you expect to find on radiography? |
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Definition
Infantile blounts: Medial “beaking” initial sign
Progressive depression medial tibial plateau |
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Term
| A first-born baby girl is born in breech position. What's the baby at risk of having? and Which of the following will give you the best idea as to whether she has it? X-rays or Ultrasound. What is the best treatmetn for an ortolani positive child? |
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Definition
DEVELOPMENTAL HIP DYSPLASIA
Ultrasound to see the femoral head.
Pavlik Harness to maintain flexed/abducted posture. Reduce femoral head: Maintain abducted and flexed (100 degrees flexion/60 degrees abduction); Document reduction (x-ray/ultrasound) |
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Term
| Scoliosis typically involves A/P and lateral assymetry. |
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Definition
A/P (Curve types: Right thoracic/left lumbar most common, Double major/thoracolumbar; Trunk alignment; Rib hump (forward bending test)
and Sagittal (Thoracic lordosis, Kyphosis, Lumbar lordosis) |
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Term
| Provid 2 Redflag signs for problems associated with scoliosis. |
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Definition
Painful scoliosis/neurologic findings
Progressive curve in males
Unusual pattern (left thoracic)
Rapid progression (> 1 degree/month)
INTRADURAL ABNORMALITY
Tumor/syrinx/ruptured disc |
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Term
| A child presents to you with weightloss, general malaise, and fever over the past few weeks. You observe a cutaneous rash that is raised and spares the nasal-labial fold and decide to get a urine sample. What are you likely to see upon UA and what is the pathology? |
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Definition
| RBCs/Casts and proteinuria. FSGS in juvenile SLE. |
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Term
| PPV of a positive ANA test? |
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Definition
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Term
| You want to avoid steroids due to their negative SES...Name 3 of them. What else do you give instead? |
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Definition
growth, fertility, osteoporosis, weight gain, acne.
plaquenil, methotrexate, cyclophosphamide, mycophenolate mofetil |
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Term
| Kid comes in with Gottron's papules and a rash not crossing nasal-labial fold. He has more proximal muscle weakness and on CT you see inflamed increased water content in muscles. A huge increase in muscle enzymes lead you to believe it is _____. |
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Definition
| A muscular dystrophy as opposed to the original suspected dx of JDM...NOT Polymyositis b/c that's only in adults. |
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Term
| 10 yr old Barbie, an avid rollerblader, comes in saying her legs look really shiny like they just got waxed and "it's really really awesome," but she is having trouble extending her leg. You suspect ____ and find no other relevant clinical aspects. Is she at risk for getting renal/pulm or systemic involvement? How do you treat besides immune modulators/anti-inflamm therapy? |
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Definition
SD. no localized SD does not become systemic.
tx with anti-collagen cross-linking = D-penicillamine. |
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Term
| As a pediatric resident, you see a child with a fever for the past 5 days, crusty eyes indicative of conjuntivitis, lymphadenopathy, and a polymorphous rash. You suspect a rare disorder and get results on blood tests? What cardiac problems is this child most at risk of developing? |
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Definition
High ESR/CRP, low platelets early but high in subacute, anemia, elevated WBC, CSF pleocytosis.
CA Aneurysms, Pericarditis, myocarditis |
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Term
| Kawasaki disease treatment? |
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Definition
KEY! IV Ig 2g/kg takes risk down to 5%...
ASA to dec clotting. |
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Term
| What is a significant life-threatening aspect of HSP recurrence? |
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Definition
| Bowel intussception => ischemia => death |
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Term
| A child had JIA that went untreated for quite some time due to her lacking Rh factor in her blood...since the resident thought only RF+ could give her joint symptoms. What other red flags could have been noticed had the resident doen a mroe thorough exam? |
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Definition
Koebner's (raised scratch marks), splenomegaly, a proper history noting a fever and Still's rash BEFORE the onset of arthritis.
Also could have done an ANA (although high F+) |
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Term
| If you find a child with systemic symptoms, a normal WBC, and low Hgb but +ANA...What's wrong? |
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Definition
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