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Musculoskeletal > 4.4.1 The Limping Child > Flashcards

4.4.1 The Limping Child Flashcards

1
Q

What are the characteristics of Osgood-Schlatter Disease?

A
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2
Q

What are the findings associated with SCFE?

A
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3
Q

What are the characteristics of a 4-10 year old gait?

A
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4
Q

Children with AVN are at risk for? What is the treatment?

A
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5
Q

What is this an image of?

A

Osteomyelitis

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6
Q

How would you make a diagnosis of osteomyelitis?

A
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7
Q

What are the characteristics of adolescent gait?

A
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8
Q

What is the Kocher Criteria for Septic Arthritis of the Hip?

A
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9
Q

?What are the characteristics of osteomyelitis?

A
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10
Q

What should you do for children with DDH in an exam?

A
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11
Q

4 year old with worsening limp and leg pain. Recently URI. Uncomfortable, lying in bed, and cries when approached. X ray is normal.

A

Septic Arthritis

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12
Q

Most common organisms to cause Osteomyelitis?

A

Staph

H flu

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13
Q

5yo female with several days of leg and back pain decreasd appetite and activity and weight loss.

X ray was negative 2 days before

Thin, ill and uncomfortable appearing.

Cries with manipulation of the hip.

A

Need to think neoplasm

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14
Q

What is the difference between the antalgic, Trendelenburg, steppage, and vaulting abnormal gait?

A
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15
Q

What is Transient synovitis of hip?

A
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16
Q

2 year old with progressive limp and leg pain

X ray negative

Splinted for presumptive fracture

Dragging leg and refusing to walk now

Fever symptoms and CRP/ESR levated

A

Osteomyelitis

17
Q

Would you use a CT on a child?

A

Want to avoid due to expose to radiation

18
Q

How should you treat patients with DDH?

A
19
Q

What are these images of?

A

Epiphyseal fractures - think child abuse

Old fractures, multiple fractures, and epiphyseal

20
Q

What is this?

A

Neoplasm of the bone

21
Q

4 yo with a 3d history of limp and thigh pain

No fever

Some improvement with ibuprofen

Active and playful

Uncomfortable with rotation

A

Avascular necrosis

22
Q

What is SCFE?

A
23
Q

What is this?

A

Osgood-Schlatter’s

Pinpoint tenderness of knee

24
Q

18 mo

Walking for 3 months

Mother notes abnormal gait

Leg length discrepancy

Asymmetric abduction of the hips

Clunk on Barlow Provocative Test

A

Developmental dysplasia of the hip

25
Q

What are the X Ray findings associated with SCFE?

A
26
Q

What is the management of SCFE?

A
27
Q

What is the diagnosis and treatment of septic arthritis?

A
28
Q

What is the presentation of Septic Arthritis?

A
29
Q

What is the barlow provocative test?

A

Dislocation of the hip

Clunk in hip vs click

30
Q

18 month old with acute onset of limp. Afebrile and no other complaints. Happy and playful until standing up.

A
31
Q

What are the characteristics of toddler gait?

A
32
Q

What is the Ortolani Maneuver?

A

Reduces dislocated hip

Musculoskeletal (53 decks)

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