7.28 Peds Neuro/muscular Flashcards
(23 cards)
Ligaments stretched OR partially or completely torn
Sprain
Tear in the muscle and/or tendon
Strain
When does the lumbar curve develop?
As children begin to walk
Muscle % in infants v adults
25% of body weight in infants
40% of body weight in adults
What is the differnce between “metatarsus adductus” and “talipes equinovarus”
“metatarsus adductus” = flexible incurving of feet
“talipes equinovarus” = immobile clubfoot
What is the Galeazzi Test
Assessing difference in knee height
What is the Trendelenberg sign?
Abductor muscle weakness on weightbearing side
_______ is performed by adducting the hip while pushing the thigh posteriorly (from back)
If the hip goes out of the socket, it is called “dislocatable” and the test is termed “positive.
What is done to relocate the hip?
Barlow Maneuver dislocates
Ortolani maneuver relocates
Genu varum refers to _________ and is a normal finding through ages ____
Bowlegged
2.5-3 years
Genu valgum refers to ________ and is a normal finding through age ____
Knock-kneed
Seven
Pes plantus refers to ____
Flatfoot
Metatarsus Varus refers to _____
Pigeon foot
Forward bend test reveals (2) which is indicative of (1).
Discrpancies in ribs
Discrepancies in iliac hips
SCHOLEOSIS
Growth Plate Fractures (5)
S Straight across A Above L Lower or beLow T Two ro Through ER ERasure of growth plate or cRush
When is the Glasgow coma scale used? Scale from ___ to ____.
Socring systems for evaluation of patients with head trauma
1-15 scale
Response if baby is dropped back, arms flail
Moro Reflex
Response if baby’s head is turned
Baby extends arm toward direction of head and flexes opposite leg.
“Asymmetrical tonic neck reflex” (Fencing pose)
Stroking the lateral aspect of the plantar surface elicits up going of great toe and fanning out of other toes
Babinski reflex
When does the stepping reflex appear / disappear?
Appears at birth, disappears at 6-8 weeks
Hold baby prone while supporting belly with hand
Stroke along one side of babies’ spine
Baby flexes whole body toward the stroked side
- What is this called?
- When does it disappear?
- Swimmer’s (Galant) Response
- Disappears at 3-4 months
When does the parachute reflex appear / disappear?
Appears at 6-8 months, does not disappear.
Weak pelvic muscles are a sign of muscular dystrophy form the supine postion, the child will roll to one side bend forward to all four extremities, plant hands on legs, and literally “climb” up
Gower’s sign
refer to subtle abnormalities in sensory-perceptual, motor, or other central nervous system functions which are nonspecific findings
e.g. mild dysfunction in motor tone regulation, difficulty in balance, coordination, fine motor function
Soft signs
